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2013 Awards Program - Care Providers of Minnesota

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<strong>2013</strong><br />

<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong>’s<br />

<strong>Awards</strong> <strong>Program</strong><br />

ALL EMPLOYEES HAVE AWARD POTENTIAL<br />

<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong>’s <strong>Awards</strong> <strong>Program</strong> recognizes the outstanding people and programs<br />

that serve your residents, tenants, staff, and community.<br />

Inside:<br />

A complete description <strong>of</strong> all <strong>Care</strong><br />

<strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong> <strong>Awards</strong><br />

Nomination instructions and<br />

timeline<br />

All forms necessary to nominate<br />

an outstanding staff, volunteers,<br />

programs, or organization


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Instructions and Timeline<br />

(952) 854-2844 Fax (952) 854-6214<br />

Email: lolson@careproviders.org Web: www.careproviders.org<br />

<strong>2013</strong> Timeline<br />

March 18<br />

May 3<br />

May 24<br />

June– July<br />

June 21<br />

August 16<br />

August 21-22<br />

September<br />

November 18-20<br />

All awards information online; nominations now being accepted<br />

Excellence in Assisted Living (EAL) and Employee <strong>of</strong> the Year: Assisted Living<br />

Award nominations due<br />

All other nominations due at <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong> by 11:59 PM<br />

Recognition Committee reviews all COMPLETE applications<br />

Committee members tour EAL finalists<br />

Nominators notified regarding their submission(s)<br />

Excellence in Assisted Living Award & Employee <strong>of</strong> the Year: Assisted Living<br />

Award presented at Housing Summit<br />

Service <strong>of</strong> Excellence: James B. Swanson Award finalist tours conducted<br />

<strong>Awards</strong> presented at <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong>’s Annual Convention<br />

Starting with the Basics<br />

1. Start planning NOW. If someone deserves an award, they deserve a thoughtful nomination with specific<br />

details about why they are being nominated.<br />

2. Browse through the categories and read the criteria carefully to ensure the best fit.<br />

3. Gather all the information BEFORE you apply. Incomplete nominations are invalid.<br />

4. Nominate. Don’t stop at one! There is no limit to the number <strong>of</strong> nominations you can send in!<br />

Please make sure you answer ALL award criteria.<br />

‘Wow’ the Recognition Committee by including examples/stories. Remember, we don’t know your<br />

nominee so you need to explain why your nominee is spectacular!<br />

When you’ve got all the materials ready, fax or email to:<br />

a. EMAIL: Send an email with all the attachments to Rachel David, rdavid@careproviders.org or<br />

b. FAX: Send a FAX to <strong>Awards</strong>/<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong>, 952-854-6214.<br />

Note—make sure you are including:<br />

____ the <strong>2013</strong> Cover Sheet (see page 3)<br />

____ the award nomination (this is what you write, answering the criteria outlined for<br />

each award )<br />

____ supporting documents as specified in the award criteria<br />

All entries become the property <strong>of</strong> <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong>. The Recognition Committee reserves the<br />

right to transfer nominations to other categories.<br />

Nominations MUST BE RECEIVED BY 11:59 p.m. on Friday, May 24, <strong>2013</strong>.<br />

Questions: For award criteria/general questions, please contact Lisa Foss Olson, lolson@careproviders.org<br />

or 952-851-2483. For “did you receive my nomination” questions, please contact Rachel David,<br />

rdavid@careproviders.org or 952-851-2491.<br />

2


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong> <strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Cover Sheet<br />

Phone (952) 854-2844 · Fax (952) 854-6214<br />

A separate form must be submitted for each nomination<br />

Award Category _____________________________________________________________________<br />

Nominee Information<br />

Nominee ___________________________________________________________________________<br />

Nominee’s position ____________________________________________________________________<br />

Length <strong>of</strong> time with the organization ______________________________________________________<br />

Facility/Organization __________________________________________________________________<br />

Nursing home________ Assisted living __________ Home <strong>Care</strong> _______ Corp______ Other _________<br />

City ________________________________________________________________________________<br />

Nominator Information<br />

Full name <strong>of</strong> Nominator ________________________________________________________________<br />

(This is who we will contact for information about the nominee/award status.)<br />

Nominator’s position __________________________________________________________________<br />

Email <strong>of</strong> Nominator/Contact Person ______________________________________________________<br />

Phone <strong>of</strong> Nominator/Contact Person ______________________________________________________<br />

Email or fax the following to Rachel (rdavid@careproviders.org or Fax: 952-854-6214).<br />

