aams.orgaams.org/wp-content/uploads/...Offline-Worksheet.docx · Web viewrecognizes an emergency medical transport individual OR organizations demonstrating a broad-based continuing

AMTC Award Nomination Offline Worksheet

DIRECTIONS

This worksheet will NOT be accepted as award nomination. It is meant for you to work on your nomination offline. All award nominations can be submitted online: aams.org/award-nomination-form . *Please look online for each year’s nomination submission deadline and timeline. If you have any questions, please check out our Awards FAQ Section online

This offline worksheet is not for the Vision Zero Award. Please download Airbus Vision Zero Award Worksheet on this webpage.

There are five parts to award nomination form: *I. - Nominee’s Information; *II. - About You – The Nominator;*III. - Opening Statement about Your Nominee;IV. - ^Upload Your Nomination’s Supporting Documentation;*V. - Last Section: Specific Questions for Each Award.

*Please review all five sections on this offline worksheet to prepare for your online submission.

Table of Contents

I. - Nominee's Information……………………………………………………………………………………………………………………....…….page 2

II. - About You - The Nominator…………………………………………………………………………..……….……………………….…..…..page 2

III. - Opening Statement about Your Nominee………………………………………………………………………………………..…...…page 3

IV. - Upload Your Nomination’s Supporting Documentation……………………………………………………………………….…page 3

V. – Last Section: Specific Questions for Each Award 4

AAMS Excellence in Community Service Award………………………………………………………………..…………………pages 4 - 6

AAMS Excellence in Transport Leadership Award……………………………………………………………………………….pages 6 - 7

AAMS Neonatal/Pediatric Transport Award of Excellence………………………………….………………………………..……page 8

AAMS Critical Care Ground Award of Excellence………………………………………………………………………………………..page 9

AAMS Fixed Wing Award of Excellence.……………………………………………………………………………………………………page 10

Transport Mechanic Award of Excellence………………………………………………………………………………..………pages 11 - 12

Barbara A. Hess Research & Education Award…..……………………………………………………………………………….……page 13

Jim Charlson Safety Award……..…………………………………………………………………………………………………………..……page 14

Marriott-Carlson Lifetime Achievement Award……………………...……………………………………………………………….page 15

Program of the Year Award………………………………………………………………………………………..……………………pages 16 - 18

Page 1 of 18 Pages Total

http://aams.org/awards-faqs/

I. - Nominee's Information *Required Section with Ten Questions for All Award Nominations

1.) Your Nominee's Name*

2.) You are nominating…*● A Transport Service, or a Company● An Individual

3.) Who is the main contact? Please provide their name below. *

➢ Required field for a Transport Service, or Company Nomination - If you do not know the company’s main contact, then please type "I do not know" in the above field.➢ If you're nominating an individual, this question will not appear on the nomination form.

4.) Nominee's Phone Number*

5.) Phone Type*● Main Office Line● Direct Office Line● Cell Phone

7.) Nominee's Email➢ If you do not know it, you can leave this field blank. The

nominee will NOT receive an email confirmation. Only the nominator will receive a confirmation email.

8.) Nominee's Address➢ If you do not know the address, you can leave this field

blank.

9.) Is your nominee a member of AAMS?*● Yes● Unsure➢ If you are unsure, AAMS will follow-up with you to let you

know your nominee's membership status. AAMS reserves the right to refuse acceptance of any non-member nomination.

10.) Nominee's AAMS Member ID #➢ If you do not know it, please leave blank. We will update this

field after we have received your submission, or we will contact you if there is an issue.

II. - About You - The Nominator *Required Section with Four Questions for All Award Nominations

1.) Nominator - Your Name*

2.) Nominator - Your Medical Transport Service or Company's Name➢ If not applicable, you can leave this field blank.

3.) Your Email (Nominator)*

4.) Nominator - Your Cell Phone

Page 2 of 18Please Note: Asterisk indicates a Required Question on the Online Form (*)

III. - Opening Statement about Your Nominee *Required Section for All Award Nominations –

Please read below your award’s specific Description, Eligibility and Judging Criteria before writing this statement.

