RECOGNIZE OUTSTANDING PEOPLE CARE PROVIDERS OF MINNESOTA S 2018 RECOGNITION PROGRAM NOMINATIONS ACCEPTED MARCH 11 APRIL 21

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CARE PROVIDERS OF MINNESOTA S 2018 RECOGNITION PROGRAM RECOGNIZE OUTSTANDING PEOPLE NOMINATIONS ACCEPTED MARCH 11 APRIL 21 www.careproviders.org/awards

2018 AWARDS PROGRAM Eight opportunities to recognize outstanding people and programs who serve your residents, tenants, staff, and community. AWARD CATEGORIES ADMINISTRATOR/EXECUTIVE DIRECTOR/SENIOR LIVING MANAGER OF THE YEAR* CAREGIVER OF THE YEAR* DEDICATED SERVICE EMPLOYEE OF THE YEAR* INNOVATIVE PROGRAM OF THE YEAR NURSE OF THE YEAR* RISING STAR VOLUNTEER OF THE YEAR p. 5 p. 6 p. 7 p. 8 p. 9 p. 10 p. 11 p. 12 * APPLY FOR ANY OF THESE AWARDS AND IF APPLICABLE WE WILL SUBMIT THE NOMINATION TO NCAL...ON YOUR BEHALF! EASY online submission at www.careproviders.org/awards PLUS 4 ADDITIONAL NCAL (NATIONAL CENTER FOR ASSISTED LIVING) AWARDS FOR HOUSING MEMBERS* * see pages 13-14 for details LOOK what you + a guest get when YOU WIN A NCAL Award ROUND TRIP AIRFARE TO SAN DIEGO FIVE NIGHTS ACCOMMODATIONS PER DIEM (for meals/expenses) COMPLIMENTARY REGISTRATION TO THE NATIONAL CONVENTION October 7-10, 2018 TICKETS TO DINNER GALA AND SHOW 2

2018 AWARDS PROGRAM TIMELINE SUNDAY MARCH 11, 2018 Care Providers of Minnesota 2018 Awards Program begins! SATURDAY APRIL 21, 2018 Nominations due! CPM awards presented at Care Providers of Minnesota s Annual Convention & Exposition at the NEW Mystic Lake Convention Center, November 12 14, 2018 NEW FOR 2018 Any award nomination to Care Providers of Minnesota s Award Program that qualifies for NCAL s Award Program will be automatically submitted to NCAL (the National Center for Assisted Living). NCAL awards presented at AHCA/NCAL Convention & Exposition in San Diego, CA The basics 1. Browse through the categories and read the criteria carefully to ensure the best fit for your nominee. 2. Gather all the information BEFORE you apply. Incomplete nominations are invalid. 3. Nominate. Don t stop at one! There is no limit to the number of nominations you can send; however, an individual may only be nominated for one award; please review award criteria to determine which award best suits your nominee. Two ways to nominate: 1. Complete an online nomination form. Go to www.careproviders.org/awards 2. Send an email with all the attachments to Kaila May at kmay@careproviders.org. All entries become the property of Care Providers of Minnesota/NCAL. The Recognition Task Force reserves the right to transfer nominations to other categories. All award nominations MUST BE RECEIVED by 11:59 PM April 21, 2018 Award criteria/general questions: contact Lisa Foss Olson at lolson@careproviders.org or 952-851-2483. Did you receive my nomination? questions: contact Kaila May at kmay@careproviders.org or 952-851-2495. SKIP THE PAPERWORK & SUBMIT ONLINE Go to www.careproviders.org/awards 3

2018 NOMINATION SHEET SKIP THIS SHEET & SUBMIT ONLINE Go to www.careproviders.org/awards QUESTIONS? Call or email Kaila at 952 854 2844 kmay@careproviders.org A separate form must be submitted for each nomination CARE PROVIDER OF MINNESOTA AWARD NOMINATIONS ARE DUE FRIDAY, APRIL 21, 2018 Award Category Award Nominee Information Nominee Nominee s position Facility/Organization Nursing Facility Senior Housing/Assisted Living Home Care Corp Other City Length of time at this position Total length of time in senior care Nominator Information Full name of Nominator (This is who we will contact for all information about the nominee/award status.) Nominator s position Email of Nominator/Contact Person Phone of Nominator/Contact Person Administrator/Executive Director IF NOT SUBMITTING ONLINE, please email the following to Kaila (kmay@careproviders.org) for each nomination. 2018 Nomination Sheet (copy form as needed) The written nomination (answering the criteria outlined for the award) Supporting documents/items as specified in nomination criteria 4

