HOME ► Submit Success Stories Electronically

Submit Success Stories Electronically

Success Stories inform the media, consumers and other stakeholders about the impact or ultimate outcomes of interventions and partnerships (e.g., increased quality of life, reduced mortality).  They also highlight HealthInsight’s involvement in helping providers achieve success.  While writing your success story, keep in mind the difference between improvement stories and success stories.  Improvement stories offer providers clinical details on how to improve, success stories provide information of interest to both providers and the broader public to pique their interest and encourage them to learn more about how they can improve.

Use of permission form
If the story focuses on an individual facility or provider, a permission form must be signed by the facility or provider and included with the success story submission.  If a success story focuses on an intervention’s aggregate results from a group of facilities or providers, and none are identified individually, then the permission form is not necessary.  Permission is included as part of this document.
REMEMBER: You must fill this out along with your online story submission for it to be considered for publication. Click here to fill it out now.

Length
A 250 - 300-word synopsis will be sufficient to pique the reader's interest.

SUCCESS STORY INFORMATION

Person submitting story:
Contact Name:
Title:
Phone:
Email:
Name of facility:
Headline: (one sentence description - e.g., XYZ provider reduced pressure ulcers by 28%.)
Writing the story 250 - 300 words or less, including:
Clinical setting or story Brief description of impact on patients (anecdotal or quotation) Reason for QI work Examples of system/process changes resulting in improvement Statistical or outcomes-based evidence of improvements Impact on current/future patient health Role of QIO in improvement
Success Story:
Permission to Share
Your success or improvement story and supporting documents would be beneficial to share with others across the state and nation with similar interests in healthcare quality improvement. We encourage you to grant permission to share this information to a broad audience. Below is a list of the information and materials that we seek approval to share with others having an interest in healthcare quality improvement.
Item to share:
Description:
Levels Of Permission Unrestricted use One-time use Other Permission is granted to use the above-referenced item for unrestricted use and public access. Permission is granted for one-time use of the above-referenced item. The item is approved for use in: Permission is granted with the following limitations (provide attachment, if necessary):
On behalf of the , I hereby grant permission to HealthInsight to use and/or publish information in whole or in part at the state and/or national levels regarding this organization's quality improvement efforts, including interventions, literature, documents, images, graphs, or other materials (described above) for the purpose of furthering the advancement of health care quality. This is to include print, electronic, visual, verbal, Web and/or various media for an indefinite period of time. Reasonable adjustments may be made to materials and formats for purposes of editorial, layout, and delivery need. This permission extends to any materials listed above that may be copyrighted. I have the authority to grant this permission on behalf of this organization and all parties who contributed to this material. Permission is granted, although not obligated, to identify my organization and/or myself as a credit in connection with the information.
Date:     Organization:   Name:   Title:   Address:      Street:        City:            Zip:        Phone:   Email:   Since this form will be submitted electronically, email will serve as your Signature of Authentication.
Corporate Office 348 E. 4500 S., Ste. 300 Salt Lake City, Utah 84107 Phone: 801-892-0155 Fax: 801.892.0160 Nevada Office - Las Vegas 6830 W. Oquendo Road, Suite 102 Las Vegas, Nevada 89118 Phone: 702-385-9933 Fax: 702-385-4586