In 1,000 characters or less, what is the main reason for nominating this nominee for this award? Please cover the overall impact of the transport service, company or individual’s efforts. What has been the impact felt on the medical transport service, in the critical care transport community, or at the industry’s national level?* (1,000 Character Limit)(Nominations received with an opening statement cut and pasted from individual award questions will be disqualified )

IV. - Upload Your Nomination’s Supporting Documentation^Optional Section for Most Award Nominations – This section is for supporting documentation. The main substance of your nomination

should be provided in your answers to each award’s specific set of questions that are listed below in last section.**Please read below your award’s specific Description, Eligibility and Judging Criteria before you start to collect these documents.

SECTION’S DIRECTIONS

- You are not required to provide this additional documentation unless you are submitting a nomination for the AAMS Excellence in Community Service Award. Please use any of the fields below to meet the Community Service Award’s fifth question.

- Other supporting documents such as letters of support or testimonials: shall not exceed one-page in length and no more than three letters of support/ testimonials will be accepted.

- ALL DOCUMENTS COMBINED - cannot exceed 10MB in size.

-You are also limited to one (1) additional supporting document or visual that demonstrates the impact of efforts done by a nominee (such as a resume, poster, PowerPoint Slides, PDF Document, Excel Document, or web page, etc.). This document cannot exceed five (5) pages (or slides) in length.

- Please include reference to your nominee when naming your supporting documents for upload. Examples:"Smith_cover_letter", "MEDSTAR_Cover_Letter", etc.

1.) Please Upload Your 1st OPTIONAL Letter of Support or Testimonial Here

2.) Please Upload Your 2nd OPTIONAL Letter of Support or Testimonial Here

3.) Please Upload Your 3rd OPTIONAL Letter of Support or Testimonial Here Accepted Doc Types for one - three: PDF, DOC, and DOCX - This document shall not exceed one (1) page in length.

4.) Please Upload Your OPTIONAL Visual Here Accepted Doc Types: jpg, jpeg, gif, pdf, docx, xlsx, and zip. For a video file, please upload to YouTube and provide a link to it in the next

field on this form. *This document shall NOT exceed five pages in length, and please be considerate on the overall file size.

4 A.) If you would like to provide a web link instead of uploading a document, please provide the link here Ex., a web link to a YouTube Video


5.) If you have any concerns about the documents you're uploading, please let us know here

V. - Last Section: Specific Questions for Each Award*Required Section For Each Specific Award.

AAMS Excellence in Community Service AwardAAMS Excellence in Community Service Award recognizes an emergency medical transport individual OR organizations demonstrating a broad-based continuing commitment to their referring/receiving agencies, and the communities they serve. The award recipient will exhibit an outstanding history of leadership or substantial involvement/partnership in customer or community-based project(s) that contribute to improving the quality of life within the communities they serve. Although eligibility requires membership with the Association of Air Medical Services, the nominated project is NOT LIMITED to practices solely in air or ground medicine. This recipient will have shown professional and personal values that typify the ideals of “giving of oneself,” and “making a difference in, or enhancing the lives of others.” We welcome projects of all sizes and scope, no matter the financial resources involved.

ELIGIBILITY: Marketing, medical, aviation, management, or any support personnel who are involved in the development and implementation of a customer or community-based project that has made a positive impact on the service community, customer base on a local, regional, national or international level. The candidate must be a member of AAMS (either Regular, Affiliate, or Personal member.) Any nomination received shall be reviewed by AAMS staff before the nomination is placed before the judges to ensure that the nominee has not been the recipient of the same award within the last three calendar years.

JUDGING CRITERIA:

A. The project should be based upon a need that was identified within their service community by the nominee. The candidate must show how the need was fulfilled through the project.

B. Detail ONE project the candidate completed from conception to implementation. The project should not be one that is focused or geared towards providing an increased transport volume or revenue for the organization but rather to make a difference in the lives of others. The project may include their service area community or referring/receiving agencies. The project will be judged on creativity or originality.