ADMINISTRATOR/EXECUTIVE DIRECTOR/ SENIOR LIVING MANAGER OF THE YEAR AWARD BEST BOSS EVER! The ADMINISTRATOR/EXECUTIVE DIRECTOR/SENIOR LIVING MANAGER OF THE YEAR AWARD recognizes the achievements of an individual at the senior leadership level (Administrator, Executive Director, Senior Living Manager) for his/her leadership contributions and skills. Eligible nominees: Any nursing facility, assisted living/housing/home care, corporate, or business partner member. 1. Why your nominee deserves to be this year s ADMINISTRATOR/EXECUTIVE DIRECTOR/SENIOR LIVING MANAGER OF THE YEAR award recipient 2. Specific examples of how this individual is valued as a leader in your organization 3. Specific examples of how the nominee teaches or demonstrates skills that are practical and relevant to the profession 4. Specific examples of how the nominee motivates and inspires others 5. Specific examples of how the nominee has influenced others to excellence Supporting documents: Please include two additional documents that support why he/she is deserving of this award. These documents should be from sources other than the nominator (i.e., from peers, the organization, residents, tenants, clients, other staff, family members, etc.). Please note: If chosen for this award, photos and a video of the your nominee will be required for the award presentation at Convention. Staff from Care Providers of Minnesota can assist with the video portion requirement. YOU CAN APPLY ONLINE: www.careproviders.org/awards If you are a housing member, we will automatically submit your Administrator/Executive Director/Senior Living Manager of the Year Award nomination to NCAL for NCAL s Administrator of the Year Award (see pages 13-14 for details when you win!). 5

CAREGIVER OF THE YEAR AWARD THROUGH RAIN, SLEET, OR SNOW...THEY DELIVER CARE The Caregiver of the Year Award honors a nursing aide (CNA/TMA/HHA/NAR) who displays extraordinary skill in caring for individuals residing in a care facility. Eligible nominees: Any nursing facility, assisted living/housing/home care member. 1. Why your nominee deserves to be this year s CAREGIVER OF THE YEAR AWARD recipient 2. How your nominee is a fabulous caregiver, exceeding what is expected of him/her 3. Specific examples of your nominee s exceptional skill in caring for others 4. Specific examples of your nominee exhibiting empathy and respect 5. Specific examples of how your nominee promotes dignity Supporting documents: Please include two additional documents that support why he/she is deserving of this award. These documents should be from sources other than the nominator (i.e., from peers, the organization, residents, tenants, clients, other staff, family members, etc.). Please note: If chosen for this award, photos and a video of the your nominee will be required for the award presentation at Convention. Staff from Care Providers of Minnesota can assist with the video portion requirement. YOU CAN APPLY ONLINE www.careproviders.org/awards If you are a housing member, we will automatically submit your Caregiver of the Year nomination to NCAL s Noble Caregiver of the Year Award. 6

DEDICATED SERVICE AWARD COMPASSION + (365 x Years) = A CAREER IN CARING The Dedicated Service Award recognizes any employee whose service over the course of his/her career has positively enhanced the quality of life for individuals in a care setting. The employee s efforts demonstrate a commitment to their organization and the care-providing profession. Eligible nominees: Any nursing facility, assisted living/housing/home care, corporate, or business partner member. 1. Why your nominee deserves to be this year s DEDICATED SERVICE AWARD recipient 2. Your nominee s career and achievements/highlights 3. Specific examples of how your nominee has enhanced the quality of life for individuals he/she has served 4. Participation in the programs, activities, or initiatives at his/her workplace, Care Providers of Minnesota, or other organizations serving the care-providing profession Supporting documents: Please include two additional documents that support why he/she is deserving of this award. These documents should be from sources other than the nominator (i.e., from peers, the organization, residents, tenants, clients, other staff, family members, etc.). Please note: If chosen for this award, photos and a video of the your nominee will be required for the award presentation at Convention. Staff from Care Providers of Minnesota can assist with the video portion requirement. YOU CAN APPLY ONLINE www.careproviders.org/awards 7

EMPLOYEE OF THE YEAR AWARD YOU RE SIMPLY THE BEST, BETTER THAN ALL THE REST The Employee of the Year Award recognizes an employee from any discipline and all service lines for his/her contributions that have improved the quality of life for residents/clients/tenants and/or enhanced the working environment for coworkers. Eligible nominees: Any employee nominated by any nursing facility, housing, home care, assisted living, or business partner member. 1. Why your nominee deserves to be this year s EMPLOYEE OF THE YEAR AWARD recipient 2. Basics about your nominee (i.e., who he/she is, job title, length of service) 3. Specific examples of how your nominee has improved the quality of life for those receiving care or the working environment for coworkers 4. Specific examples of employee s initiative, commitment, and caring; why are they the best of the best? Supporting documents: Please include two additional documents that support why he/she is deserving of this award. These documents should be from sources other than the nominator (i.e., from peers, the organization, residents, tenants, clients, other staff, family members, etc.). Please note: If chosen for this award, photos and a video of the your nominee will be required for the award presentation at Convention. Staff from Care Providers of Minnesota can assist with the video portion requirement. YOU CAN APPLY ONLINE www.careproviders.org/awards If you are a housing member and if applicable we will automatically submit your Employee of the Year nomination to an appropriate NCAL award category. 8

