Aipam Award Form

To submit an award nomination:  Review the criteria below, fill out form for both the nominee and the nominator.  After filling out the details click on the SUBMIT button and your award nomination will be submitted. 

Questions contact: Rozanne Hickok, rozanne.hickok@advocatehealth.com

aIPAM Allegiance Award 

Purpose:  The Allegiance Award is designed to honor an individual who demonstrates dedication and excellence in Healthcare Access Leadership and who has made a significant contribution to the field of Patient Access. This individual must have made an impact within the field in providing exceptional leadership and collaboration, transformational change, revenue cycle improvements, or by creating and/or implementing a"best practice"  Please be specific in describing how this individual has provided exceptional leadership and is an advocate for the field of Patient Access.

Distribution/Recognition: The award is given once a year at the fall conference.  Nominations must be submitted by September 1st.  The award recipient is recognized at the fall conference and attends as an aIPAM guest with no registration fee. 

Eligibility: The recipient must have a minimum of three years of Access Services Leadership experience and must be a current member of the association of Illinois Patient Access Management

aIPAM Torch Award

Purpose:  The Torch Award is designed to honor a front-line staff member that is considered a champion in the field of Patient Access. This individual must have made an impact within their organization to promote change and/or elevate the profession of Patient Access. This can be accomplished through providing ongoing excellent customer service, facilitation of a major project, or mentoring future Patient Access professionals. Please be specific in describing how this individual has elevated the profession of front-line Patient Access.

Distribution/Recognition:  The award is given once a year at the spring conference.  Nominations must be submitted by Mach 1st.   The award recipient is recognized at the Spring conference and attends as an aIPAM guest with no registration fee. 

Eligibility:  The recipient must have a minimum of three years experience in Patient Access.  Advance clearance for the nominee to attend the conference should be obtained from the nominee?s Manager

aIPAM Scholarship Award

Purpose:  The aIPAM Scholarship Award is designed to provide access to aIPAM conferences to a front-line staff member that demonstrates leadership within the field of Patient Access.  Attending the conference provides educational and networking opportunities.

Distribution/Recognition:  The award is given once a year at the fall conference.  Nominations for the fall must be submitted by September 1st.  The award recipient is recognized at the conference and attends as an aIPAM guest with no registration fee. 

Eligibility: The recipient must have a minimum of three years experience in Patient Access and be a first time conference attendee.  The recipient is not currently a member of aIPAM.  Advance clearance for the nominee to attend the conference should be obtained from the nominee?s Manager.

 


* indicates required fields 
  *Award:
  *Candidate Name:
  *Candidate Title:
  *Candidate Phone:
  *Candidate Organization:
  *Nominator Name:
  *Nominator Phone:
  *Nominator Email:
  *Nominator Organization:
  Candidate Supervisors Name:
  Candidate Supervisors Phone:
  Candidate Supervisor Email:
  *Provide a description based on award criteria:

You may want to consider copying and pasting the award detail from another program. After filling out the details click on the SUBMIT button.
 
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