Summit
Awards
Click the arrow to download the nomination to your computer.
Please be patient as the form may take some time to download. (No
handwritten nominations will be accepted.)
When you have finished filling in the nomination form (one form
per nominee) you may either:
NOTE: Deadline for all nominations is 12:00 midnight MST on
Fri. Aug. 29, 2008.
Individual Summit
Award Nomination Forms
I-1 Service Excellence Advisor - 1st
Year
A trainer and team leader who encourages and supports team
members to improve service.
I-2 Service Excellence Mentor
A role model with a positive attitude who assists and guides
SEAs
I-3 Exceptional Nurse
Provides caring and quality care,
devoted, supportive, good listener, a friend who is always
improving.
I-4 Empowering Manager
A leader who provides the challenge and then trusts and supports
initiatives.

I-5 Customer Focused Physician
Professional and respectful with consideration for those they
serve.

Team Summit
Award Nomination Forms
T-6 Service Excellence Advisor
Team
A team with
a positive attitude who combine their front line experience and
skills for the betterment of all.
T-7
OASIS Team
A support group to achieve mutual goals.
T-
8 DOIT Improvement of the Year
An
innovative team that challenges change for improvement.
Leadership Summit
Award Nomination Forms
L-9
Super Coach
Provides co-ordinating leadership and assistance to teams and
the Program director.

L-10
Service Excellence Program Director
A leader, supporter, motivator, listener, advocate,
communicator, coach and mentor who recognizes improvement.

L-11
Service Excellence Executive Sponsor
Visionary risk-taker, committed to improvement, provides support
when needed, and embraces success.

L-12
Service Excellence Council
Dedicated group who are committed to the visions and expect
participation ot move forward with exceptional teamwork.

L-13
Inspiring Administrator
Exhibits leadership with a winning friendly attitude, high
energy, professional, and considerate of others.
L-14
Service Excellence Advocate
A senior leader with a vision for excellence

Organizational Summit
Award Nomination Forms
O-15
Hospital Provider of Choice
A market leader for patient service, recruits and retains
talent, and keeps their promises.

Special
Recognition
F-1F
Founder's Award (Lamplighter)
One of healthcares most prestigious honors, the Annual
"Founder's Award", is presented by HealthCare Service Excellence
Conference Founder, Brian Lee.
This award is presented to recognize the individual who best
demonstrates personal leadership in the delivery of World-Class
patient satisfaction.
This award requires no nomination form or submission. It
is awarded to the recipient based on Brian's personal
observations and the feedback from Implementation Specialists
and co-workers.
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