Hospital Management Asia 2008

Name of Hospital:
Contact Person:
Position:
Department:
Address:
No:
Building:
Street:
City/State:
Zip:
Country:
Tel:
Fax:
Email:

(1) Category: Indicate the category in which you are entering this project . The awards categories are: Community Service, Customer Servic e , Human Resource Development, Internal Service, Marketing, PR or Promotions, Patient Safety / Quality Medical Care, Technical Service Improvement.

(2) Project Title: Provide a (descriptive) name by which you refer to this project.

(3) Objectives : Describe briefly in measurable terms what it is that you expected to achieve.

(4) Details of the project: Explain why the project was selected and describe the project well. Indicate what BEFORE measurements were made, how did the team go about their task, how long did it take, etc. Also indicate the positions and departments or units of the involved team members (individual names not necessary).

(5) Implementation: Was the improvement implemented, how and when? (The awards are ONLY for projects implemented or significantly enhanced in 2007 /2008.)

(6) Results: What were the quantitative and/or qualitative results achieved to date as a result of the project or program? What did customers say? Is there concrete feedback?

(7) Other information: State any other relevant information about the project that you wish to include.

(8) Supporting documents: (LIST below the supporting documents and materials you are submitting to support the project or program, i.e. brochures, photos, press clippings, etc.)

8.1		8.6
8.2		8.7
8.3		8.8
8.4		8.9
8.5		8.10

Total number of words

Please make sure to list the attachments, CD-roms, published materials, annual reports tapes or other supporting information that you are sending together with the entry, including a more lengthy explanation, if you so wish to add.

We request that you scan and save any materials you are sending us in Microsoft Word, Excel, Powerpoint or .pdf format on a CD-Rom. Please select the important pages and sections of any of the supporting materials mentioned above. If your supporting material is a book or an annual report, please scan just the cover, the table of contents and the relevant page your project appears. Same with any commercials or other videos you may wish to submit as supporting material.

Do send us four (4) copies of each CD where your supporting documents are saved or scanned and one set of the original hard copy materials. The four judges of each category will be sent a CD copy each. We keep the hard copies in the Awards secretariat for reference and as verification copies.