NASHO: National Association for Specialty Health Organizations

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NASHO INDUSTRY INNOVATION ONLINE APPLICATION

NASHO Industry Innovation Award 2008 Application

Please respond to the following questions. Provide all information
in the body of the application, and supply web links as needed.

* = required	Name	*
Title
Company		*
Address		*
City		*
State		Zip *
Phone		*
Mobile
Fax
Email		*

1.) Describe your company. Include the company mission, year started, annual revenue, target clients, number of employees, and number of lives encountered. *
Type Answer Here

2.) Describe the innovation you are submitting for the award. *
What technologies are used?		Type Answer Here
What is the goal of the educational intervention?		Type Answer Here
What population is addressed by the innovation?		Type Answer Here
How does the company ensure that the intended target audience uses the technology effectively?		Type Answer Here

3.) What have been the results to date of the innovative intervention? For example provide the number of patients educated, changes in patient / provider / payer behavior, or other metrics. *
Type Answer Here

4.) What was the rationale or evidence for developing this innovation? *
Type Answer Here

5.) Provide a web link or other demonstration information *
Type Answer Here

By submitting an application, companies agree to NASHO’s use of descriptive information regarding applicant programs in future marketing and communications material. No proprietary information should be provided to NASHO. NASHO will confirm receipt of each submission within 2 business days. If you don’t receive a confirmation, please resubmit your application.