C. Illustrate the project’s clear and measurable positive impact on the service community. Submissions will be judged on how well the project met the scope of its objectives.

D. Provide documentation of leadership and long-term commitment to the service community. Documentation should show a pattern of an on-going partnership with either the service community that enhances any of the following: clinical skills, education, safety, or overall quality of life.

E. Supporting documentation must be provided. This documentation may include digital photos, digital video files, letters of support from community leaders, customers, or documents developed for the project.


Please answer the following five required questions for the AAMS Excellence in Community Service Award nomination:

(Submittals, where the same answers are merely cut and pasted for each question, will be disqualified.)

1.) The project should be based upon a need that was identified within the service community by the candidate. The nomination must show how the need was fulfilled through the project. Please describe how the nominee's project met this requirement. * (1,500 Character Limit including spaces)

2.) Detail ONE project the candidate completed from conception to implementation. The project should not be one that is focused or geared towards providing increased transport volume or revenue for the organization but rather to make a difference in the lives of others. The project may include their service area community or referring/receiving agencies. The project will be judged on creativity or originality. Please explain how the nominee's project met this requirement. * (1,500 Character Limit including spaces)

3.) Illustrate a clear and measurable positive impact on the service community/customer base. Submissions will be judged on how well the project met the scope of its objectives. Please describe below how the nominee's project made this type of impact. * (1,500 Character Limit including spaces)

4.) Provide documentation of leadership and long-term commitment to the service community/customer base. Documentation should show a pattern of an on-going partnership with either the service community/customer base that enhances any of the following: clinical skills, education, safety, or overall quality of life. Please describe below how the project and its documentation met this requirement. * (1,500 Character Limit including spaces)

5.) Supporting documentation must be provided. This documentation may include digital photos, digital video files, letters of support from community leaders, customers, or documents developed for the project.

*All nominations for the AAMS Excellence in Community Service Award must to use section four listed above to meet this award’s fifth question.


AAMS Excellence in Transport Leadership AwardAAMS Excellence in Transport Leadership Award recognizes air and ground critical care transport leader who has demonstrated a superior level of knowledge and management prowess, high-quality leadership through visionary and innovative approaches, customer service, safety consciousness, marketing ingenuity, community service, commitment to the emergency medical community as a whole. (e.g., Program Director, Transport Service Director, Program Manager, Transport Service Manager, Regional Director, CEO, etc.)

ELIGIBILITY: The transport service leader must be employed by an AAMS voting member and must have held their current position for at least two years.

JUDGING CRITERIA:

A. Number of years in the position;

B. How the transport service leader has improved crew engagement at the transport service;

C. How the individual has expanded the role or scope of the transport service;

D. What improvements the individual has made;

E. How the individual relates to the staff and community;

F. And staff testimonials.

Please answer the following six to seven questions for your AAMS Excellence in Transport Leadership Award nomination:


1.) Leadership Award: How many years has the nominee been a transport service leader in the industry?*● 2 - 10 Years● 11 - 20 Years● 21+ Years

2.) Leadership Award: How many years has the nominee been in their position?*● 2 - 10 Years● 11 - 20 Years● 21+ Years

3.) Leadership Award - Please provide proof of years this nominee has been in their current position by…* Providing a web link to their LinkedIn Profile; OR providing a web link to another online profile for the nominee; OR please use the upload file field to upload a copy of the nominee's resume or letter of attestation.

Please note : If you're choosing resume option, please type "See Attached Resume/Letter" in the text field below.

If none of the three options work for you to provide proof of years in their position, then please say so in the space above, and AAMS will follow-up you. If you are uploading a resume, please type above "See Attached Resume/Letter."


4.) Leadership Award: If you would like to attach a resume or letter of attestation to prove the length of time this nominee has been in their current position, please upload the Word document or PDF document here. Resume or letter of attestation should delineate between years in current position and years in the industry.

Optional Upload Field - If you are uploading a resume or letter, please type "See Attached Resume/Letter" in the required text field for question #3. Thank you!

