Application Guidelines: Career Development Grant Information These guidelines, prepared by the Healthcare Quality Foundation Team (HQF), are offered to elaborate on the required documentation for the Career Development Grant and provide insight as to what the review committee expects from applicants. Adherence to these guidelines does not assure an applicant of receiving a grant. Applicants may seek additional clarification from any member of the HQF Team. Purpose of the Grant This $1,000 grant provides financial assistance to an individual to apply towards travel expenses and/or registration fees for an Educational Event in 2016 & 2017. Eligibility Criteria 1. Open to all healthcare quality professionals, excluding current NAHQ Board of Directors, HQF Team, Healthcare Quality Certification Commission (HQCC). 2. The applicant must be currently working in healthcare quality and possess at least 5 years of experience in the field. 3. The applicant must be a Certified Professional in Healthcare Quality (CPHQ). Deadlines 1. Applications are accepted annually and must be received at the NAHQ office by July 31, 2016. 2. Applications may be submitted by one of the following methods: a. b.

c.

E-mailed to [email protected] faxed to 847.375.6490 Attn: HQF Grants mailed to

Healthcare Quality Foundation Attn: Career Development Grant 8735 W. Higgins Road, Suite 300 Chicago, IL 60631 3. Incomplete applications will not be considered. 4. Completed applications will be reviewed by the Healthcare Quality Foundation (HQF) Team and scored based on the applicant’s compliance with eligibility criteria as well as quality and comprehensiveness of response. The HQF Team has discretion to recommend recipients to the HQF Board.

Questions For questions about the grant or application process, contact [email protected]. Application Guidelines/Required Documentation 1. One complete typed copy of the grant application. Hand-written applications are not accepted. 2. Applicants must number their responses to correspond with the numbered requirements on the grant application. 3. Letters of Recommendation: Two letters of recommendation from a colleague or supervisor is required. Letters should endorse and/or confirm the applicant’s contribution to the field of healthcare quality. 4. Primary Responsibilities: Essay should be descriptive account of current role as it relates to quality and performance improvement. Include key work accomplishments within the past two (2) years. (250 words maximum) 5. Educational Pursuits: Essay describes the pursuit of and participation in professional development activities within the last two (2) years. (250 words maximum) 6. Personal Essay: Response should describe reasons for applying. Applicants should indicate the educational event they would attend and provide examples of how specific content/ agenda will assist in obtaining professional goals. (500 words maximum)

Notification The grant recipient will be notified by September 2016. Recipients of this grant agree to 1. use the funds to attend an Educational Event in 2016 & 2017. 2. submit an article for NAHQ e-news within sixty (60) days of completing the educational program/activity. 3. grant permission to NAHQ and HQF to use his or her name in promotion of the HQF grant program in NAHQ e-news, on the NAHQ website, and on Facebook and other social media.

2

Application: Career Development Grant Biographical Information Name/credentials: _________________________________________________________________________ Employer/title: ____________________________________________________________________________ Mailing address:___________________________________________________________________________ Phone/e-mail: ____________________________________________________________________________ Number of years in healthcare quality: _________________________________________________________

Professional involvement (may include internal committees, professional memberships, and leadership roles: _______________________________________________________________________

Presentations/publications in the field of healthcare quality: ________________________________________

How did you hear about this grant? ___________________________________________________________ As a recipient of this grant, I agree to 1. use the funds to attend an Educational Event in 2016 & 2017. 2. submit an article for NAHQ e-news within sixty (60) days of completing the educational program/activity. 3. grant permission to NAHQ and HQF to use his or her name in promotion of the HQF grant program in NAHQ e-news, on the NAHQ website, and on Facebook and other social media.

______________________________________________ Authorized Signature

3

_____________________________ Date

Please submit this application form in addition to the following required documentation as described above and in the Leadership Development Grant Application Guidelines: (please check boxes as indicated)     

Letter of Recommendation #1 Letter of Recommendation #2 Essay #1: Primary job responsibilities Essay #2: Planned future educational pursuits Essay #3: Personal essay to describe reason for grant application

(For NAHQ office use only): Application reviewed for completeness prior to team review by  HQF Team leader(s)  NAHQ Staff

4

Letter of Recommendation #1 Letter of recommendation from a colleague or supervisor is required. Letter should endorse and/or confirm the applicant’s contribution to the field of healthcare quality.

5

Letter of Recommendation #2 Letter of recommendation from a colleague or supervisor is required. Letter should endorse and/or confirm the applicant’s contribution to the field of healthcare quality.

6

Essay #1 Primary Responsibilities: Essay should be descriptive account of current role as it relates to quality and performance improvement. Include key work accomplishments within the past two (2) years. (250 words maximum)

7

Essay #2 Educational Pursuits: Essay describes the pursuit of and participation in professional development activities within the last two (2) years. (250 words maximum)

8

Essay #3 Personal Essay: Response should describe reasons for applying. Applicants should indicate the educational event they would attend and provide examples of how specific content/ agenda will assist in obtaining professional goals. (500 words maximum)

9