South Florida HIMSS 2019 Innovation Application
RequiredRequired Question(s)

 

Criteria for submission:


1.Initiative must have proven results for a minimum of 6 months.

2. All Healthcare & Life Science organizations are welcome to apply.

3. Vendors may only apply in collaboration with a SFLHIMSS provider where they have implemented a solution in partnership with that organization. 

4. Only SFLHIMSS Members can apply. If you are not a member, please click here to join the South Florida HIMSS Chapter.

 
Required 1.
Please enter the information indicated below.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.
What type of organization is this?
Hospital
Academic/Teaching Hospital
Multi-Hospital System or Integrated Delivery System
Long Term Care Facility
Home Care
Ambulatory Clinic
Physician Practice Setting
Ancillary Clinical Service Provider
Academic/Education Institution
Federal, State, or Local Government Agency
Other  
  • Comment:

  • 500 characters left.
Required 3.

Please indicate what type of organization

For Profit
Non Profit
Required 4.

Number of Facilities

 

50 characters left.
Required 5.

Number of beds

 

50 characters left.
Required 6.

Name of Executive Sponsor:

*SFLHIMSS reserves the right to contact this individual to confirm the impact/contribution this innovation submission has made to the organization

 

50 characters left.
Required 7.

Please describe your organizational healthcare technology initiative. Max 350 characters.

 

350 characters left.
Required 8.

What problem are you trying to solve? Max 350 characters.

 

350 characters left.
Required 9.

What challenges did you encounter? Max 350 characters.

 

350 characters left.
Required 10.

Provide a story board outlining your initiative including current state and future state plans.

a. Describe the overall impact of your innovation.

b. Provide actual data about the impact of your innovation. 

 

1000 characters left.
Required 11.

Please describe the scalability and sustainability of your solution? Can it be replicated with other organizations? Max 350 characters.

 

350 characters left.
Required 12.

How is this project linked to  your organizations Strategic Plan? Max 350 characters.

 

350 characters left.
Required 13.

Did you have external support to implement this initiative?

Yes
No
14.

If you answered yes to the previous question, please describe the support in detail. Max 350 characters.

 

350 characters left.
Required 15.

What was your "hard" return on investment (e.g. financial savings, FTE reductions, etc.)? What was your "soft" (nonquantifiable) return on investment? Max 350 characters.

 

350 characters left.
Required 16.

How did this impact regulatory and compliance requirements? Max 350 characters.

 

350 characters left.