2024 Breakthrough Award Submission Form
Patient Experience [HCAHPS]

Greetings!

The Breakthrough Awards are administered by the HealthCare Service Excellence Conference and all qualified submissions will be recognized and receive a certificate of achievement presented at the 24th Annual HealthCare Service Excellence Conference at the Breakthrough Awards Luncheon, in Orlando, FL on Wednesday, November 5th, 2024.  Please join us there.

Please refer to our pdfBreakthrough Awards Planning Guide which will give you all the information you need to participate in the Breakthrough Awards process.  Please be sure to read through this document in its entirety as new awards have been added and criteria have changed from previous years.

*** Please put a zero in for any input fields that you do not have any data for **

Communication with Nurses

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Communication with Doctors

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Response of Hospital Staff

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Communication about Medicines

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Hospital Environment - Clean

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Hospital Environment - Quiet

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Discharge Information

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Transition of Care

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Rate Hospital (9-10)

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Recommend the Hospital

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Submitted by

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