Application Submission Guidelines
Submissions must be typed directly into this document and cannot exceed 10 pages, including charts and graphs. Additional pages will not be considered.
Whether you are applying for Idaho or Washington, submissions must be sent by Friday, February 3, 2017 to either:
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For questions on the Idaho application submission process, please contact London Manor Petersen at or call (800) 488-1118, ext.5942.
For questions about the Washington application submission process, please contact
Paula Parsons at or at (800) 949-7536, ext. 2470.
State: Idaho Washington
Category
The project described in this application is the work of a:
Single large hospital
Single critical access hospital
Post-acute provider (skilled nursing facility, assisted living facility, home health agency, etc.)
Outpatient setting (primary care, specialty care, ambulatory surgery center, community
organization, laboratory, etc.)
Health system (a multi-setting system of hospitals and other providers)
Other (health plan, pharmacy, etc.)
Project title:
Name of organization:
Name of individual submitting application: Title:
Name of media contact for your organization:
Media contact email:
Street address:
City:
State:
Zip:
Phone number: Fax:
Email:
Please check this box if you are willing to present your project at the awards ceremony with a poster if your organization receives an award.
By submitting this application, the applicant consents to release the project summary, facility contact information and images to Qualis Health to post on its website and potentially share with the media.
How did you hear about the Award of Excellence?
Direct email
Qualis Health website
Professional association
Other (Please specify)
Information about Your Organization’s Quality Improvement Project or Initiative
A. Describe your organization. (e.g., hospital, clinic, location, number of beds, number of providers, specialty focus and anything else you’d like us to know, including any “hardship,” such as limitation of resources):
B. Summarize your project. Qualis Health uses this information to announce and promote award winners.
Provide a brief abstract or summary (150 words or less) of your project
in simple language that is understandable to people who don’t work in healthcare. Briefly state the following: (1) what you aimed to improve, (2) why it’s important, (3) what changes you made, and (4) your quantifiable result(s).
Provide a single chart or graph that illustrates the key results from your project and demonstrates your success.
C. Tell us about your project. This section is awarded points for selection of
award winners.
1. What problem are you trying to solve?
(10 points: 1 point = no clear need for improvement and limited evidence to support implementing the initiative; 10 points = well described prior gap in performance and
randomized controlled trial level evidence supporting the intervention)
2. What data did you track to measure the progress of your project?
What metrics were monitored to define success? Please list.
(10 points: 1 point = poorly defined metrics and/or subjective data use only;
10 points = clearly defined process, outcome measures and study design)
3. What changes did you implement? (25 points: 1 point = data minimally used to identify or direct changes; 25 points = baseline data and information collected were systematically reviewed and prioritized, and robust, data-supported system or process changes were implemented)
4. How does your project address equity and patient-centered care, such as directly engaging patients and families, reducing disparities, and/or addressing social determinants of health? (10 points)
Results
The awards program recognizes efforts that address the three-part aim of the National Quality Strategy: better care, healthy people/healthy communities, and lower cost of care.
5. Three-Part Aim Results: Better Care. How did your project make healthcare more reliable, effective, accessible, safe, or improve the patient experience? (15 points)
6. Three-Part Aim Results: Healthy People, Healthy Communities. How did your project improve the health of a population or improve patient outcomes? (15 points)
7. Three-Part Aim Results: Lower Cost. How did your project reduce the cost of care for individuals, families, employers, and/or government/other payers? (15 points)
Thank you for applying for the Qualis Health Awards of Excellence!