Patients First Program Application

Putting Patients First Program Application

The AHRA & Canon Medical Systems USA, Inc. Putting Patients First Program seeks to improve pediatric and adult patient care and safety in diagnostic imaging through an innovative grant- making program. The Putting Patients First Program will provide five grants in 2021 to fund programs, training or seminars aimed at improving patient care and developing best imaging practices in the areas of CT, MR, Ultrasound, X-ray and Vascular. This collaboration seeks to improve patient care and safety in imaging through grants that fund programs, trainings and seminars at IDN/hospital systems, local hospitals and imaging centers. The programs funded by these grants will be used to create a best-practices tool to share with other hospitals and institutions.
Full Name *

First Name Last Name
Title *
Department *
Address *

Street Address

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Phone Number *

Area Code Phone Number
E-mail *
AHRA Member?

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How did you hear about this grant opportunity?
Organization Section
Organization Name *
My organization is *

IDN/health system single-site hospital single-site imaging center
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Program Overview
Which patient population will this program target? *

Pediatrics Adult patient care Overall patient care
What type of program is your single-site hospital or imaging center hoping to fund with the grant?

A program focusing on diagnostic imaging A program focusing on pediatric imaging A program focusing on neuro-radiology A program focusing on oncology imaging
What type of program is your IDN/health system hoping to fund with the grant?

A program that improves overall patient care and safety in imaging implemented across the IDN/hospital system
Title for this program: *
In fewer than 800 words, describe your organization’s plan for creating and implementing the program. Please highlight how your program will improve patient care and safety in diagnostic imaging by a) reducing radiation dose; b) improving patient understanding of the process; c) improving patient comfort; and/or d) improving the overall clinical pathway. Describe the shape the program will take (traditional program, staff training, seminar or another format), main objectives/goals, timing and anticipated outcome. *

0/800
For IDN/hospital systems only: In fewer than 500 words, describe specifically how your program will be implemented across the entire IDN/hospital system, including the plan to ensure quality, consistency and compliance across the entire hospital system.

0/500
In less than 100 words, describe how the “best practices” learned from the program can be shared with across the hospital system for IDNs or with other facilities for single-site hospitals and imaging centers. *

0/100
Additional information/comments.
Senior Management support: (required, upload letter below)
In less than 100 words, describe your show of support for the program.

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*I certify this application contains no misrepresentations or falsifications and this information is true and correct to the best of my knowledge. I understand that any false statements made herein will void this application and I will be ineligible for support from Putting Patients First Program. I have read the eligibility requirements and certify that I and my facility are eligible for this grant. I also certify that I understand and agree to the funding overview, judging, timing and program criteria as stated in this application. *

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Putting Patients First Program Application

Organization Section

Program Overview