FICCI Healthawards 2019



Level of Entry Group Level Unit Level Name of participating entity *Address of participating entity*Number of city(s) with presence for participating entity *Contact person for participating entity *Name:Email:Contact:Website:Year of incorporation (in dd/mm/yyyy) for participating entity *Revenue (Rs. in crores) for participating entity *Less than 2526 - 100101 -250More than 250Name of Corporate or Group, Parent company or Trust (only in case of Unit Level)If part of a Corporate or Group or Parent company or Trust to which the participating entity belongsPlease select one applicable Private Hospital Public Hospital Primary Healthcare centre Diagnostic Centre Insurance Company (providing health insurance) Healthcare research institutes Healthcare Start Ups NGOs / Trust / Not for Profit Medical Technology/Devices Companies Other Healthcare Service Provider (Ambulatory Services, Home Care services etc.) Pls Specify …………………….Section 2 – StatisticsDetail2016- 172017- 182018-19CommentsNumber of Provider tie-ups (include hospitals, clinics, doctors)Number of insurer partners (in case of companies who are service providers to heath insurers)Number of lives insured / impactedNo of health insurance claims processed / transactions% of claims repudiated (by number)% of claims repudiated (by value)Section 3 – Case Study A) Details of the Product Summarise the project/initiative/innovation/service which you are applying for the Awards clearly explaining to the jury members what the project is about by highlighting its key aspectsInnovation is defined as a new solution or an older solution implemented with a new update to achieve the goalThe project/initiative/innovation/service should have been fully launched on or after April 1, 2016 till March 31,2019 The Awards shall be given to the initiatives which are fully launched and showcase impact for the period April 1, 2018 to March 31, 2019Details submitted should be for participating entity The details submitted in the application should be specific for the project/initiative/innovation/service applying 1. Name of product(max 50 words) 2. Product launch date (DDMMYY):4. Summary of Product including the problem identified or inspiration behind (max 200 words)5. Briefly describe the methodology adapted for the implementation of the product. (Max 100 Words)6.a Describe the problems and challenges faced by the organization during the implementation of the product (Max 150 words)6.b. Explain in brief how the organization innovatively addressed the challenges faced during the implementation (Max 150 words) 7. What were the cost involved to run the project/initiative/innovation/service 8. Who are your peer bench marks in the industry for the project/initiative/innovation/service? Name Any two. (Max 50 words)9. Describe the 3 unique aspect of your project/initiative/innovation/service implemented (max 250 words)B) Impact 1. Describe the impact of implementing the above project/initiative/innovation/service on various parameters such as stakeholders, operations, business etc. Please explain the impact on for the given parameters highlighting the followings:Degree of Improvement Scale of Implementation Period of Impact (Whether the project has shown instant change or change over a period) The Awards shall be given to the initiatives which are fully implemented and showcase impact in the healthcare sector for the period April 1, 2017 to March 31, 2019Details submitted should be for participating entity.The details submitted in the application should be specific for the project/initiative/innovation/service applied ParameterImpactStakeholdersPlease demonstrate tangible impact of the project/initiative/innovation/service w.r.t patient, doctors, nursing staff etc.OperationsPlease demonstrate the impact of project/initiative/innovation/service on operationsBusiness Please demonstrate the impact of project/initiative/innovation/service on business Any Other2. Describe the impact of the project/ initiative/innovation/service in numbers for at least three parameters Parameter(Please Specify)2016-172017-182018-19Comments123C) Sustainability and scalability *1. Please describe the key developments from your end to ensure the sustainability & scalability of project/initiative/innovation/service in the next two years (max 200 words)2. Why should your project/initiative/innovation/service win this award (max 75 word) *Details of any other awards or certification(s) obtained by the organization w.r.t project/initiative/innovation/service (Please provide supporting documents) ................
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