____ <strong>2013</strong> Cover Sheet (copy form as needed)<br />

____ written award nomination (this is what you write, answering the criteria outlined for<br />

each award)<br />

____ supporting documents as specified in nomination criteria<br />

3


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

NEW this year<br />

Adult Volunteer <strong>of</strong> the Year Award p 5<br />

Giving <strong>of</strong> oneself & helping others<br />

Aide—<strong>Care</strong>giver <strong>of</strong> the Year Award p 6<br />

Exceptional caring, commitment, and dedication<br />

Champion Award p 7<br />

Such an amazing long-term care supporter!<br />

Community Partnership Award p 8<br />

Creating community bonds<br />

Dare to be Great Award p 9<br />

Trying something different without a guarantee<br />

Dedicated Service Award p 10<br />

A career dedicated to caring<br />

Employee <strong>of</strong> the Year Award (excludes Housing) p 11<br />

If cloning were an option<br />

Employee <strong>of</strong> the Year: Assisted Living Award (Housing only) p 12**<br />

If cloning were an option<br />

Excellence in Assisted Living Award p 13—15**<br />

Only four have this award, will yours be the fifth<br />

Leadership Award p 16<br />

Ability to motivate and inspire others<br />

Life Enrichment Award p 17<br />

Person-centered care happens!<br />

Nurse— <strong>Care</strong>giver <strong>of</strong> the Year Award p 18<br />

Exceptional caring, commitment, and dedication<br />

Rising Star Award p 19<br />

Shows exceptional promise and commitment<br />

Service <strong>of</strong> Excellence: The James B. Swanson Award p 20—22<br />

Make this man proud–carry out his legacy<br />

Superstar Award p 23<br />

Not just a star — a SUPER star!<br />

Youth Volunteer <strong>of</strong> the Year Award p 24<br />

There’s no age criteria in caring<br />

** For assisted living establishments/housing members only, with earlier nomination<br />

deadline (May 3) and award presentation at Assisted Living & House in August.<br />

4


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Adult Volunteer <strong>of</strong> the Year<br />

Giving <strong>of</strong> oneself & helping others<br />

This award recognizes an individual volunteer or group <strong>of</strong> adult volunteers who have made contributions to the<br />

quality <strong>of</strong> life for residents/tenants/clients, family members, or to the working environment for staff.<br />

Eligible Nominees: All adults who volunteer at any member organization.<br />

Award Criteria–please describe the following:<br />

1. The volunteer’s length <strong>of</strong> service, when and how they began volunteering at your facility<br />

2. The volunteer’s activities and contributions<br />

3. The volunteer's impact and how it has improved the quality <strong>of</strong> life for residents/tenants/clients, family<br />

members, or the working environment for staff<br />

4. Tell the Recognition Committee why your nominee deserves the Adult Volunteer <strong>of</strong> the Year Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

5


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Aide—<strong>Care</strong>giver <strong>of</strong> the Year<br />

Shows fabulous caring, commitment, and dedication!<br />

The Aide-<strong>Care</strong>giver <strong>of</strong> the Year Award honors a caregiver (NAR/HHA/TMA) who displays extraordinary skill in<br />

caring for individuals residing in a care facility or receiving care at home. The nominee communicates effectively<br />

and sensitively with residents/tenants/clients and family members; listens carefully; exhibits empathy and respect;<br />

and promotes dignity.<br />

Eligible Nominees:<br />

Any qualified employee (NAR/HHA/TMA) nominated by a nursing facility, assisted living/housing, corporate, or<br />

associate member.<br />

Award Criteria–please describe the following:<br />

1. How your nominee is a fabulous caregiver, exceeding what is expected <strong>of</strong> him/her<br />

2. Specific examples <strong>of</strong> your nominee’s exceptional skill in caring for others<br />

3. Examples <strong>of</strong> your nominee exhibiting empathy and respect<br />

4. Instances <strong>of</strong> how your nominee promotes dignity<br />

5. How your nominee contributes innovative, progressive ideas for innovative quality improvement<br />

6. Tell the Recognition Committee why your nominee deserves the Aide -<strong>Care</strong>giver <strong>of</strong> the Year Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other than the<br />

nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award presentation<br />

at Convention.<br />

6


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Champion Award<br />

Such an amazing long-term care supporter!<br />

The Champion Award honors an individual, family, or group who advocates for residents/tenants/clients or the<br />

care pr<strong>of</strong>ession. Their words or actions have enhanced the public perception <strong>of</strong> the pr<strong>of</strong>ession and have made<br />

a positive impact on the lives <strong>of</strong> those who live and work in these communities.<br />

