The Award for Excellence in Healthcare Supply Chain Innovation
Sponsored by Cardinal Health

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1) Please provide a Project Description or Executive Summary.

2) Please provide the Business Objective (purpose, goal, how the initiative supports the organization's strategic mission/goals).

3) Please describe the Constituent Group(s) Served (e.g., patients, physicians, other providers, employees).

4) Please explain Cost and Benefit (strategic, operational, clinical, financial including return on investment).

5) Please detail specific steps of the Implementation.

6) Please explain Key Obstacles and Solutions.

7) Please describe Benefits Gained from Project/Initiative.

8) Please provide Transportable (to other facilities, systems, etc.) Tools (i.e. templates spreadsheets, schedules, policy/procedure) to be included with the submission for use by AHRMM members.

Demographic Information

Entrant's Name:		Title:	Facility/Organization Name:
Phone:		Email:	Fax:
Address:		City	State:
Zip:

Are you an AHRMM member?	Yes No
Credentials/ Certification(s) of Entrant:
Number of Full Time Equivalent Employees in Your Department:
Number of Employees on Your Team:
Number of Licensed Beds:
Annual Budget: