The ACHS Quality Improvement Awards 2019Submission Document

> Please ensure you have read the ACHS QI Awards 2019 – Submission Guidelines prior to sending your QI Awards submission to ACHS.

> All submissions MUST use this Submission Document template. > Submission requirements for each entry:

> An electronic submission (MS Word format) sent via email> Four (4) printed hard copy submissions sent via post to ACHS> Please provide one (1) application per entry> The closing date for QI Awards submissions is 6 September 2019

QI Awards Category Select the appropriate award category for your submission.

Choose an item. If you are unsure which category to select for your submission, please contact ACHS by email (qi.award@achs.org.au) or by phone (+61 2 9281 9955).

QI Awards Submission Enter your submission details below. Submission Title Click here to enter text. Authors > Full name, excluding

accolades and titles. > List in order of contribution.> Primary author is to be

underlined and listed first.> Maximum of 8 authors can be

listed.

Click here to enter text.

Department / Unit / Group Click here to enter text.Organisation Name Click here to enter text.ACHS Member Code Click here to enter text.Postal Address Click here to enter text.

Person in charge of submission Nominate one (1) person who can discuss the submission. Name Click here to enter text.Position Click here to enter text.Email Click here to enter text.Phone Click here to enter text.Date Click here to enter a date.

Prior to sending your QI Awards submission, please ensure that the Authorising Delegate (e.g. Chief Executive, their delegate, or the appropriate Department Manager):> authorises the entry of this submission into the ACHS QI Awards 2019, > grants permission for ACHS to publish the content of this submission in the QI Awards publication “Quality

Initiatives”

Authorising Delegate Nominate one (1) person who can authorise this submission. Name Click here to enter text.Position Click here to enter text.Email Click here to enter text.Phone Click here to enter text.Date Click here to enter a date.

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Electronic Signature Click or tap here to enter text.

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A. AIM

[Insert text only, maximum of 4 sentences.]

B. SUMMARY ABSTRACT

[Insert text only, maximum of 1000 words.]

C. REPORT

APPLICATION OF ACHS PRINCIPLES

1. Consumer Focus[Insert text]

2. Effective Leadership[Insert text]

3. Continuous Improvement[Insert text]

4. Evidence of Outcomes[Insert text]

5. Striving for Best Practice[Insert text]

D. INNOVATION IN PRACTICE AND PROCESS

[Insert text]

E. APPLICABILITY TO OTHER SETTINGS

[Insert text]

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F. REFERENCES [Insert text]

ACHS Quality Improvement Awards 2019 – Submission Document Page 4 of 5

G. APPENDIX

[Insert text]

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