Eligible Nominees: Any champion nominated by a nursing facility, assisted living/housing, corporate, or<br />

associate member.<br />

.<br />

Award Criteria–please describe the following:<br />

1. Tell how your nominee has soared above and beyond to be a champion <strong>of</strong> the pr<strong>of</strong>ession<br />

2. The impact she/he has made on those who live and work in the organization<br />

3. Her/his connection to the organization/pr<strong>of</strong>ession<br />

4. Tell the Recognition Committee why your nominee deserves the Champion Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

7


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Community Partnership Award<br />

Creating community bonds<br />

The Community Partnership Award recognizes the efforts <strong>of</strong> a <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong> member to create a<br />

partnership with a community group or organization that is typically outside <strong>of</strong> the care industry. The partnership<br />

improves the quality <strong>of</strong> life for residents/tenants/clients, staff, and/or volunteers.<br />

The creation <strong>of</strong> community bonds may take the form <strong>of</strong> educational activities, cooperative ventures, creative<br />

collaborations with a vendor, or other initiatives.<br />

Eligible Nominees: All corporate, nursing facility, assisted living/housing, and associate members.<br />

Award Criteria–please describe the following:<br />

1. The partnership created by the nominee and how it started<br />

2. How the partnership benefits those involved<br />

3. The impact on each organization<br />

4. Tell the Recognition Committee why your nominee deserves the Community Partnership Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

8


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Dare to be Great Award<br />

Trying something different<br />

To do something different, with no guarantee it will work or pay <strong>of</strong>f – that’s daring!<br />

The Dare to Be Great Award recognizes an individual or group that has had the courage to try something<br />

different in their delivery or provision <strong>of</strong> a program or service. It recognizes those who have tried something a<br />

little out-<strong>of</strong>-the-ordinary and as a result, enhanced the lives <strong>of</strong> residents/tenants/clients, staff, or volunteers at a<br />

member organization.<br />

Eligible Nominees: Any nursing facility, assisted living/housing, corporate, or associate member.<br />

Award Criteria–please describe the following:<br />

1. The daring adventure and what prompted the development <strong>of</strong> the new program or service<br />

2. Steps taken to make the program or service a success<br />

3. What were some <strong>of</strong> the challenges and how these were met or overcome<br />

4. How it enhances the lives <strong>of</strong> residents/tenants/clients, staff, or volunteers<br />

5. Tell the Recognition Committee why your nominee deserves the Dare to Be Great Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

9


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Dedicated Service Award<br />

A career dedicated to caring<br />

The Dedicated Service Award recognizes any employee whose service over the course <strong>of</strong> her/his career, has<br />

positively enhanced the quality <strong>of</strong> life for individuals residing in a care setting. The individual’s efforts demonstrate<br />

a commitment to their organization and the care-providing pr<strong>of</strong>ession.<br />

Eligible Nominees: Any individual nominated by a nursing facility, assisted living/housing, corporate, or<br />

associate member.<br />

Award Criteria–please describe the following<br />

1. Your nominee’s career and achievements/highlights<br />

2. How your nominee has enhanced the quality <strong>of</strong> life for individuals they have served<br />

3. Participation in the programs, activities, or initiatives at their workplace, <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong>, or<br />

other organizations serving the care-providing pr<strong>of</strong>ession<br />

4. Tell the Recognition Committee why your nominee deserves the Dedicated Service Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

10


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Employee <strong>of</strong> the Year (excludes Housing)<br />

If cloning were an option<br />

This award recognizes an employee from any discipline (excluding housing ) for his or her contributions that<br />

have improved the quality <strong>of</strong> life for residents/clients and/or enhanced the working environment for coworkers.<br />

Eligible Nominees: Any employee nominated by a nursing facility, corporate, or associate member.<br />

Award Criteria–please describe the following:<br />

1. About your nominee (i.e., who they are, job title, length <strong>of</strong> service)<br />

2. Ways your nominee has improved the quality <strong>of</strong> life for those receiving care or the working environment for<br />

co-workers<br />

3. Examples <strong>of</strong> employee's initiative, commitment, and caring<br />

4. Describe the impact <strong>of</strong> employee's work on residents/clients, staff, family members, and/or volunteers<br />

5. Tell the Recognition Committee why your nominee deserves the Employee <strong>of</strong> the Year Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

11


New for <strong>2013</strong><br />

<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Employee <strong>of</strong> the Year: Assisted Living Award<br />

