The CMSA Chapter Excellence & Innovation Awards Recognize Chapters That Embody the CMSA

Annual Deadline: February 14

Award of Excellence for The CMSA Chapter Excellence & Innovation Chapter Revitalization: The Awards recognize chapters that embody the CMSA Vision and Mission. Phoenix Pays tribute to the CMSA Chapter who has VISION: experienced issues which have almost closed "Case managers are recognized experts and vital the chapter within the last two-three years but participants in the care coordination team who empower through hard work and dedication has breathed people to understand and access quality, efficient health new life into the chapter and made it care." sustainable once again within the current award MISSION: entry year. “The leading membership association providing professional collaboration across the health care Enter Today! continuum for patients; wellbeing and improved health 1) Download and save this form to your outcomes through fostering Case Management growth computer. and development, impacting health care policy and providing evidence-based tools and resources." 2) Type directly into the entry form. Be sure to save your work. This is what the judges will use Achieve exposure and recognition for to judge your entry, so provide complete, your chapter, with innovative projects in concise descriptions of your program. education, membership, communication, 3) Be thorough but choose your words carefully. promotions, technology and public policy. This explanation of activities will be the only information the judges have to determine the effectiveness of your program. Chapters may submit an entry for multiple CEIA 4) Judges will be reviewing: categories. However, the chapter is eligible to win a. Key Reasons for Chapter Decline only one award in the CEIA categories. b. Objectives/Goals c. Outcomes & Measureable Success Email deadline: February 14 d. Support Level of Stakeholders e. Overall Revitalization Process For questions, contact: 5) Eligible entries are for activity during the period Michele Lee of January 1 – December 31, due the following 501-673-1120 Feb 14. or [email protected] 6) Once complete, attach your entry to an email and send to [email protected]. 7) Subject line of email should read: Phoenix Award, Your Chapter Name

Positively impacting and improving patient wellbeing and health care outcomes. Case Management Society of America | 6301 Ranch Drive | Little Rock, AR 72223 T 501.225.2229 F 501.221.9068 E [email protected] Positively impacting and improving patient wellbeing and health care outcomes. Case Management Society of America | 6301 Ranch Drive | Little Rock, AR 72223 T 501.225.2229 F 501.221.9068 E [email protected] Award of Excellence for Chapter Revitalization: The Phoenix Complete Entry Form and Email to [email protected] by February 14:

Chapter Name/location: Contact Person: Position: Address: City: State: Zip: Phone: Email:

In a 150 words or less, provide a brief overview of your program and the reason you are submitting for this Award?:

Select size of your chapter: Select One

What is the date range the chapter was to the point of closing?

What was the date the chapter felt they had made substantial strides in creating a sustainable chapter that could continue with the work they had accomplished?

Describe the key reasons for the chapter’s decline causing the board or members to consider closing? (List 1 – 5 reasons):

Reason 1: Reason 2: Reason 3: Reason 4: Reason 5:

What were the top objectives/goals for revitalizing this chapter into a sustainable organization? (List between 1-5 objectives):

Objective 1: Objective 2: Objective 3: Objective 4: Objective 5:

Describe how these objectives relate to the goals/mission of your chapter and CMSA?

Describe the how you met the objectives above, the results and level of success:

Objective 1: Objective 2:

Positively impacting and improving patient wellbeing and health care outcomes. Case Management Society of America | 6301 Ranch Drive | Little Rock, AR 72223 T 501.225.2229 F 501.221.9068 E [email protected] Objective 3: Objective 4: Objective 5:

What were some key messaging points used to express the value and importance when talking to other key stakeholders about supporting this revitalization process?

Support Level - Describe the key level of support from the following stakeholders and how they were able to contribute to the revitalization of the chapter:

Chapter Members: Chapter Board Members: Any Key Chapter Committees: Sponsors/Employer Groups: FORMTEXT Community Resources: Other Contributing Stakeholders:

What was the biggest obstacle in accomplishing the overall revitalization process?:

What were some of the new activities or resources that developed for the chapter and its members to improve future development and communications through this revitalization?

What are the overall differences in your chapter after revitalization today then the way it was prior to the decline?

How do you measure the success of this revitalization?

Other comments relevant to this entry:

If you have images or logos you’d like to share that support this program:

1) Please email them to [email protected] – Subject line: Entry Name, and Chapter Name (i.e., Phoenix Award, Central AR Chapter).

Positively impacting and improving patient wellbeing and health care outcomes. Case Management Society of America | 6301 Ranch Drive | Little Rock, AR 72223 T 501.225.2229 F 501.221.9068 E [email protected]