AWARDS. P.O. Box 1278 Boise, ID (fax)

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AWARDS P.O. Box 1278, ID 83701-1278 208.338.5100 208.338.7800 (fax) www.teamiha.org

ENTRY REQUIREMENTS Selection Criteria: Nominees will be judged on a 5-point Likert scale. The nomination narratives must address each of the specific criteria underlined in the award description. NOMINATION DEADLINE AND SUBMISSION: All nominations must be received by IHA no later than 11:59 p.m. on May 31. Nominations should be sent to: Idaho Hospital Association ATTN: Toni Pugmire P.O. Box 1278, ID 83701-1278 tpugmire@teamiha.org Questions? Contact Toni Pugmire 208.489.1409 tpugmire@teamiha.org Entry Requirements: Nominations must be submitted in the format described below and must include the following: * Completed nomination form. * Single-spaced, Arial 10pt., 0.5 margins, written narrative describing why the nominee is deserving of the award based on the criteria set forth in the award description (not to exceed one page.) * The first paragraph of the nomination will be used for introduction of the award recipient at the annual convention, should they be selected. * Pertinent supplementary materials may be submitted via e-mail or USPS to support each nomination. Applications and supplementary materials will not be returned. * Photo of nominee High Resolution (300 dpi or higher Section Process: All nominations for the Steven A. Millard Star Garnet Award, Trustee of the Year Award, Award of Excellence in Patient Care, and Excellence in Medicine Award, will be reviewed and scored by the IHA Nominating Committee based on the criteria listed in the award description. Nominations for the Special Recognition of Retirement will be reviewed by IHA staff who will evaluate nominees on the basis of the criteria listed in the award description. Award Presentation: Award recipients will be notified in June. Award presentations will be held during the IHA Annual Convention in October.

Kathy Moore 2016 Rodney D. Jacobson Bear Lake Memorial Hospital Montpelier 2015 Richard Dick Armstrong Dept. of Health & Welfare 2014 Steven A. Millard Idaho Hospital Association STEVEN A. MILLARD STAR GARNET AWARD The Steven A. Millard Star Garnet Award is the highest honor bestowed upon an individual by the Idaho Hospital Association and recognizes significant career contributions and service to health care Institutions and associations. It is presented to an individual who epitomizes the highest levels of excellence and achievement in such a way that others are inspired to excel. The recipient shall be an individual whose career achievements in the hospital or health field have provided leadership in health care delivery and service to patients and communities. To be eligible for the Steven A. Millard Star Garnet Award, the individual nominee must: have exemplified outstanding leadership in the pursuit of healthcare excellence.

Tom Saldin 2016 Michael Mooney 2015 Barbara Wilson 2014 Lucy Osborn North Canyon Medical Center Gooding TRUSTEE OF THE YEAR AWARD The Trustee of the Year Award recognizes one hospital trustee who has made exemplary contributions to improve his or her hospital s service to its patients and community by: fostering and encouraging an organizational culture focused on delivering high quality care, achieving exemplary patient satisfaction and maintaining a positive work environment; has demonstrated outstanding leadership and contributed to the continued viability of the organization; has been successful in arousing public concern for community healthcare needs and enhancing the overall quality and scope of access to healthcare services provided to the community, and, local, state or national healthcare initiatives; and, been involved in board development and recruitment, strategic and fiscal planning, building consensus within the organization, and with other healthcare providers and community stakeholders, advocating for improved healthcare in the state and/or local community. To be eligible for the Trustee of the Year Award, the individual nominee must: represent an IHA-member hospital or health system in good standing have been actively involved with the hospital or health system within the last three years.

Bill Morgan, MD Saint Alphonsus RMC 2016 Kelly McGrath, MD Clearwater Valley Hospital Orofino 2015 Kathryn Reese, MD St. Luke s CARES Twin Falls Paul McPherson, MD St. Luke s CARES 2014 Jonathan Cree ISU Family Medicine Pocatello EXCELLENCE IN MEDICINE AWARD The Excellence in Medicine Award recognizes a physician who exemplifies the medical profession s highest values: commitment to service, community involvement, clinical excellence, altruism and leadership in the medical profession. This individual will have made innovative contributions to the delivery of patient care by taking leadership actions to ensure the delivery of quality patient care in his/her community by displaying an unselfish concern for the welfare of others. To be eligible for the Excellence in Medicine Award, the individual must: be a licensed MD or DO.

Joan Agee St. Joseph RMC Lewiston 2016 Nicole Storer Eastern Idaho RMC Idaho Falls 2015 Marshall F. Priest, MD St. Luke s Heart AWARD OF EXCELLENCE IN PATIENT CARE The Award of Excellence in Patient Care recognizes a clinical or non-clinical individual with a focus on patient care at any level within an organization. The recipient of this award must display professional knowledge by being well-read, staying connected to emerging national, state and local patient care discussions, speaking on behalf of what is best for patients, and sharing his or her knowledge with interested colleagues and other healthcare stakeholders. The individual must also demonstrate their leadership ability as a patient care champion by implementing what they know, fostering and developing a culture of safety and elevating the importance of patient care innovation. The individual must embody a passion for collaborative learning, personifying an unselfish willingness to share ideas, methods, strategies, success stories and even disappointments, so that all patients and providers benefit from best practices. To be eligible for the Award of Excellence in Patient Care, the individual nominee must: represent an IHA-member hospital or health system in good standing

Rod Barton Cassia Regional Hospital Burley Joe Cladouhos Syringa Hospital & Clinics Grangeville Jeff Daniels Bingham Memorial Hospital Blackfoot Debi Dockins Gritman Medical Center Moscow Brenda Forge St. Joseph RMC Lewiston SPECIAL RECOGNITION OF RETIREMENT The Special Recognition of Retirement recognizes outstanding executives (C-Suite) within IHA member hospitals/ health systems having served in capacities such as IHA board of directors and IHA committees. To be eligible for the Special Recognition of Retirement, the individual must: have recently or will soon retire Tracey Sessions Idaho Hospital Hospital South Blackfoot Joni Stright

85th ANNAUL CONVENTION October 6-9, Sun Valley Resort Sun Valley, ID P.O. Box 1278, ID 83701-1278 208.338.5100 208.338.7800 (fax) www.teamiha.org

DUE DATE: May 31, NOMINATION FORM Name of Nominee: Title: Organization: Home Address: City/State/Zip: Telephone: Fax: Email: Name of Individual Submitting Nomination: Title: Organization: Address: City/State/Zip: Telephone: Fax: Email: Instructions for submitting nominations are outlined under Entry Requirements. Only nominations that adhere to the described format and length limitations will be considered for the award. Nominations should include the following materials: nomination form, written narrative, and photo. Mail Materials Listed Above by May 31, to: Idaho Hospital Association ATTN: Toni Pugmire P.O. Box 1278, ID 83701-1278 208.338.7800 (fax) tpugmire@teamiha.org