(Housing only)<br />

If cloning were an option<br />

This award recognizes an employee from any housing with services/assisted living facility for his or her<br />

contributions that have improved the quality <strong>of</strong> life for tenants/clients and/or enhanced the working environment<br />

for coworkers.<br />

Eligible Nominees: Any employee nominated by an assisted living/housing or corporate housing member.<br />

Award Criteria–please describe the following:<br />

1. About your nominee (i.e., who they are, job title)<br />

2. Ways your nominee has improved the quality <strong>of</strong> life for those receiving care or the working environment for<br />

co-workers<br />

3. Examples <strong>of</strong> employee's initiative, commitment, and caring<br />

4. Describe the impact <strong>of</strong> employee's work on tenants/clients, staff, family members, and/or volunteers<br />

5. Tell the Recognition Committee why your nominee deserves the Employee <strong>of</strong> the Year: Assisted Living<br />

Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Note: this award is ONLY for housing members, with a nomination deadline <strong>of</strong> May 3; the recipient will<br />

be presented with this award at the Assisted Living & Senior Housing Summit in August.<br />

12


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Excellence in Assisted Living Award<br />

An opportunity to focus on all the things you do right!<br />

This esteemed award recognizes a housing with services/assisted living establishment for exemplary dedication<br />

and commitment to quality. Nominations are judged on criteria which is based on the National Center for<br />

Assisted Living’s (NCAL) guiding principles for quality in assisted living: person-centered care, ethical practices,<br />

mission and vision statements, quality improvements, and workforce issues.<br />

There are two phases to the award: 1) a written application which consists <strong>of</strong> no more than 25 single-sided<br />

pages, and 2) a tour <strong>of</strong> the assisted living establishment IF applicant achieves a minimum score <strong>of</strong> 85% percent<br />

on their written application.<br />

Eligible Nominees: All housing members are eligible.<br />

Written Presentation: Submit written materials addressing the award criteria. Use Arial font [10 point] or Times<br />

Roman [12 point] on application; maximum amount <strong>of</strong> pages: 25 single-sided, double-spaced pages.<br />

Entry Deadlines:<br />

Presentations must be received by the Association or postmarked by 11:59 p.m. on May 3, <strong>2013</strong>.<br />

Procedures<br />

Finalists are selected based upon a numerical point distribution assigned to each award criterion. If applicant<br />

achieves a score <strong>of</strong> 85% or better, they will proceed to the next step: a tour.<br />

The scores <strong>of</strong> the written portion and the tour will be combined to determine the award recipient. The applicant<br />

with the highest total point score will be named the <strong>2013</strong> Excellence in Assisted Living Award recipient and will<br />

be announced at the <strong>2013</strong> Assisted Living & Senior Housing Summit, August 21-22. <strong>2013</strong>.<br />

For general questions, please contact Lisa Foss Olson, lolson@careproviders.org or 952-851-2483.<br />

Award submissions should be submitted electronically AND mailed<br />

Email: rdavid@careproviders.org or<br />

Fax: 952-854-6214, Attention: Recognition Committee<br />

Mail:<br />

<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

7851 Metro Parkway #200<br />

Bloomington, MN 55425<br />

Attn: Recognition Committee<br />

Key dates for the Excellence in Assisted Living Award competition:<br />

Deadline for submission <strong>of</strong> written presentations…...…………………...May 3<br />

<strong>Awards</strong> Committee selects finalists………….…………….……………… May 24<br />

Facility Tours……………………………………………..……………….….June 10-21<br />

Award presented at Assisted Living & Senior Housing Summit ….August 21-22, <strong>2013</strong><br />

13


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Excellence in Assisted Living Award—Nomination Criteria<br />

The written presentation criteria: 120 points possible. Assisted living establishments must achieve a score <strong>of</strong> 85%<br />

(a score <strong>of</strong> at least 102 points) to proceed to community tour.<br />

1. GUIDING PRINCIPLE #1: PERSON-DIRECTED CARE (25 points)<br />

Person-directed care focuses on meeting an individual’s needs and is based on the concept that employees and<br />

management know each tenant—their history, needs, preferences, and expectations. With that in mind, please<br />

describe the following:<br />

How person-directed care occurs in your community.<br />

How management and employees have assisted the tenant and tenant’s family members transition into life at<br />

the community.<br />

Include two recent (within the last 12 months) testimonials from a tenant and/or family member.<br />

2. GUIDING PRINCIPLE #2: ETHICAL PRACTICES AND FINANCIAL STEWARDSHIP (25 points)<br />

NCAL and <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong> believe that all providers should operate their assisted living communities<br />

based on a foundation <strong>of</strong> trust. <strong>Providers</strong> will operate their communities and provide service with integrity.<br />

