Contact Information

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First Name
Phone
Contact Email
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Department

Project Information

Project Name
Team Member
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Department
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WHS Pillar of Focus
Check all that apply

Project Description

Brief Description of your Idea
What is the opportunity for improvement?
What is your plan of action?
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What is the impact?
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What is your inspiration for the project?
How will success be measured? What are the expected outcomes?

Which health system team member(s) or department(s) will be able to help you?

Include all department that you think will need to be involved. Put a short description next to each department that you include. Click the Plus + if selecting more than one Department.
Department
  • - Select an Option -
  • Finance
  • Foundation
  • Housekeeping
  • HR
  • Information Systems
  • Maintenance
  • Marketing
  • Medical Staff
  • Nursing
  • Performance Improvement
  • PFCC
  • Police / Security
  • Population Health
  • Transport
  • Quality or Risk
  • Other
Short Description of Project Involvement
Which health system team members or departments will be able to help you?
Include the team members name from each department. Check all that apply.