Advancing Safe Care Award Nomination Form

Nominee Information

Name of Key Contact Person for Project(Required)
Address(Required)

Submitter Information

Name(Required)
Address(Required)

Narratives

*Answer in 500 words or less

Demonstrate how improvements have been implemented that have impacted patient populations that have been affected by change, such as the use of data to highlight improvement for disparate populations.
Show progression in how organization deploys improvement efforts in a way that increases learning. Nominations will be evaluated on how information is shared across the organization and the learning and feedback mechanisms from the bedside to the boardroom.
Demonstrate how transparency has been shown (e.g. visual learning board, huddles, newsletter) within the organization, and external communication with the community.
Show evidence a culture of safe care was nurtured in their efforts to improve.

NOMINATIONS MUST BE RECEIVED TO THE MHA BY THE CLOSE OF BUSINESS FRIDAY, March 26, 2021.

Supplemental materials, such as charts, data, etc., can be sent to eleyko@mha.org, but will be limited to two documents.