Education Program Guidelines & Application Form

About this Program

Purpose

Gold Coast Hospital Foundation Education Program aims to improve health services for patients by delivering health and medical education activities including:

  • Education and training workshops that equip and upskill local health staff with the latest skills, knowledge and techniques in a particular disease or illness or health care model;
  • Developing and producing materials and resources that help educate patients, the community and health staff;
  • Community health promotion activities and education programs that help improve community knowledge about illness and disease causes, treatments, services and health promotion activities.

How it works

A formal application round will be opened at least once per year and the Foundation invites health staff to put forth education activities and materials they would like the Foundation to deliver.

If your application is successful, Gold Coast Hospital Foundation will organise and deliver your program/activity and cover all costs up to the value of:

  • $2,500 for
  • $5,000 for education materials and resources such as films, booklets, manuals, leaflets.
  • Operational support/assistance by the Foundations Programs Officer in delivering your program e.g. planning, setup, delivery of event

Selection criteria

The following criteria will be considered when selecting programs to deliver:

  1. Qualifications and skills of the proposed speaker/trainer or supplier.
  2. Activities not eligible for GCHHS professional development assistance.
  3. Potential to improve health care delivery.
  4. Potential to improve patient health outcomes.
  5. Evidence that learning will be applied to an area of service delivery.
  6. Provide an opportunity for GCHHS staff to share their knowledge with other staff and to implement into practice (dissemination).

Eligibility

Available to all GCHHS staff who are Australian residents.

Education training/workshop/resource must be relevant to the applicants’areas of work.

Contracted staff can apply for education programs but they must demonstrate how their learning will be disseminated and shared with peers and how it will impact patient care and outcomes should they leave GCHHS employment.

A group must consist of a minimum of 3 participants.

Applications MUST BE approved and supported by your Service Director Approval.

Funding

Due to funding limitations, the applicantmay submit one Gold Coast Hospital Foundation Educationapplicationin any one round.

What will NOT be funded?

The following items will not be supported:

Any previous education programs funded who have not provided a satisfactory acquittal report and case study.

Funding for GCHHS staff to work outside Australia.

Education/training/resources that could be reasonably expected to be provided by the hospital and health service.

Training related to licences or registration requirements.

Assessment Criteria

Our education program is highly competitive and each application is assessed against the ability to improve health care delivery and patient outcomes.

Each application will be assessed against the following criteria:

  1. Evidence that the topic and the educator is of high quality and expertise.
  2. Demonstrated need for the education.
  3. High anticipated health benefit.
  4. A clear comprehensive realistic budget that provides value for money.
  5. Strong evidence that knowledge gained will be shared and disseminated with peers.

Conditions

ApplicationsMUST be submitted via email in word document form to – PDF handwritten applications WILL NOT be accepted.

4 COPIES of your application form MUST BE submitted to the Programs Officer.

All information and details about the expertise education group training/workshop or health resourceMUST BEprovided.

All costs MUST BEincluded in application and additional costs will not be supported.

The approved project budget is final and no additional funds will be spent on your activity if approved.

ProgramMUST BEheldwithin one year of date awarded.

Agree to acknowledge Gold Coast Hospital Foundation in any media and public communications.

Satisfactory completion of any previously funded education reports by Gold Coast Hospital Foundation.

Failure to complete the education program within the financial year will result in program cancellation.

Agree to submit a 1 page education report and patient case study to Gold Coast Hospital Foundation within 90 days of completing the program.

APPLICATION FORM

Applicant Contact Details

Applicant/Team Leader:
Position or Grade/Level:
Facility:
Department & Unit:
Address:
Phone:
Email:

Application Details

Please select the type of Education Program funding you are applying for:
Education Workshop/Seminar/Training
Education Resource/Materials
Education Training/Workshop/Resource Title: – in 20 words or less:
Please describe the education training/workshop/resource in 50 words or lessin simple non-scientific language:
Please provide your project rationale in 150 words or less, in simple non-scientific language:
Does this project seek to identify any of the following (you can select more than one):
 Cause of disease
 Treatment of illness or disease
 Clinical Improvement
 Care setting improvements
 Cure of illness or disease

SELECTION CRITERIA - GENERAL

  1. Please provide evidence of the qualifications and skills of the proposed speaker/trainer or supplier,in 150 words or less, in simple non-scientific language:

  1. Please tell us how this activity has the potential to improve health care delivery, in 150 words or less, in simple non-scientific language:

  1. Please tell us how this education activity has the potential to improve patient health outcomes or prevent disease and illness, in 100 words or less, in simple non-scientific language:

