Points are attributed as follows:

12  points are required on this form to attain Associate Fellow membership.
25  points are required to enter the Fellowship Program. Please note that:

• You must demonstrate at least 1 point in Section 5 to be  eligible to undertake Fellowship.
• You must join and have been accepted as an Associate Fellow before applying for the Fellowship Program.  
• You must have completed the ACHSM Certification Program

45  points are required for consideration of an ALTERNATE PATHWAY to Fellowship after being accepted as an Associate Fellow.

PLEASE READ BEFORE COMPLETING FORM

Information to assist you in completing this application

Employment experience – Section 1 and 2
The most important thing to note here is that a job role can only be listed once, at either Section 1 OR Section 2. In these sections we are only interested in roles where you have been an executive/leader/ manager of a health entity. Similarly, a year can only be counted once – for clinicians you need to decide whether the majority of a particular role was leadership and management or clinical work and attribute any role that was mostly clinical under Section 4.

Section 1 – list executive roles, with dates, where you have been in one of the top 3 levels of a very large, multi-site health entity OR at the top (ie CEO or equivalent) level of a smaller organisation (>$25m operating budget).

Section 2 – list all other health leadership or management roles in this section. Note that these roles must be ones in which you manage or lead others. At a minimum the roles listed in Section 2 would demonstrate one of the following:
1. A health/aged/community care manager has direct management supervision over others and has control over resources.
2. A health management academic teaches and/or conducts research in health service management.
3. Policy advisors must have a track record of providing strategic advice to Boards of Directors and/or Governments.
4. Consultants must have a successful track record of achievements in health service management.
5. Clinicians need to ensure that the years of experience they are claiming, are for appointment to positions that have a direct management responsibility as defined above and must be reflected in the curriculum vitae.

Section 3- Board experience
Have you sat on a Board of a health entity? The entity should be listed on ASIC or ACNC and you may not list points for internal committees or where you have attended a board meeting as part of your employment.

Section 4 - Health professional or other business experience 
This section aims to recognize clinical experience (4.1) and business support experience where the business support role has been within the health sector (4.2). 4.1 is the appropriate place to record points if you have clinical experience prior to or contiguous to management experience. 4.2 is for professions such as accounting, IT, HR, architecture or similar where the experience indicated and points claimed have been in the health sector specifically.

Section 5 - Education in health management/management 
Please ONLY list a qualification that is in either health management / other management /business management.

To apply for Fellowship you must show a minimum of ONE point in this section. You may list and record the points for ONE qualification only.
Accepted qualifications range from Diploma (Australian Qualifications Framework Level 5) through to post graduate doctorate level. Qualifications such as Public Health may meet the requirements however a transcript indicating units completed will be required for assessment). The points for a Doctorate must have contributed to the body of health service management and evidence will need to be
submitted to support this.Do NOT list a qualification that is not in either health management/other management/business management.

Section 6 – Contributions to the health management profession   
Please read the instructions carefully as all questions relate to research or published public reports or activities (outside paid employment) that support the health management profession. For example, published research papers on a clinical subject are not accepted at 6.1 nor internal organisation major reports undertaken as part of your employment at 6.2. 

You MUST provide a comprehensive CV 
As part of your application for Membership/Fellowship please provide a comprehensive CV that shows the areas where all points are claimed, deleting extraneous roles and information. 

The information contained in this application will be kept strictly confidential.

Years of Service listed above can only be claimed once in this application

Points Calculation: Less than 2 years = 1 point per year
                            ➢2 years= for every year add 2 points
                            i.e. . 3 years = 3 points, 4 years = 5 points, 5 years = 7 points
                            MAXIMUM = 30 POINTS

Years of Service listed above can only be claimed once in this application.

Points calculation: 1 point for every full year in this category to a maximum of 25 points

Points Calculation:
Less than 1 year = 0 point
1 -3 years of practice = 2 points
More than 3 years = 4 points (maximum points)

Points Calculation:
Less than 5 years of practice (after registration or completion of qualifications) = 1 Point
5 -10 years of practice = 3 points
> 10 years of practice =  5 points

Points Calculation:
Less than 5 years = 1 point
5 -10 years of practice = 2 points
> 10 years of practice = 3 points

6.1 Have you been an author or co-author of an article that contributed to knowledge of health service management, aged care management or community care management, health service management policy or health service management research published in a peer reviewed publication in the past five years?

Note: You must be one of the first five authors and the article must be accessible by standard search methods (e.g. PubMed or Medline).

Note
Major published reports include those contracted by government, your or another
organisation, that are publicly available (e.g. be accessible through Google Scholar or
similar search engine) and contribute to major funding, regulatory, organisational or
policy changes.

Note
Health management profession activities include participating on ACHSM committees,
acting as a mentor in a formal mentor program, participation as an accreditation standards
assessor or substantial and continuing casual teaching in a health/aged care management
program at a university or in other academic programs.

There are no points for 6.4 however you may be eligible for Fellowship after joining ACHSM and meeting the criteria for Associate Fellow.

Please provide a comprehensive CV