2017 Annual Conference Call for Storyboard Showcase Proposals

Proposal Submission Form

Please share how your organization has successfully developed and implemented innovations that are transforming, improving, or promoting population health. It's important to indicate what role strategic planning, business development, marketing, public relations, and/or communications may have played. Storyboards should feature initiatives from 2016/2017. Submissions should be limited to three per organization.

Question Title

* 1. Enter a title for your submission (limited to 50 characters). You may use acronyms in the title, but please spell out after the title for reference.

Question Title

* 2. Primary contact:

Name:

Title:

Company:

Email Address:

Phone Number:

Question Title

* 3. Submitting Organization:

Company Name:

Address:

Address 2:

City/Town:

State:

Zip Code:

Website Address:

Question Title

* 4. Team Members: Include names, credentials/clinical degrees, professional title, and organization name for each team member. Please do not use acronyms in job titles (e.g., "Director of BD" should be written "Director of Business Development").

Question Title

* 5. Write a brief, one sentence description of the objective your team achieved or the problem your team solved through your population health innovation.

Question Title

* 6. Describe the final deliverable(s) or end product(s) of your population health initiative and how it is innovative.

Question Title

* 7. Approach taken: Explain the process utilized to successfully develop and implement your population health initiative.

Describe the planning phase

Indicate what strategies and tactics were employed

Role of strategist, whether strategic planning, business development, marketing, public relations, and/or communications

Share the tools, methods, and/or models that were used?

Etc.