Based on the statement above, please describe how services are provided in your community.<br />

3. GUIDING PRINCIPLE #3: MISSION AND VISION STATEMENTS (10 points)<br />

A mission statement incorporates a community’s purpose and values. A vision statement focuses on tenant,<br />

family, and employee satisfaction and strives for progress and continuous improvement while maintaining core<br />

values.<br />

Describe your mission and vision statements and how they are woven or integrated into practices and<br />

procedures at your community.<br />

4. GUIDING PRINCIPLE #4: QUALITY IMPROVEMENT (10 points)<br />

<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong> believe all assisted living communities should develop and implement a quality<br />

program that best serves the needs <strong>of</strong> the tenants and their families. Please describe the following:<br />

Give an example <strong>of</strong> one area <strong>of</strong> quality improvement including baseline data, measurement tools, the process<br />

used, and the demonstrated improvement<br />

Describe any participation in AHCA/NCAL’s Quality Award program<br />

5. GUIDING PRINCIPLE #5: EMPLOYEES (25 points)<br />

A higher level <strong>of</strong> employee satisfaction directly correlates with higher levels <strong>of</strong> satisfaction among tenants and<br />

their family members. Describe how the following are demonstrated in your organization:<br />

Ongoing training and education for all employees<br />

Recognition and rewards program for employees<br />

Employee satisfaction surveys<br />

Timely and concise communication from leadership<br />

Include 2 letters from (non-leadership) employees as to why your community is a great place to work<br />

6. GENERAL (25 points)<br />

Describe the following:<br />

How your assisted living community integrates with the larger (surrounding) community<br />

Participation in <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong> activities, initiatives, or governance (e.g. committees or boards,<br />

CARE-PAC, education programs, etc.)<br />

Involvement <strong>of</strong> leadership and employees in external pr<strong>of</strong>essional groups<br />

Why your community deserves this award<br />

14


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Excellence in Assisted Living Award—Tour Criteria<br />

Assisted Living /Housing Name: ______________________________________<br />

About the tour: SHOW US WHAT MAKES YOU SPECIAL<br />

Award applicants that reach 85% in their written nomination move to phase two <strong>of</strong> the nomination: the tour.<br />

As you tour delegates from the Recognition Committee around your community, please keep in mind the following:<br />

1. The tour accounts for 50% <strong>of</strong> the total score<br />

2. Staff and residents are to be included in the tour.<br />

3. Please make sure you address each area outlined below.<br />

4. If you have questions about the process and/or expectations, please contact <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

PRIOR to the tour.<br />

Item time score<br />

Presentation 20-30 minutes 50<br />

Tour 40-45 minutes 50<br />

Committee/wrap up 15-20 minutes —<br />

Presentation about the assisted living community – given by housing director and other staff<br />

Overview: who you serve; what makes your community special.<br />

Non-management employees to talk about what you like about working here<br />

Tenants and/or family members to discuss overall impression <strong>of</strong> the community<br />

Describe why you deserve the award<br />

Escorted Tour<br />

Physical environment/general appearance/safety<br />

Tenants (interaction with staff; respectful <strong>of</strong> privacy and dignity)<br />

Nursing services<br />

Dining services<br />

Life enrichment opportunities<br />

Committee Review/Wrap Up<br />

After the tour, please provide a room for committee members to review findings.<br />

Allow time for discussion, as well as an opportunity to call back employees for questions.<br />

Total score: ____________________________<br />

NOTE: NO PARTING GIFTS WILL BE ACCEPTED<br />

15


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Leadership Award<br />

Ability to motivate and inspire others<br />

This award recognizes the achievements <strong>of</strong> any employee, at any level <strong>of</strong> service, for her or his leadership<br />

contributions and skills.<br />

Eligible Nominees: Any qualified individual nominated by a nursing facility, assisted living/housing, corporate,<br />

or associate member.<br />

Award Criteria–please describe the following:<br />

1. Why this individual is valued as a leader in your organization<br />

2. How the nominee teaches or demonstrates skills that are practical and relevant to the pr<strong>of</strong>ession<br />

3. How the nominee motivates and inspires others<br />

4. How the nominee has influenced you and/or others to excellence<br />

5. Tell the Recognition Committee why your nominee deserves the Leadership Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

