Bon Secours Health System Awards Ceremony 2016
Outstanding Team Initiative
Nomination Guidelines
The Outstanding Team Initiative Award will be given to a team whose efforts supported the organisational
goals of quality, the patient experience and/ or financial performance. This team must have collaborated
towards a common goal and contributed to the success of the organisation. The team must consist of at
least three members including the team leader and can consist of members working in the same or
different disciplines, e.g. Nurse, Porter, Doctor, HCA etc. A team is comprised of three or more team
members, including the Team Leader and can be cross functional or work-unit based. One person on the
team must be designated as Team Leader. This could be either clinical or a back office Team e.g. Finance,
Bookings or Admin.
Marking Criteria
Measureable Efficiencies
Results
Implementation:
Improved a process, outcome or focus area within quality, patient
experience and/or financial performance.
Demonstrated tangible outcomes such as patient satisfaction, cost savings,
generation of capital, productivity, quality and/or safety.
Can it serve as a model that other departments can implement within the
Bon Secours Health System?
Requirements and Eligibility
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The nominee must be part-time or full-time, and actively employed with Bon Secours for at least
six months on or before the closing date for nomination.
Volunteers are not eligible for this award.
Nominees can be any grade/level of staff.
Nominees must not have any performance/disciplinary issues within the past year.
Nominees must exemplify the Bon Secours mission/vision statements and core values.
The nomination must be endorsement the hospital manager
Submission Process and Instructions
 The form must be typed – we cannot accept handwritten forms.
 Completed forms should be uploaded on the online nomination page.
 Optional Supplementary materials should be included in the appendix and limited to three pages.
 The deadline for nominations is 6pm, March 21st 2016.
Application Review Process
All applications will be reviewed by a Judging Panel, which includes Bon Secours Health System Executive and
Non-Executive members and leaders from outside the organization. The shortlist will be announced on the
week of the 11th April and the event will take place on May 6th. Any questions regarding the application
process should be directed to [email protected] or call Kate on 01-7008503
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Outstanding Team Initiative Nomination Form
Team Members Information
The team must consist of at least three members including the team leader and can consist of members
working in the same or different disciplines, e.g. Nurse, Porter, Doctor, HCA etc. A team is comprised of
three or more team members, including the Team Leader and can be cross functional or work-unit based.
This could be either clinical or a back office Team e.g. Finance, Bookings or Admin. One person on the team
must be designated as Team Leader.
Team Name
Department
Site
Team Leader
Job Title
Email
Phone
Team Member Name
Job Title
Department
Email
1
2
3
4
5
6
7
8
Hospital Managers’ Endorsement
Name
Date of Approval
Dept
Site
Work Phone
Mobile
Email
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Submission – Nomination Text
Please note that all sections are required and must be complete in order to be considered.
1. Measurable Effectiveness
Improved a process, outcome or focus area within quality, patient experience and/or financial performance.
(Please be concise and keep to a 500 word max):
2. Results
Demonstrated tangible outcomes such as patient satisfaction, cost savings, generation of capital, productivity,
quality and/or safety. (Please be concise and keep to a 500 word max):
3. Implementation
Can it serve as a model that other departments can implement within the Bon Secours Health System?(Please
be concise and keep to a 500 word max):
Appendix (Optional)
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