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Summit
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TBV
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Founder's Award
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Summit
Breakthrough
TBV
Conference
CLS
Founder's Award
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I-1 Service Excellence Advisor – 1st Year
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B. How has this nominee made a difference?
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C. How and what impact has this SEA had on patient/customer satisfaction?
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D. What’s the impact this SEA has had on improving employee morale and the culture of the organization? How did he/she accomplish this?
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E. What impact has this SEA had on improving the community’s perception of the organization?
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F. What behaviors distinguish this nominee from other SEAs?
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I-2 Service Excellence Ambassador
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B. How has this nominee made a difference?
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C. How and what impact has this Ambassador had on patient/customer satisfaction?
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D. How and what impact did this Ambassador have in improving employee morale and the culture of the organization?
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E. What impact has the Ambassador had on improving the community’s perception of the organization?
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F. What behaviors distinguish this nominee from other Ambassadors?
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I-3 Exceptional Nurse
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B. How has this nominee made a difference?
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C. How and what impact has this nurse had on patient/customer satisfaction?
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D. How and what impact does this nurse have in improving employee morale and the culture of the organization?
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E. What impact has this nurse had on improving the community’s perception of the organization?
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F. Which behaviors differentiate this nominee from other nurses?
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I-4 Exceptional Employee
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B. How has this nominee made a difference?
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C. How and what impact has this employee had on patient/customer satisfaction?
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D. How and what impact does this employee have in improving employee morale and the culture of the organization?
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E. What impact has this employee had on improving the community’s perception of the organization?
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F. Which behaviors differentiate this nominee from other employees?
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I-5 Empowering Manager
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B. How has this nominee made a difference?
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C. How and what impact has this manager had on patient/customer satisfaction?
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D. How and what impact does this person have in improving employee morale and the culture of the organization?
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E. What impact has this person had on improving the community’s perception of the organization?
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F. What empowering behaviors distinguish this nominee from other managers?
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I-6 Customer Focused Physician/Provider
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Approved by Service Excellence Council?
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A. Provide a brief snapshot of “why” this individual is being nominated.
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B. How has this nominee made a difference?
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C. How and what impact has this physician/provider had on patient/customer satisfaction?
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D. How and what impact does this physician/provider have in improving employee morale and the culture of the organization?
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E. What impact has this physician/provider had on improving the community’s perception of the organization?
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F. Which behaviors distinguish the nominee from other physicians/providers?
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T-7 Service Excellence Advisor Team
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A. Provide a brief snapshot of “why” this team is being nominated.
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B. How has this team made a difference?
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C. How and what impact has the SEA Team had on patient/customer satisfaction?
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D. How and what impact did the SEA Team have on improving employee morale and the culture of their environment?
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E. What impact has this team had on improving the community’s perception of the organization?
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F. What behaviors allowed this SEA Team to stand out from others?
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T - 8 OASIS Team
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B. How has this team made a difference?
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C. How and what impact has the OASIS Team had on patient/customer satisfaction?
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D. How and what impact did this OASIS Team have on improving employee morale and the culture of their environment?
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E. What impact has this team had on improving the community’s perception of the organization?
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F. Have the team’s activities resulted in an improvement in productivity, or in reducing expenses, improving income or reducing turnover, etc.? Please cite the benefits in the areas impacted.
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G. What behaviors mark this OASIS Team as exceptional?
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T – 9 DO IT Improvement of the Year
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A. Provide a brief snapshot of "why” this DO IT Team project is being nominated.
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B. How has this "DO IT improvement project" made a difference?
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C. How has the improvement made an impact on patient/customer satisfaction?
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D. Did the improvement improve employee morale and the culture of the environment?
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E. What impact has this improvement had on the community?
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F. If the improvement had a positive impact on productivity, or in reducing expenses, improving income or reducing turnover, we’d like to hear how any of these areas of the organization benefited.
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G. What behaviors differentiate this DO IT Team and their project from other DO IT Teams?
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L – 10 Super Coach
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B. How has the Super Coach made a difference?
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C. How and what impact has the Super Coach had on patient/customer satisfaction?
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D. How and what impact did the Super Coach have on improving employee morale and the culture of our workplace?
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E. What impact has this Super Coach had on improving the community perception of the organization?
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F. What behaviors differentiate this Super Coach from other Super Coaches?
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L – 11 Implementation Coordinator (Program Director)
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A. Provide a brief snapshot of “why” this individual is being nominated.
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B. How has the Implementation Coordinator (Program Director) made a difference?
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C. How and what impact has the individual had on patient/customer satisfaction?
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D. How and what impact did the individual have on improving employee morale and the culture of their environment?
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E. What impact has this individual had on improving the community’s perception of the organization?
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F. Which behaviors distinguish this individual from others?
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L – 12 Service Excellence Council
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A. Provide a brief snapshot of “why” the council is being nominated.
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B. How has the Service Excellence Council made a difference?
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C. How and what impact has the Council had on patient/customer satisfaction?
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D. How and what impact did the Council have on improving employee morale and the culture of their environment?
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E. What impact has this Council had on improving the community perception of the organization?
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F. What behaviors define your Council as exceptional?
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L – 13 Motivating Administrator
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A. Provide a brief snapshot of “why” this individual is being nominated.
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B. How has the individual made a difference?
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C. How and what impact has this individual had on patient/customer satisfaction?
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D. How and what impact did this individual have on improving employee morale and the organization’s culture?
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E. Describe what impact the individual has had on improving the community perception of the organization?
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F. What behaviors differentiate this individual from other administrators?
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L – 14 Inspiring Chief Executive Officer/President
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Nominated By
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A. Provide a brief snapshot of “why” this individual is being nominated.
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B. How has the individual made a difference?
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C. How and what impact has this individual had on patient/customer satisfaction?
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D. How and what impact did this individual have on improving employee morale and the organization’s culture?
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E. Describe what impact the individual has had on improving the community perception of the organization?
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O – 15 The Medical Clinic of Choice
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A. Provide a brief snapshot of “why” you are nominating your facility.
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B. How has the clinic made a difference to your community?
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C. What’s changed regarding patient satisfaction at your clinic?
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D. How and what impact did the Clinic’s leaders have on improving employee morale and the facility’s culture?
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E. What impact has Service Excellence had on improving the community’s perception of your clinic?
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F. If the clinic is experiencing improved productivity, and/or income, or in reducing expenses and/or in reduced staff turnover, please give evidence of these benefits. Numbers? Percentiles?
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G. What facility-wide cultural behaviors distinguish your Clinic from others?
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O – 16 Hospital Provider of Choice
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Nominate Your Facility
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Nominated By
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A. Provide a brief snapshot of “why” you are nominating your facility.
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B. How has the hospital made a difference?
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C. What’s changed regarding patient/customer satisfaction at your hospital?
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D. How and what impact did the facility have on improving employee morale and the culture of their environment?
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E. What impact has Service Excellence had on improving the community’s perception of your hospital?
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F. If the facility is experiencing improved productivity, and/or income, or in reducing expenses and/or staff turnover, please give evidence of these benefits. Numbers? Percentiles?
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G. What hospital-wide cultural behaviors distinguish this healthcare facility from others?
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