Contact Information
Please select if this application is from an individual or a team, and fill out the information for your project / innovation accordingly.
Is this application submission from an individual or a team?
Individual
Team
Full Name
First Name
Last Name
E-mail
Role/Title
Manager
Location
Department
Point of Contact
First Name
Last Name
Point of Contact Email
Please list all members apart of this team (separate each member with a comma)
Location
Department
Is your leader aware of the project / innovation?
Yes
No
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Strategic Focus Area
Which Strategic Focus area(s) does your project / innovation apply to? (check all that apply)
Patient Experience
Innovation & Population Health
Operational Excellence & Integration
Network Development
Title of project / innovation
Please provide a brief description of your project / innovation
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INSPIRE
What was the challenge / opportunity that inspired the need for change?
INNOVATE
What new idea / innovation was put in place and how?
IMPROVE
What occurred as a result? Cite measurable improvements from the Strategic Focus Areas you cited. See below for your Strategic Focus Areas
The Strategic Focus Area(s) you selected are:
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Financial Impact (Optional)
Does your Project / innovation have a financial impact (cost savings or revenue generation) on the system?
Yes
No
Please describe the financial impact of this Project / innovation (cost savings or revenue generation)
Please upload any supporting documents that will help explain your project / innovation
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