5.) How the transport service leader has improved the culture of the service through crew resource management, quality improvement programs, customer services, etc.?* (2,000 Character Limit including spaces)

6.) How has the individual expanded the role or scope of the medical transport service? What improvements has the individual made?* (2,000 Character Limit including spaces)

7.) How does the individual relate to the staff and community?* (2,000 Character Limit including spaces) Please upload staff testimonial(s) in the upload documentation section on this form above.


AAMS Neonatal/Pediatric Transport Award of ExcellenceAAMS Neonatal/Pediatric Transport Award of Excellence recognizes an individual or team that has made an outstanding contribution to a neonatal/pediatric transport service in any of the following areas: enhancing safety, education, leadership, patient advocacy by developing or promoting the improvement of patient care in the medical transport community. The award may be given for an overall neonatal/pediatric-specific patient care contribution, or neonatal/pediatric transport outcome.

ELIGIBILITY: Personnel, who are involved with the transportation system of neonatal/pediatric patients, and are currently employed by AAMS Member neonatal/pediatric transport program or service. Current AAMS Member who is a neonatal/pediatric medical transport program or service.

JUDGING CRITERIA:

A. Specific improvements in the quality of neonatal/pediatric-specific medical transport;

B. The enhancement of safe neonatal/pediatric transport procedures (mitigation of risk for crew members and patients);

C. The development of neonatal/pediatric patient care;

D. The encouragement of others or contributions to the community which promote improvements in neonatal/pediatric

transport and patient care;

E. And enhancement of overall conditions under which proper neonatal/pediatric transport occurs.

Please answer the following three questions about your AAMS Neonatal/Pediatric Transport Award of Excellence nomination:


1.) What specific improvements has the nominee made for the quality of overall conditions under which neonatal/pediatric transport occurs?* (2,000 Character Limit including spaces)

2.) How has the nominee promoted or enhanced safe and proper neonatal/pediatric transport procedures (mitigation of risk for crew members and patients)?* (2,000 Character Limit including spaces)

3.) What has the nominee done for the improvement of neonatal/pediatric transport patient care while maintaining professional expertise, and participation in industry associations?* (2,000 Character Limit including spaces)


AAMS Critical Care Ground Award of ExcellenceAAMS Critical Care Ground Award of Excellence recognizes an individual or team that has made an outstanding contribution to a critical care ground transport service in any of the following areas: enhancing safety, education, leadership, patient advocacy by developing or promoting the improvement of patient care in the medical transport community. The award may be given for an overall critical care ground-specific patient care contribution, or ground transport outcome.

ELIGIBILITY: Personnel, who are involved with the transportation system of critical care ground patients, and are currently employed by AAMS Member critical care ground transport program or service. Current AAMS Member who is a critical care ground medical transport program or service.

JUDGING CRITERIA:

A. Specific improvements of the quality in critical care ground-specific medical transport;

B. The enhancement of safe ground transport procedures (mitigation of risk for crew members and patients);

C. The development of critical care ground transport patient care;

D. The encouragement of others or contributions to the community which promote improvements in ground transport

and patient care;

E. And the enhancement of overall conditions under which proper critical care ground transport occurs.

Please answer the following three questions for your AAMS Critical Care Ground Award of Excellence

nomination:


1.) What specific improvements has the nominee made for the quality of overall conditions under which ground transport occurs?* (2,000 Character Limit including spaces)

2.) How has the nominee promoted or enhanced safe and proper ground transport procedures (mitigation of risk for crew members and patients)? * (2,000 Character Limit including spaces)

3.) What has the nominee done for the improvement of critical care ground transport patient care while maintaining professional expertise, and participation in industry associations?* (2,000 Character Limit including spaces)


AAMS Fixed Wing Award of ExcellenceAAMS Fixed Wing Award of Excellence recognizes an individual or team that has made an outstanding contribution to a fixed wing transport service in any of the following areas: enhancing safety, education, leadership, patient advocacy by developing or promoting the improvement of patient care in the medical transport community. The award may be given for an overall fixed wing-specific patient care contribution, or fixed-wing transport outcome.

