Sponsored by Tork an Essity brand

The Environmental Services Department of the Year Award provides national recognition for the significant contributions made by an environmental services department to the overall patient experience and achieving a health care organization's mission.

Complete the application by responding to the following questions in entirety and scanning it to AHE at ahe@aha.org by June 8, 2018. The award and any honorable mention(s) will be presented at EXCHANGE 2018 in Columbus, oH.
Nominator Information:

*All information provided should be exactly as you would like it to appear on the award, media releases and on the website. Please include relevant credentials.

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* 1. Name with credentials:

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* 2. Job Title:

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* 3. Organization:

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* 4. Address:

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* 5. City, State, Zip:

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* 6. Phone:

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* 7. Email:

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* 8. AHE ID, if applicable:

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* 9. Facility/Organization Name:

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* 10. Address:

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* 11. City, State, Zip:

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* 12. Number of licensed beds:

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* 13. Facility cleanable square footage:

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* 14. Number of full-time equivalent employees in ES/housekeeping department:

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* 15. Is there planned new construction for this facility? Y/N

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* 16. I attest that the information contained in this entire application form is accurate and true. I understand this submission becomes the property of AHE.

*Information provided should be exactly as you would like it to appear on an award or in publication.

*Claims must be substantiated with data. 
Summary of Department’s Major Accomplishments

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* 17. Please list and describe your department’s three major accomplishments for 2017 and how did it benefit the department and your facility.

Operations/Clinical Environment of Care

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* 18. Using externally validated data (such as Leapfrog, Press Ganey, etc.), describe your current HCAHPS scores for cleanliness compared to both state and national averages and compare against your 2016 scores?

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* 19. Describe a major productivity improvement project during the last twelve months that specifically has addressed the value of teamwork and multi-disciplinary collaboration to improve processes. How have you maintained this improvement?

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* 20. What technology does your facility use to improve efficiency? Describe the results that have been demonstrated and how they are sustained?

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* 21. What is your department’s 2017 retention rate for full time employees compared with 2016? Describe what employee engagement programs are in place to mitigate turnover? How are they sustained?

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* 22. How has the environmental services department demonstrated and expanded its value across disciplines (i.e. C-Suite, Nursing, etc.)? Provide very specific examples.

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* 23. What sets this environmental services department apart from other peer facilities with similar services offered?

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* 24. Provide details on the specific waste reduction and recycling initiatives deployed at your facility during 2017? Describe how this compares to 2016.

Patient Safety/Quality

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* 25. Please provide specific examples of how the environmental services department manifests the triple aim? How you reduced cost, improved quality, and improved outcomes.

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* 26. What programs have you implemented in the last twelve months to improve patient and worker safety?

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* 27. Describe your facility’s approach to ensuring environmental services workers receive the currently recommended vaccines (i.e. Influenza, Pneumonia, Hepatitis B Virus, etc.) to protect themselves and others from potential transmission of contagious infections. Has this changed from previous years?

Infection Prevention and Control

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* 28. Using externally validated data (CDC National Healthcare Safety Network), describe your current HAI scores (MRSA, Clostridium difficile, etc.) are correlated to the success of your Environment of Care Program?

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* 29. Describe and provide detailed examples of how environmental services technicians are integrated into the facility’s overall infection prevention and control plan?

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* 30. Describe how your environmental service program monitors the process of cleaning and disinfection? Data should be provided to validate your statements.

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* 31. Describe the type of training that your environmental services technicians receive specifically on infection prevention and control and the frequency at which they are retrained?

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* 32. Describe your department’s involvement in the facility infection prevention and control committee.

Additional Information

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* 33. Is anyone in your hospital a CHEST trainer? If yes, please list.

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* 34. Do you have any CHEST certified technicians? If so, how many?

Thank you for submitting your application/nomination to the AHE Recognition Committee for consideration.

Please submit any additional information and documentation to support your responses along with your completed application to  ahe@aha.org by June 8, 2018.

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