April 20, 1999 - MCG Health
6858014478000Application FormYour information (all client-identifying information will be blinded to the judges):Organization NameClick to enter nameEmailClick to enter emailName of person completing applicationClick to enter namePhone numberClick to enter phoneTitleClick to enter titleMCG Account ExecutiveClick to enter namePlease select the type that best describes your organization:Choose onePlease select the MCG Health, LLC (“MCG”) solution(s) pertinent to this application:Software Solutions? Indicia? Cite CareWebQI? Cite AutoAuth? Cite Guideline Transparency? Guideline Modification Module? Interrater Reliability ModuleAnalytic Solutions? Benchmarks and Data ? Cite for Guideline Analytics? Indicia Hospital Performance IndexContent Volumes? Ambulatory Care? Behavioral Health Care? Chronic Care? General Recovery Care? Home Care ? Inpatient & Surgical Care ? Medicare Compliance ? Multiple Condition Management ? Patient Information ? Recovery Facility Care ? Transitions of Care BRIEF DESCRIPTION OF YOUR INITIATIVEWord Count LimitPlease provide a brief description of your care initiative. Please omit your organization name and other elements that might identify you.500 words (3,500 characters) or lessQUESTION 1 – IMPACT ON CAREWeight and Word Count LimitDescribe how your initiative helps drive effective care including interventions and quantitative results.Please omit your organization name and other elements that might identify you.Weight: 50%750 words (5,200 characters) or less QUESTION 2 – IMPACT ON ORGANIZATIONWeight and Word Count LimitDescribe the impact of your initiative on the culture of your organization.Please omit your organization name and other elements that might identify you.Weight: 20%500 words (3,500 characters) or lessQUESTION 3 – IMPACT ON HEALTHCARE INDUSTRYWeight and Word Count LimitDescribe what makes your initiative innovative and different than what is done at other organizations. Please omit your organization name and other elements that might identify you.Weight: 30%500 words (3,500 characters) or lessAPPENDIX (OPTIONAL)Page Count LimitInclude the detail of your source information here.Maximum 10 pagesHow to Submit Your ApplicationPlease keep your application in Word format and submit via email with a digital signature.Email applications to: scarlet.leung@Subject Line: 2019 Doyle Award SubmissionDeadline to SubmitThe application deadline is Friday, August 2, 2019 for email receipt.TERMS & CONDITIONSBy submitting this application for the Doyle Award, the Organization hereby grants MCG and Hearst Health the right to publish your application content and name on its website(s) and in other marketing materials. In addition, the Organization represents that they own all right and title in the application, and that the application does not violate the intellectual property or proprietary rights of any person or entity.If selected as a Doyle Award winner, the Organization agrees to attend MCG’s Client Forum 2020 and to present its initiative. In addition, Organization agrees to work with MCG to develop and distribute a mutually acceptable press release and case study, present its initiative via webinar, and to participate in a video profile/testimonial created by MCG. The Organization hereby agrees that MCG may record any presentation by Organization by audio or video recording and the Organization grants MCG the royalty-free, worldwide right to use, reproduce, distribute, display, and perform the recording and video profile for its business purposes. If the Organization does not comply with the parameters listed above, MCG can interpret this as the Organization relinquishing their winning status and can opt to declare a new winner, if a suitable compromise cannot be reached.By submitting this application for the Doyle Award, the Organization agrees and acknowledges that the decision of the judges shall be final. Organization NameClick here to enter textYour NameClick here to enter textTitleClick here to enter textDateClick here to enter text ................
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