16


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Life Enrichment Award<br />

Person-centered care happens<br />

This award acknowledges the people, programs, and teams whose efforts enhance or enrich the lives <strong>of</strong><br />

residents/tenants/clients and strive to make life more meaningful. The nominee (individual or team) empowers<br />

and supports individuals at member facilities/establishments through personal engagement.<br />

Eligible Nominees: All corporate, nursing facility, and assisted living/housing members.<br />

Award Criteria–please describe the following:<br />

1. How your nominee strives to make life more meaningful for residents/tenants<br />

2. The specific program or service that enriches the lives <strong>of</strong> residents/tenants/clients and who it involves<br />

3. The steps taken to enhance or encourage person-centered care<br />

4. Impact on the residents/tenants/clients and employee(s)<br />

5. Tell the Recognition Committee why your nominee deserves the Life Enrichment Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

17


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Nurse—<strong>Care</strong>giver <strong>of</strong> the Year<br />

Shows exceptional caring, commitment, and dedication<br />

This award honors a nurse who displays extraordinary skills in caring for individuals residing in a nursing facility,<br />

assisted living establishment, or receiving care at home. The nominee communicates sensitively with individuals<br />

who are in their care and their family members; the nominee listens carefully, exhibits empathy and respect, and<br />

promotes dignity.<br />

Eligible Nominees: Any qualified nurse (LPN/RN) nominated by a corporate, nursing facility or assisted living/<br />

housing member whose direct care activities comprise 50% or more <strong>of</strong> practice.<br />

Award Criteria–please describe the following:<br />

1. How your nominee is an exceptional caregiver, exceeding what is expected <strong>of</strong> him/her<br />

2. Specific examples your nominee’s exceptional skill in caring for others<br />

3. Examples <strong>of</strong> your nominee exhibiting empathy and respect<br />

4. Instances <strong>of</strong> how your nominee promotes dignity<br />

5. How your nominee contributes innovative, progressive ideas for innovative quality improvement<br />

6. Tell the Recognition Committee why your nominee deserves the Nurse-<strong>Care</strong>giver <strong>of</strong> the Year Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

18


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Rising Star Award<br />

Shows exceptional promise and commitment<br />

This award recognizes the contributions <strong>of</strong> an employee from any discipline, who is new to her or his pr<strong>of</strong>ession<br />

or to the industry within the last five years, and has made an impact in their years <strong>of</strong> service. The nominee<br />

should have a “can do” attitude, be a team player, and have made a positive impact on his or her organization.<br />

Eligible Nominees: Any qualified employee nominated by a corporate, nursing facility or assisted living/housing<br />

member.<br />

Award Criteria–please describe the following:<br />

1. About your nominee (i.e., who they are, job title)<br />

2. Why you believe he/she is a rising star<br />

3. Examples <strong>of</strong> your nominee’s achievements and ‘can do’ attitude<br />

4. Ways your nominee has made a positive impact on the organization<br />

5. Tell the Recognition Committee why your nominee deserves the Rising Star Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

19


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong> <strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Service <strong>of</strong> Excellence: James B. Swanson Award<br />

James B. Swanson was a facility owner, corporate administrator, consultant, state and<br />

national industry leader, and activist. An innovative and inspiring pr<strong>of</strong>essional, he encouraged<br />

his peers and colleagues to do their very best. The Service <strong>of</strong> Excellence: James B.<br />

Swanson Award is named in his honor, in recognition <strong>of</strong> his passionate commitment to the<br />

elderly and our pr<strong>of</strong>ession.<br />

Competition Rules<br />

Nursing facilities applying for the <strong>2013</strong> Service <strong>of</strong> Excellence: James B. Swanson Award<br />

may only submit materials within the format and criteria established for the competition.<br />

Any nursing facility that has regulatory agency-imposed sanctions, substandard care, or<br />

immediate jeopardy, or receives such restrictions during the course <strong>of</strong> the competition, will<br />

be disqualified from competing.<br />

Nomination must be received by <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong> (or postmarked) by 11:59 p.m., May 24, <strong>2013</strong>.<br />

Award submissions should be submitted electronically (email or fax) AND mailed.<br />

Email: rdavid@careproviders.org Fax: 952-854-6214<br />

Mail: <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

7851 Metro Parkway #200<br />

Bloomington, MN 55425<br />

Attn: Recognition Committee<br />

Presentations shall become the property <strong>of</strong> <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong> (CPM) and may be utilized by CPM or its<br />

designees in any manner without compensation to the entrant. Past award recipients may not enter the competition for<br />

three years immediately following receipt <strong>of</strong> the award.<br />

Competition Requirements:<br />

Written Presentation: Submit written materials addressing the award criteria. (There is a limit <strong>of</strong> 25 single-sided<br />

pages.) Use Arial font [10 point] or Times Roman [12 point] on application. Applicants must receive a minimum<br />

score <strong>of</strong> 85% in order to proceed to part two <strong>of</strong> the competition – the facility tour.<br />

