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A nomination form to recognize individuals and departments at WellSpan Health for their commitment to providing excellent patient experiences and service expectations.
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How to fill out patient experience award nomination

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How to fill out Patient Experience Award Nomination Form

01
Gather all necessary patient feedback and testimonials.
02
Review the criteria for the Patient Experience Award to ensure eligibility.
03
Fill out the nominee's contact information in the appropriate section.
04
Provide a detailed description of the nominee's contributions to patient experience.
05
Include specific examples and data to support the nomination.
06
Fill out the nominator's information accurately.
07
Review the entire form for completeness and clarity.
08
Submit the nomination form by the deadline specified.

Who needs Patient Experience Award Nomination Form?

01
Healthcare providers who have significantly improved patient experiences.
02
Organizations looking to recognize outstanding contributions in patient care.
03
Anyone wanting to honor individuals or teams who excel in patient-centric services.
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Sample Nomination - Bringing Out the Best She's a great listener and a fair, thoughtful team member. Cherry always seems to strike just the right balance between investing in effective relationships with her colleagues and keeping her focus on work priorities.
Describe specific characteristics, qualities, or examples that you believe make the nominee stand out or demonstrate how they go above and beyond. Quality is appreciated more than quantity. A well-written and concise submission increases the likelihood of a positive outcome. Use an active voice in your writing.
My nominee brings strong assets to their role and our group is incredibly fortunate to have them as our administrator. First, they are dedicated and hardworking. They are extremely organized and focused on continuously learning and developing best practices to manage routine activities both efficiently and effectively.
It is your opportunity to refer to the criteria on the category guidance- ensure you address each respective point and provide specific examples and evidence of what the nominee has done to meet this criteria (and why they should win the award). Be clear on what the nominees role and contribution is in each example.
Describe specific characteristics, qualities, or examples that you believe make the nominee stand out or demonstrate how they go above and beyond. Quality is appreciated more than quantity. A well-written and concise submission increases the likelihood of a positive outcome. Use an active voice in your writing.
Excellence in Patient Experience Awards recognize organizations for their commitment to enhancing care experiences for every patient.
It's motivational. Nominating someone in your network or organization, benefits the profession as a whole and can provide positive media for your community and for the profession.

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The Patient Experience Award Nomination Form is a document used to nominate individuals or organizations that demonstrate exceptional patient care and experiences.
Anyone can file the Patient Experience Award Nomination Form, including healthcare providers, patients, and community members who wish to recognize outstanding patient care.
To fill out the form, provide detailed information about the nominee, including their achievements in patient care, specific examples of exceptional service, and complete all required sections as outlined in the form's instructions.
The purpose of the form is to identify and honor individuals or organizations that significantly improve patient experiences and outcomes in a healthcare setting.
The form must report information such as the nominee's name, contact details, description of their contributions to patient care, specific examples of outstanding patient experiences, and any supporting documentation.
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