INNOVATIVE PROGRAM OF THE YEAR YOU CRACKED THE CODE...CONGRATULATIONS! NOW TELL US HOW YOU DID IT! The Innovative Program of the Year Award recognizes an individual or team that has tried something different in their delivery or provision of a program or service. It recognizes out-of-the-ordinary efforts to enhance the lives of residents/tenants/clients, staff, or volunteers at a member organization. HINT: think PIPP (performance improvement projects) Eligible nominees: Any nursing facility, assisted living/housing/home care, corporate, or business partner member. 1. Tell us about the innovative program and why you deserve the INNOVATION PROGRAM OF THE YEAR AWARD: a. How did you come up with the idea? b. Describe the individual/team effort. c. How does it add value to your workplace/residents/tenants? Supporting documents: Provide supporting information, i.e., data, graphs, or some type of visual showing outcomes about the program. Please note: If chosen for this award, photos and a video of the your nominee will be required for the award presentation at Convention. Staff from Care Providers of Minnesota can assist with the video portion requirement. YOU CAN APPLY ONLINE www.careproviders.org/awards 9

NURSE OF THE YEAR AWARD YOU DESERVE 365 DAYS OF PTO, BUT HERE S AN AWARD INSTEAD! The Nurse of the Year Award honors an individual who displays extraordinary nursing skills in caring for individuals residing in a care facility/senior care. Eligible Nominees: Any qualified nurse (LPN/RN) nominated by any nursing facility, assisted living/ housing/home care member whose direct care activities comprise 50% or more of his/her practice. 1. Why your nominee deserves to be the NURSE OF THE YEAR AWARD recipient 2. Specific examples of your nominee s exceptional skill in caring for others 3. Specific examples of your nominee demonstrating outstanding compassion, supervisory success, innovation, achievement, and capabilities in his/her provision of high-quality, person-centered care 4. Specific examples of how your nominee promotes dignity 5. How your nominee contributes to quality improvement and clinical outcomes Supporting documents: Please include two additional documents that support why he/she is deserving of this award. These documents should be from sources other than the nominator (i.e., from peers, the organization, residents, tenants, clients, other staff, family members, etc.). Please note: If chosen for this award, photos and a video of the your nominee will be required for the award presentation at Convention. Staff from Care Providers of Minnesota can assist with the video portion requirement. YOU CAN APPLY ONLINE www.careproviders.org/awards If you are a housing member, we will automatically submit your Nurse of the Year nomination to NCAL for their Nurse of the Year Award. 10

RISING STAR AWARD HOLY COW! WE LIKE WHERE YOU RE GOING The Rising Star Award recognizes the contributions of an employee from any discipline, who is new to his/her profession (within the last five years) and has made an impact in his/her years of service. Eligible Nominees: Any nursing facility, assisted living/housing/home care, corporate, or business partner member. 1. Why you believe your nominee deserves the RISING STAR AWARD 2. Basics about your nominee (i.e., who he/she is, job title) 3. Specific examples of your nominee s achievements and can do attitude 4. Specific ways your nominee has made a positive impact on the organization 5. Any additional information about what makes your nominee a Rising Star Supporting documents: Please include two additional documents that support why he/she is deserving of this award. These documents should be from sources other than the nominator (i.e., from peers, the organization, residents, tenants, clients, other staff, family members, etc.). Please note: If chosen for this award, photos and a video of the your nominee will be required for the award presentation at Convention. Staff from Care Providers of Minnesota can assist with the video portion requirement. YOU CAN APPLY ONLINE www.careproviders.org/awards 11

VOLUNTEER OF THE YEAR THERE S NO AGE CRITERIA IN CARING Volunteers are precious. The Volunteer of the Year Award recognizes a youth, adult, or group of volunteers who have made contributions to the quality of life for residents/tenants/ clients or family members, or to the working environment for staff. Eligible Nominees: Individual(s) of any age who volunteer at any member organization. 1. Explain why your nominee deserves to be this year s VOLUNTEER OF THE YEAR AWARD recipient 2. The volunteer s length of service; how, when, and why he/she/they began volunteering 3. The volunteer s activities and contributions to improve the quality of life for residents/ tenants/clients or the working environment for staff 4. Any other praise/stories that make this volunteer/group of volunteers exceptional Supporting documents: Please include two additional documents that support why he/she is deserving of this award. These documents should be from sources other than the nominator (i.e., from peers, the organization, residents, tenants, clients, other staff, family members, etc.). Please note: If chosen for this award, photos and a video of the your nominee will be required for the award presentation at Convention. Staff from Care Providers of Minnesota can assist with the video portion requirement. YOU CAN APPLY ONLINE www.careproviders.org/awards 12

