Annual Deadline: February 14 The CMSA Chapter Excellence & Innovation Awards recognize chapters that embody the CMSA Vision and Mission. VISION: “We envision case managers as pioneers of healthcare change...key initiators of and participants in the health care team who open up new areas of thought ... research and development ... leading the way toward the day when every American will know what a case/care manager does and will know how to access case and care management services." MISSION: “To positively impact and improve patient wellbeing and healthcare outcomes." Achieve exposure and recognition for your chapter, with innovative projects in education, membership, communication, print, technology and public policy. Chapters may submit an entry for multiple CEIA categories. However, the chapter is eligible to win only one award in the CEIA categories. Email deadline: February 14 For questions, contact: Michele Lee 501-673-1120 or mlee@acminet.com Award of Excellence for Membership Development Recognizes the best effort to design, communicate, implement and evaluate a membership program to promote chapter growth. Enter Today! 1) Download and save this form to your computer. 2) Type directly into the entry form. Be sure to save your work. This is what the judges will use to judge your entry, so provide complete, concise descriptions of your program. 3) Be thorough but choose your words carefully. This explanation of activities will be the only information the judges have to determine the effectiveness of your program. 4) Judges will be reviewing: a. Process in Implementing the Program b. Objectives/Goals c. Outcomes & Measureable Success d. Impact of Targeted Messaging e. Originality of the Program 5) Eligible entries are for the period of January 1 – December 31. 6) Once complete, attach your entry to an email and send to awards@cmsa.org. 7) Subject line of email should read: Membership, Your Chapter Name Positively impacting and improving patient wellbeing and health care outcomes. Case Management Society of America | 6301 Ranch Drive | Little Rock, AR 72223 T 501.225.2229 F 501.221.9068 E cmsa@cmsa.org Award of Excellence for Membership Development Complete Entry Form and Email to AWARDS@cmsa.org by February 14: Chapter Name/location: Contact Person: Address: City: Phone: Position: State: Zip: Email: In a 150 words or less, provide a brief overview of your program and the reason you are submitting this program for an Award?: Date range of your Campaign: How frequently does your chapter host this Campaign?: Select One Select size of your chapter prior to campaign: Select One Please provide a brief description explaining this Membership Campaign or Membership Project: Theme of Campaign: Purpose of Campaign: Brief description of Implementation Plan: What were the specific objectives/goals for this campaign? (List between 1-5 objectives): Objective 1: Objective 2: Objective 3: Objective 4: Objective 5: Describe how these objectives relate to the goals/mission of your chapter and CMSA? What was the overall membership growth goals of this campaign?: Number of New Members: How many members were recruited as a result of this membership program?: Describe the results and level of success in meeting the objectives/goals above: Objective 1: Objective 2: Objective 3: 2 Objective 4: Objective 5: Campaign Funding What was the budgeted expense for this campaign?: What was the actual expense for this campaign?: Were any Sponsorships obtained to support this campaign? If Yes, how much support was given? $ How was this campaign promoted to members and/or prospective members? Describe method(s) of promotions (flyers, emails, phone calls, etc…: Describe the promotional materials used (flyers, pamphlets, posters, giveaways, other resources): Number of contacts made through the above method of promotions: How often was the campaign promoted?: Where was the campaign promoted?: Who was your primary target audience?: Who promoted the campaign? (board, committee, members, vendors, etc….): How many people were involved in promoting the campaign?: Was recognition given to individual recruiters or was recognition done as a whole?: What were some key messaging points used in the promotional materials that you feel expressed the value of joining CMSA?: How were promotional materials designed? (by volunteers, outsourced to a vendor, etc…) Explain process: Explain any special benefits/rates offered for the member to join in the specified time period: What made this Program unique and original? What do you feel made this campaign unique and original? How the success of your Program determined? How did you determine the success level of your campaign? Other comments relevant to this entry: If you have images or logos you’d like to share that support this program: 1) Please email them to Awards@cmsa.org – Subject line: Entry Name, and Chapter Name (i.e., Membership Development, Central AR Chapter). 3 2) Or, add a hyperlink here to a webpage that can showcase your logos, or branding of this program, or links to a flyer or poster used in promoting this program: 4