Objectives<br />

The Service <strong>of</strong> Excellence: James B. Swanson Award is designed to recognize <strong>Minnesota</strong>’s best nursing facilities.<br />

The award honors the contributions and commitment <strong>of</strong> all nursing facility employees and the important services they<br />

provide as they strive for excellence in the performance <strong>of</strong> their duties. Participating members are judged on criteria<br />

such as leadership, client satisfaction, person-centered care, and employee engagement. The competition provides<br />

the opportunity to educate the public about our pr<strong>of</strong>ession and the high quality <strong>of</strong> the services we provide. It is intended<br />

to promote the long-term care industry’s efforts toward excellence to public <strong>of</strong>ficials, to the general public, and<br />

within the pr<strong>of</strong>ession itself.<br />

Procedures<br />

Finalists are selected based upon a numerical point distribution assigned to each award criterion. Finalists who<br />

achieve a score <strong>of</strong> at least 85% will proceed to the next step, a facility tour. The scores <strong>of</strong> the written portion <strong>of</strong> the<br />

submission and the tour will be combined to determine the award recipient. The finalist with the highest total<br />

point score will be named the <strong>2013</strong> Service <strong>of</strong> Excellence: James B. Swanson Award recipient. The name <strong>of</strong> the<br />

award recipient will be kept in strict confidence until it is announced during the award presentation event. (In the<br />

event there is only one finalist, the facility still needs to reach a certain score on the tour in order to receive the award.)<br />

KEY DATES FOR THE SERVICE OF EXCELLENCE: JAMES B. SWANSON AWARD COMPETITION:<br />

Deadline for submission <strong>of</strong> written presentations…...…………………...May 24<br />

<strong>Awards</strong> Committee selects finalists………….…………….……………… June<br />

Facility Tours……………………………………………..……………….….September<br />

Award presented at Convention……………………………………….…...November 18—20, <strong>2013</strong><br />

20


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Service <strong>of</strong> Excellence: James B. Swanson Award—Nomination Criteria<br />

The written presentation criteria: 120 points possible; please limit to 25 single-sided pages. Applicants must<br />

achieve a score <strong>of</strong> 85% (a score <strong>of</strong> at least 102 points) to proceed to part two–a community tour.<br />

Please address the following criteria:<br />

A. 5 points Facility description and mission.<br />

a. Describe your physical environment, individuals served, services, philosophy, and goals.<br />

b. Include your mission statement.<br />

c. In 100 words (or less) explain why your facility is deserving <strong>of</strong> this award.<br />

B. 15 points Quality improvement process.<br />

a. Give an example <strong>of</strong> one area <strong>of</strong> an improved outcome including baseline data,<br />

measurement tools, the process used, and the demonstrated improvement.<br />

b. Describe any participation in AHCA/NCAL’s Quality Award program.<br />

C. 10 points Leadership.<br />

a. (internal) Describe how your management team creates a positive work environment for<br />

employees, communicates organizational expectations and standards, and promotes<br />

excellence and quality improvement.<br />

b. (external) Describe how staff are engaged in pr<strong>of</strong>essional leadership opportunities.<br />

D. 15 points Client satisfaction. Submit five current (within 12 months) testimonial letters that detail your<br />

customer service efforts and responsiveness to client’s needs. Include the most recent Customer<br />

Satisfaction Survey results and plans for improvement.<br />

E. 5 points Community involvement. Describe efforts to create links with your community, but concentrate<br />

on one outstanding example.<br />

F. 15 points Employee engagement.<br />

a. Describe a creative/innovative program that came about as a result <strong>of</strong> an employee survey<br />

b. Describe one program that addressed teamwork and morale.<br />

G. 10 points Family engagement. Describe what is done to engage resident’s family members into the facility.<br />

H. 10 points Volunteer involvement. Describe how volunteers enrich the lives <strong>of</strong> clients.<br />

I. 15 points Person-centered/directed. Describe the ways in which your facility is person-centered/directed.<br />

J. 5 points Association participation. Describe how your facility is involved with <strong>Care</strong> <strong>Providers</strong> <strong>of</strong><br />

<strong>Minnesota</strong> activities, initiatives, or governance (e.g., serving on committees, boards, <strong>Care</strong> PAC).<br />