NATIONAL AWARDS - NATIONAL RECOGNITION SUNNY & WARM SAN DIEGO IN OCTOBER...WANT TO BE THERE? Apply directly or let us do it for you! That s right new this year, any housing member who submits a nomination for these Care Providers of Minnesota awards: Administrator/Executive Director/Senior Living Manager of the Year Award Caregiver of the Year Award Nurse of the Year Award (and possibly Employee of the Year, if applicable) will be automatically submitted to your national association the National Center for Assisted Living for their awards program (Note, you are also welcome to submit a nomination directly to NCAL!). WHY IS A NATIONAL AWARD IMPORTANT? It gives you bragging rights for BEING THE BEST IN THE NATION! When you win, it lets others know what an amazing staff and/or place you have. It boosts morale and can impress future employees. After all, wouldn t you like to include in your marketing material that your National Assisted Living Week Program won the NATIONAL award for programming? Wouldn t you like to say that... your assisted living nurse, caregiver, or administrator/housing director was chosen as the most outstanding Nurse/Caregiver/Administrator or Housing Director IN THE NATION? WHAT HAPPENS WHEN YOU WIN? Selected nominees are recognized during NCAL Day at the American Health Care Association/National Center for Assisted Living s (AHCA/NCAL) annual Convention & Expo, October 7-10, 2018, in San Diego, CA. Want a FREE TRIP to San Diego? Look what YOU and a GUEST get when you win... ROUND TRIP AIRFARE TO SAN DIEGO FIVE NIGHTS ACCOMMODATIONS PER DIEM (for meals/expenses) COMPLIMENTARY REGISTRATION TO THE NATIONAL CONVENTION October 7-10, 2018 TICKETS TO DINNER GALA AND SHOW Let s get started! Go to https://www.ahcancal.org/ncal/about/programs/pages/awards.aspx to find out more! 13

NATIONAL AWARDS NATIONAL RECOGNITION SUNNY & WARM SAN DIEGO IN OCTOBER...WANT TO BE THERE? The National Center for Assisted Living (NCAL) Awards Program recognizes assisted living employees from around the country who demonstrate exemplary work within the profession. YOU ARE WELCOME TO APPLY DIRECTLY FOR ANY OF THESE AWARDS at www.ncal.org For Housing Directors/Executive Directors/Administrators NCAL ADMINISTRATOR OF THE YEAR This award recognizes an assisted living Administrator or Executive Director who demonstrates outstanding innovation, achievement, and capabilities in their provision of high-quality, person-centered care in a service-oriented culture in an assisted living community. For LPNs and RNs NCAL ASSISTED LIVING NURSE OF THE YEAR This award recognizes an assisted living nurse (must be a licensed practical or registered nurse) who demonstrates outstanding compassion, supervisory success, innovation, achievement, and capabilities in his/her provision of high-quality, person-centered care in a service-oriented culture in an assisted living community. For direct care staff from nursing, plus support/office staff including dietary, housekeeping, laundry, and maintenance departments NOBLE CAREGIVER IN ASSISTED LIVING This award recognizes frontline caregivers, support, and office staff from any department for their contributions that lead to improved quality of life for the residents and create a better work environment for the assisted living community s staff. This includes, but is not limited to, direct care staff from nursing (does not include licensed nurses), support/office staff, housekeeping, dietary, activities/recreation, laundry, and maintenance departments. For those who participated in 2017 National Assisted Living Week Programming NATIONAL ASSISTED LIVING WEEK PROGRAMMING National Assisted Living Week, established in 1995 by NCAL, provides a unique opportunity to bring together residents, families, staff, volunteers, and the community to celebrate residents and the services provided within assisted living communities. Nominees are evaluated on their successful incorporation of the previous year's National Assisted Living Week s theme into their activity plans and implementation resulting in outstanding special activities and community events for their residents, families, staff, and volunteers to enjoy. NCAL award timeframe approx. mid-april to early June www.ncal.org QUESTIONS: If you have any questions about the NCAL national awards, please contact Lisa Foss Olson at Care Providers of Minnesota at 952-851-2483 or lolson@careproviders.org. 14 Remember...the only way to win a FREE TRIP to sunny SAN DIEGO is to apply for an award.