NETRC 2023 Conference- Michael Edwards Memorial Award Nomination Form

Open Until Friday, May 26th, 2023

The Michael Edwards Memorial Award for Advancing Telehealth in the Northeast is presented annually to an individual or organization in the Northeast Region (New England and New York) that has been a part of innovative and impactful efforts to increase telehealth utilization. Extra consideration is given towards applicants working within telehealth avenues that were near and dear to our colleague Michael Edwards, including:

Community Health Center/Federally Qualified Health Center/ Rural Health Center Based
Skilled Nursing Facility Based
Focused in Rural Areas
Telehealth Research or Innovation
Population Health

Last year's award was given to Adam Delmolino, Director, Virtual Care & Clinical Affairs, Massachusetts Health & Hospital Association. Adam leads MHA initiatives regarding telehealth, including convening tMED, the Massachusetts Telemedicine Coalition. Adam’s responsibilities also involve post-acute care and care transitions, case management, rural healthcare, pharmaceutical innovations, climate change, and energy issues.

Nominations open on March 10th, 2023 and will close on Friday, May 26, 2023.

The 2023 award has been made possible via generous support from our colleagues at Foley & Lardner, LLP.

Question Title

* 1. Contact Information of Nominating Individual (your name)

Name *

Company *

Address

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number

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* 2. Contact Information of Nominee (Award Candidate)

Name *

Company *

Address

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number

NETRC 2023 Conference- Michael Edwards Memorial Award Nomination Form

Open Until Friday, May 26th, 2023

Question Title

* 1. Contact Information of Nominating Individual (your name)

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* 2. Contact Information of Nominee (Award Candidate)

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* 3. Please describe how the nominee has been a leader in leveraging telehealth to improve access to care

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* 4. Please Describe the patient population reached/served with the efforts above

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* 5. Please add any other comments or noteworthy outcomes & highlights of the nominee's efforts that will help inform the Selection Committee Decision