ELIGIBILITY: Personnel, who are involved with the transportation system of fixed-wing patients, and are currently employed by AAMS Member fixed-wing transport program or service. Current AAMS Member who is a fixed-wing medical transport program or service.

JUDGING CRITERIA:

A. Specific improvements of the quality in fixed wing-specific medical transport;

B. The enhancement of safe fixed-wing transport procedures (mitigation of risk for crew members and patients);

C. The development of fixed-wing transport patient care;

D. The encouragement of others or contributions to the community which promote improvements in fixed-wing

transport and patient care;

E. And enhancement of overall conditions under which proper fixed-wing transport occurs.

Please answer the following three questions for your AAMS Fixed Wing Award of Excellence nomination:


1.) What specific improvements has the nominee made for the quality of overall conditions under which fixed-wing transport occurs?* (2,000 Character Limit including spaces)

2.) How has the nominee promoted or enhanced safe and proper fixed-wing transport procedures (mitigation of risk for crew members and patients)? * (2,000 Character Limit including spaces)

3.) What has the nominee done for the improvement of fixed-wing transport patient care while maintaining professional expertise, and participation in industry associations? * (2,000 Character Limit including spaces)


Transport Mechanic Award of ExcellenceTransport Mechanic Award of Excellence recognizes an individual who has made significant contributions to the safe operation of medical transport vehicles or the improvement of safe maintenance procedures of medical transport vehicles.

ELIGIBILITY: Individuals who are directly involved with the maintenance operations of vehicles used by members of AAMS.

JUDGING CRITERIA:

A. Number of years in the position;

B. How the individual has added value to the medical transport service and education of the crew;

C. What improvements the individual has made;

D. How the individual relates to the staff and community (including staff testimonials);

E. And this individual must have made a direct impact on the safety of a transport vehicle or implemented a safety

program or procedure that enhances the welfare of the medical team and patients in transport.

Please answer the following five to six questions for your Transport Mechanic Award of Excellence nomination:


1.) Mechanic Award: How many years has this nominee been in the medical transport industry?*● 1 - 10 Years● 11 - 20 Years● 21+ Years

2.) Mechanic Award - Please provide proof of years this nominee has been in the medical transport industry.* Providing a web link to their LinkedIn Profile; OR providing a web link to another online profile for the nominee; OR please use the upload file field to upload a copy of the nominee's resume or letter of attestation.

Please note : If you're choosing resume option, please type "See Attached Resume/Letter" in the text field below. If none of the three options work for you to provide proof of years in their position, then please say so in the space

above, and AAMS will follow-up you. If you are uploading a resume, please type above "See Attached Resume/Letter."

3.) Mechanic Award: If you would like to attach a resume or letter of attestation to prove the length of time this nominee has been in the medical transport industry, please upload the Word document or PDF document here. Resume or letter of attestation should delineate between years in current position and years in the industry.

Optional Upload Field - If you are uploading a resume or letter, please type "See Attached Resume/Letter" in the required text field for question #2. Thank you!

4.) How has this nominee added value to the medical transport service, the education of the crew, and relate to the staff and community?* (1,200 Character Limit including spaces)

Please upload staff testimonial(s) in the upload documentation section on this form above.


5.) What improvements has this nominee made to improve the safety of a transport vehicle or implementation of a safety program? * (1,200 Character Limit including spaces)

6.) How has this nominee made a direct impact on the safety of a transport vehicle, or implemented a safety program, or procedure that enhances the welfare of the medical team and patients in transport? * (1,200 Character Limit including spaces)


Barbara A. Hess Research & Education AwardBarbara A. Hess Research & Education Award recognizes an individual who has significantly contributed to the enhancement, development, and promotion of the emergency medical industry through their research or educational efforts.

ELIGIBILITY: Medical, aviation or support personnel who have published, conducted research or provided quality education or educational expertise which has contributed to the emergency medical transport community on a local, regional, national or international level. The candidate must be employed by a member of AAMS (either voting, or affiliate), or must be a personal member of AAMS.

