2012 NCCI Leveraging Excellence Award

Project Title:

Institution(s) or Organization:

Primary Contact First Name:

Last Name:

Email Address:

Phone:

Fax:

Address:

City:

State: -- Choose One -- AB - Alberta AK - Alaska AL - Alabama AR - Arkansas AS - American Samoa AZ - Arizona BC - British Columbia CA - California CO - Colorado CT - Connecticut DC - District of Columbia DE - Delaware FL - Florida GA - Georgia GU - Guam HI - Hawaii IA - Iowa ID - Idaho IL - Illinois IN - Indiana KS - Kansas KY - Kentucky LA - Louisiana MA - Massachusetts MD - Maryland ME - Maine MI - Michigan MN - Minnesota MO - Missouri MS - Mississippi MT - Montana NB - New Brunswick NC - North Carolina ND - North Dakota NE - Nebraska NF - New Foundland NH - New Hampshire NJ - New Jersey NM - New Mexico NS - Nova Scotia NSW - New South Wales NV - Nevada NY - New York OH - Ohio OK - Oklahoma ON - Ontario OR - Oregon PA - Pennsylvania PEI - Prince Edward Island PQ - Quebec PR - Puerto Rico QLD - Queensland RI - Rhode Island RS - Rio Grande do Sul SA - Southern Australia SC - South Carolina SD - South Dakota SK - Saskatchewan SP - Sao Paulo TAS - Tas TN - Tennessee TX - Texas UT - Utah VA - Virginia VI - Virgin Islands VIC - Victoria VT - Vermont WA - Washington WI - Wisconsin WV - West Virginia WY - Wyoming

Zip Code:

What is the 'best practice' that has been leveraged? Give a brief explanation of the practice/process itself and what indicators demonstrate that it is a best practice? Note: for the following three questions, responses will be weighted by the percentages indicated.

How is this best practice innovative or unique from solutions elsewhere? 25 percent.

Describe the extent to which the practice/process has been adopted to achieve increased scale of impact, e.g. implemented across units within your organization, across organizations, nationally, internationally. 25 percent.

Describe and quantify the collective impact of this leveraged best practice. Who benefits? How? 50 percent.

Please indicate three keywords that could be used to find your project in a searchable database.

Please attach contact information for at least two people whose institutions/areas have benefited from the dissemination of this practice (but who were not involved in the initial improvement) whom we may contact to discuss the project.

References:

Documents are welcomed that demonstrate the approach, the implementation, and/or the impact.

Attachment 1:

Attachment 2:

Attachment 3:

Attachment 4:

I give NCCI permission to publish this application material and I am willing to be contacted about this project.
Yes
No

The application and supporting documents should not be more than five pages each, for a total of ten pages. Additional documentation may be requested from finalists at a later time.

Please submit your application electronically before or on February 15, 2012.