K. 10 points Letters <strong>of</strong> support. Include five letters from (non-leadership) employees stating why your facility is<br />

a great place to work.<br />

L. 5 points Past awards and honors. List and describe awards and honors received by your facility, leader<br />

ship, employees, and/or volunteers.<br />

Award submissions should be submitted electronically AND mailed by May 24, <strong>2013</strong><br />

21


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Service <strong>of</strong> Excellence: James B. Swanson Award—Tour Criteria<br />

Facility Name _______________________________________<br />

About the tour: SHOW US WHAT MAKES YOU SPECIAL<br />

Applicants that reach 85% in their written nomination move to phase two <strong>of</strong> the nomination: the tour.<br />

As you tour delegates from the Recognition Committee around your community, please keep in mind the following:<br />

1. The tour accounts for 50% <strong>of</strong> your total score.<br />

2. Staff and residents are to be included in the tour.<br />

3. Please make sure you address each area outlined below.<br />

4. If you have questions about the process and/or expectations, please contact <strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

PRIOR to the tour.<br />

Item time score<br />

Presentation 20-30 minutes 50<br />

Tour 40-45 minutes 50<br />

Committee/wrap up 15-20 minutes —<br />

Presentation about the facility – given by administrator and other staff<br />

Overview <strong>of</strong> the facility: who you serve; what makes your facility special<br />

Non-management employees to talk about what they like about working here<br />

Residents and/or family members to discuss overall impression <strong>of</strong> the facility<br />

Describe why your facility deserves the award<br />

Escorted facility tour<br />

Physical environment/general appearance/safety<br />

Clients (interaction with staff; respectful <strong>of</strong> client’s privacy and dignity)<br />

Nursing services<br />

Dining services<br />

Life enrichment opportunities<br />

Committee Review/Wrap Up<br />

After the tour, please provide a room for committee members to review findings.<br />

Allow time for discussion, as well as an opportunity to call back employees for questions.<br />

Total score: ____________________________<br />

NOTE: NO PARTING GIFTS WILL BE ACCEPTED<br />

22


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Superstar Award<br />

Not just a star...a SUPER star<br />

The Superstar award recognizes an employee who not only does her or his job, but also does a whole lot <strong>of</strong><br />

‘extras’ that enhance the quality <strong>of</strong> life for residents/tenants/clients and others.<br />

This individual’s dedication, commitment, and caring goes far beyond what is included—or even expected—in<br />

their job description.<br />

Eligible Nominees: All corporate, nursing facility, assisted living/housing, and associate members.<br />

Award Criteria–please describe the following:<br />

1. About your nominee (i.e., who they are, job title)<br />

2. Specific examples <strong>of</strong> your nominee’s dedication, commitment, and caring<br />

3. Specific examples <strong>of</strong> the extras your nominee has performed<br />

4. State how your nominee’s work practices have improved the lives <strong>of</strong> others<br />

5. Any additional information about what makes this person a star<br />

6. Tell the Recognition Committee why your nominee deserves the Superstar Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

23


<strong>Care</strong> <strong>Providers</strong> <strong>of</strong> <strong>Minnesota</strong><br />

<strong>2013</strong> <strong>Awards</strong> <strong>Program</strong><br />

Youth Volunteer <strong>of</strong> the Year<br />

There’s no age criteria in caring<br />

This award recognizes an individual volunteer or a group <strong>of</strong> young volunteers who have made contributions<br />

to the quality <strong>of</strong> life for residents/tenants/clients or family members, or to the working environment for staff.<br />

Eligible Nominees: All youth who volunteer at any member organization.<br />

Award Criteria–please describe the following:<br />

1. The volunteer’s length <strong>of</strong> service; how and when they began<br />

2. The nominee’s volunteer activities and contributions<br />

3. The volunteer's impact and how it has improved the quality <strong>of</strong> life for residents/tenants/clients or the working<br />

environment for staff<br />

4. Any other praise/stories that make this volunteer exceptional<br />

5. Tell the Recognition Committee why your nominee deserves the Youth Volunteer <strong>of</strong> the Year Award<br />

Supporting Documents<br />

Please include two supporting documents (letters <strong>of</strong> support, media, video, testimonials) specific to this nomination,<br />

that describe why the nominee is deserving <strong>of</strong> this award. These documents should be from sources other<br />

than the nominator (i.e., they could be from residents, other staff, family members, etc.).<br />

Please note: if your nominee is chosen for an award, photos and/or video will be required as part <strong>of</strong> the award<br />

presentation at Convention.<br />

24

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