JUDGING CRITERIA:

A. Number of articles, chapters or books published;

B. Number of research abstracts/papers presented;

C. Number of lectures given;

D. And their membership and participation in industry associations.

Please answer the following five questions for your Barbara A. Hess Research & Education Award nomination:


1.) Has the nominee published articles, chapters or books? If so, please provide a summary description of the topics their work has covered in this arena.* (1,500 Character Limit including spaces)

You can respond by typing, “They have not published any materials.”

2.) Has the nominee presented research abstracts/papers/poster presentations? If so, please provide a summary description of the topics their work has covered in this arena.* (1,500 Character Limit including spaces)

You can respond by typing, “They have not presented any materials.”

3.) Has the nominee presented lectures at the state/national/international level? If so, please provide a summary description of the topics their work has covered in this arena.* (1,500 Character Limit including spaces)

You can respond by typing, “They have not presented any lectures.” If too many lectures to count over a lifetime, please give a guesstimate or description of how often

annually/monthly/weekly they are giving lectures, and on what topics.

4.) How has this nominee participated in industry associations? Have there been specific groups in which they have been an active contributing member? * (1,500 Character Limit including spaces)

5.) How has all of their work above (articles, papers, lectures, etc.) contributed to the advancement of patient care, research, and education? * (1,500 Character Limit including spaces)


Jim Charlson Safety AwardJim Charlson Safety Award recognizes an individual who has made significant contributions to the overall enhancement, development or promotion of safety within the air and critical care ground transport community.

ELIGIBILITY: Anyone directly involved in the air medical transport community who has made a contribution which enhanced the safety of a program/medical transport service, mission, or the air and critical care ground transport community as a whole.

JUDGING CRITERIA:

A. Demonstration of an unwavering commitment to safety;

B. Aviation safety expertise;

C. And membership associations and participation in community organizations.

Please answer the following three questions about your Jim Charlson Safety Award nomination:


1.) How has this nominee demonstrated an unwavering commitment to safety? * (2,000 Character Limit including spaces)

2.) Please describe what demonstrates this nominee’s safety expertise. How does it contribute to their commitment to safety? * (2,000 Character Limit including spaces)

3.) List this nominee’s participation in industry membership associations and community organizations. How have they advocated for improved safety through their participation in these organizations? * (2,000 Character Limit including spaces)


Marriott-Carlson Lifetime Achievement AwardMarriott-Carlson Lifetime Achievement Award recognizes an individual who has made significant contributions to the overall enhancement, development, leadership or promotion of the emergency medical transport community and has been actively involved or participated in an emergency medical transport organization.

ELIGIBILITY: Medical, aviation, communication, management or support personnel (operators, equipment companies, etc.) who are actively involved in the emergency medical transport community and are a member of AAMS or employed by an AAMS Member.

JUDGING CRITERIA:

A. Impact on or contribution to the industry;

B. Involvement in community organizations including leadership positions;

C. The number of years of membership in community organizations;

D. Encouragement of others to join community organizations;

E. And the encouragement of others to promote the emergency medical transport community.

Please answer the following three questions about your Marriott-Carlson Lifetime Achievement Award nomination:


1.) Describe this nominee’s greatest impact, or significant contributions, to the industry.* (2,000 Character Limit including spaces)

2.) Describe this nominee’s involvement, and length of time in years, in community organizations (including leadership positions). * (2,000 Character Limit including spaces)

3.) How has this nominee encouraged others to join community organizations, and how have they encouraged others to promote the emergency medical transport community? * (2,000 Character Limit including spaces)


Program of the Year AwardProgram of the Year Award recognizes an emergency medical transport service (national or international) that has demonstrated a superior level of patient care, management prowess, high quality leadership through visionary and innovative approaches, customer service, safety consciousness, marketing ingenuity, community service, and a commitment to the medical transport community as a whole.