  1. Please tell us how you will share your knowledge gained from this activity with other GCHHS staff and to implement into practice (dissemination), in 100 words or less, in simple non-scientific language:

SELECTION CRITERIA – For Education workshops, trainings, seminars ONLY

  1. Please tell us why this activity is not eligible for GCHHS professional development assistance, in150 words or less, in simple non-scientific language:

If this funding is for group training/workshop please advise the following:
Number of attendees: N/A
Name of Group/Department: N/A
  1. Please tell us how the learnings from this activity will be applied to your service delivery area and the patients you treat, in 100 words or less, in simple non-scientific language:

Project Budget (please provide a full breakdown in costs) up to a maximum of $3,000 for workshop/training and $5,000 for educational resources:
  • Speaker/Trainer:$
  • Accommodation:$
  • Travel:$
  • Catering:$
  • Learning materials:$
  • Other (please specify):$
TOTAL$
Indicate if you have received or applied for any other funding to assist with this education. If Yes, please specify: /  Yes
 No
Please estimate the number of patients this training/workshop/resource will benefit per year:
How health service delivery will primarily benefit from this funding:
 Health care quality
 Health care access
Department/Unit within health service this funding will primarily benefit:
 Inpatient unit Rehabilitation unit
 Outpatient unit Medical support services
 Nursing Public health
 Reproductive health unit Other
Disease/Illness that this education will cover:
 Musculoskeletal diseases Kidney diseases
 Brain and nervous system disorders Infectious and parasitic diseases
 Digestive system diseases Mental health
 Ear, nose and throat diseases Respiratory system diseases
 Eye diseases Skin conditions
 Endocrine, nutritional and metabolic diseases Genetic conditions and birth defects
 Heart and circulatory systems Cancers
 Immune system diseases Other
Who are the primary beneficiaries of this education training/workshop/resource?
Please tick all relevant boxes below:
Predominately MalePredominately Female Non gender specific
What is the approximate age range of the primary beneficiaries? Select 1 or more below:
Infants and Toddlers
Children (3 – 9 years)
Preteens (10 – 12 years)
Adolescents (13 – 18 years)
Young Adults (19 – 25 years)
Adults (26 years +)
Seniors (65 years +)
Applicant Declaration

I have read and understood the terms and conditions for Education Grant Application and agree to abide by those terms and conditions.

Name: ………………………………………………………. Signature: ………………………………………… Date: ……………………..

Service Director Approval

Prior to submission to the Gold Coast Hospital Foundation, this Application Form and supporting documentation must be forwarded to your department Service Director. (Refer Lodgement Deadline & Required Endorsements in terms and conditions)

Service Director name and unit/department: /  Endorsed
 Not Endorsed / Signed: / Date:
Submission Contact Details

Applications are to be completed by the applicant and received at the offices of the Gold Coast Hospital Foundation by no later than the close of business on Friday 2nd September 2016.

  1. Please deliver 4 copies of your application to:

Programs OfficerorHand Deliver to Foundation Office - GCUH

Gold Coast Hospital FoundationGround Floor, D Block
PO Box 23

GRIFFITH UNIVERSITY QLD 4222

  1. Email word document application form to

For further information contact the Foundation’s Programs Officer, Lisa Hennessey on 5594 6986:

Office Use Only: Gold Coast Hospital Foundation Office Staff

Date received: / Signature:

The Education Program Awards Ceremony will be held 6 October at 10.00am. Aninvitation will follow once your application has been submitted.

Applicants will find out at this ceremony if they have been successful.

Application Checklist
  1. Before submitting this application please check that you have included the following items:

Application Form completed in word document format and emailed to .

4 paper copies for submission.

Evidence on expenditure of e.g. quote from speaker/trainer for group workshops including flights and accommodation if applicable and resource materials as applicable.

  1. Please tick to confirm that you agree to the following conditions of our Education program:

[ ] I will complete a written report outlining the outcome of this education activity/resource.

[ ] I will submit a case study that demonstrates the impact of this education/resource on a patient or group of patients.

[ ] I will ensure that that the report and case study are returned to the Foundation Programs Officer within 3 months of my program/project being completed.

[ ] I will notify the Foundation of any media releases or opportunities that happen in relation to the program/projecteven if the Foundation has only contributed part of the funds and will ensure that the Foundation is acknowledged in all media activity as having funded the project/work.

[ ] I will notify the Foundation immediately if my education program/resource is not going to proceed or continue.

Note: Failure to fulfil these requirements will result in you being ineligible to receive further education program funding from the Gold Coast Hospital Foundation.