ELIGIBILITY: The service must have been in operation for at least five (5) years in the medical transport community (rotor wing, fixed wing, or critical care ground) and a current voting member of AAMS.

JUDGING CRITERIA:

A. Number of years in operation;B. How the medical transport service commits to safety;C. Business model sustainability;D. Customer-service improvements;E. Clinical improvements;F. Fiscal responsibility;G. Community outreach;H. And any other award recognition/certifications (CAMTS certification is highly recommended, but not required).

Please answer the following eight to thirteen questions for your Program of the Year Award nomination:


1.) Program of the Year Award: How many years has the medical transport service been in operation?*● 1 - 5 Years● 6 - 10 Years● 11 - 15 Years● 16 - 20 Years● 21 + Years

2.) What modes of transport does this medical transport service provide?*▪ Rotor-Wing▪ Fixed-Wing▪ Critical Care Ground Please select all that apply.


3.) Program of the Year Award - Please provide proof of years this nominee has been in operation AND the modes of transport the medical transport service offers to the public. Your options to show proof:

A.) Provide a web link below to an online profile of the program that mentions the year the medical service was established, or references the number of years the program has been in operation, and the modes of transport that they offer to the public. If the information is on separate web pages, please provide more than one web link below.

B.) Please use the upload file field to attach a copy of a handout or pamphlet the medical transport service gives out to the public that mentions this information. If you're choosing to upload a document option to provide proof, please type "See Attached Document" in the required text field below.*

➢ If neither option works for you to provide proof of years in operations AND modes of transport offered to the public (i.e., web link or handout), then please say so in the space above, and AAMS will follow-up with you.

4.) Program of the Year Award: If you would like to attach a handout or pamphlet to prove the length of time this medical transport service has been in operation AND the modes of transport the program/medical transport service offers to the public, please upload the Word document or PDF document here. Optional Upload Field - If you are uploading a handout or pamphlet, please type "See Attached Document" in the required text field

above. Thank you!

5.) Discuss how the nominee program has integrated a culture of safety through just culture, CRM/AMRM, and other programs. Has the program experienced a sentinel event in the past twelve (12) months; if so what was the incident and how was the incident addressed? What, if any, processes/procedures have been put in place to help avoid future occurrences and provide lessons learned. (A sentinel event is not exclusionary) *

6.) Does the nominee have CAMTS Accreditation?*● No● Working Towards CAMTS Accreditation● Yes Highly recommended, but not required to win this award.

A.) Does the nominee have accreditation from other accrediting agencies? If yes, please list out those accreditation(s) below.

Optional - Examples: NAAMTA, CAAS, EURAMI, AHA, etc.

B.) If the Medical Transport Service is "Working Towards" CAMTS Accreditation: Please provide proof here by elaborating on what steps you are taking and a timeline that you're hoping to achieve

accreditation.* (1,000 Character Limit)

C.) If "Yes" What Type of CAMTS Accreditation? (Select all that apply)*▪ RW = Rotor Wing▪ FW = Fixed Wing▪ G = Ground Critical Care

Highly recommended, but not required.

CAMTS Web State Link Directions


➢ Go to http://www.camts.org/Accredited-Services.html >➢ Click on Your State Map >➢ Copy Web Link in Your Browser & Paste it in the field on the right of the online form.

D.) If "Yes" to CAMTS Accreditation - Please Provide Web Link to the State Listing of Your Transport Service on the CAMTS Website*

Go to http://www.camts.org/Accredited-Services.html > Click on Your State Map > Copy Web Link in Your Browser & Paste it in the Above Field.

7.) How has the medical transport service worked to be safe?* (2,000 Character Limit including spaces)

8.) What has the medical transport service done to address clinical improvements and customer-service improvements?* (2,000 Character Limit including spaces)

9.) What has the medical transport service done to address financial sustainability?* (2,000 Character Limit including spaces)


Documents

aams.orgaams.org/wp-content/uploads/...Offline-Worksheet.docx · Web viewrecognizes an emergency medical transport individual OR organizations demonstrating a broad-based continuing