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2014 AWARDS

International Association of Healthcare Central Service


Materiel Management 2014 Awards

SUBMIT YOUR
2014 IAHCSMM
AWARD
NOMINATION
TODAY!
Educator of the
Year Award
Past Presidents
Award
Technician
Achievement Award
CS Supervisor/
Manager of the Year
Golden Slipper
Award for Service
Excellence
Decontaminator of
the Year Award
Confidence Builder
Award
Humanitarian Award
IAHCSMM
Purdue University
Scholarship Awards
Chapter of the
Year Awards

IAHCSMM
2014 Awards

entral Service professionals job on any given day


is difficult, challenging and rewarding. Your ongoing commitment to quality has a very real and direct
impact on patient safety and quality outcomes. IAHCSMM
would like to formally honor your hard work and on-the-job
success with the 2014 IAHCSMM Awards.
Nominations are now being accepted for this prestigious
awards program that recognizes excellence in CS leadership, knowledge, service, and skills. The awards presentation will take place during the 2014 IAHCSMM Annual
Conference and Expo, May 4-7 in Columbus, OH. Each
award recipient will earn the industrys respect, along with
an engraved plaque and monetary award.
Now is the time to nominate yourself or another deserving
CS professional who is going above and beyond to ensure
that quality and safety remain a top priority.
Thank you for all you do!

Sharon Greene-Golden
Sharon Greene-Golden, CRCST, FCS
IAHCSMM President

Deadline for submission is


February 1, 2014

If selected as an award winner, all


submissions become the property
of IAHCSMM

Open to all IAHCSMM members


Applicants may submit nominations for
more than one award, but are eligible
to win only one award per year
All submissions must be the original
work of the nominee; after official
acceptance, materials/documents may
not be revised or changed

Work submitted for an award must


be current and may not have been
submitted in previous years
Comparable service in other

associations may be substituted, when
appropriate, for service in IAHCSMM
Current Executive Board members are
not eligible for nomination of awards

2013 Award Winners

Join These Past Award Recipients and Be Recognized Too!


Educator of the Year Award
Kui-Bi Lin, CRCST
Taipei Veterans General Hospital
Taipei County, Taiwan, ROC
Technician Achievement Award
Julie Spallino, CRCST
Kindred Hospital, Las Vegas, NV
CS Supervisor/Manager of the Year Award
Lori Ferrer, CRCST
Fairview Health Services, Minneapolis, MN
Golden Slipper Award for Service Excellence
Bill Kras, CRCST
H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL

healthmark
INDUSTRIES CO.
health care products
800-521-6224
www.hmark.com

Decontaminator of the Year Award


Jhosue Vasquez, CRCST
Mount Auburn Hospital, Cambridge, MA
Confidence Builder Award
Gulf Breeze Hospital, Gulf Breeze, FL
and
Sterile Processing Workflow Team, Veterans Health Administration
IAHCSMM Purdue University Scholarship Awards
Marjorie Hartmann
and
Kim Hughes, CRCST
Good Samaritan Hospital, Carlisle, IN
Chapter of the Year Awards
Large Chapter: Long Island Association for Central Service
Small Chapter: Western Wisconsin Chapter
Runner Up Large Chapter: New Jersey Healthcare Central Service Association Chapter
Runner Up Small Chapter: Keystone State Association of Sterile Processing Professionals

Sponsored by

3M Health Care is
pleased to announce
the Educator of the
Year Award. This award
recognizes a member
of IAHCSMM who has
demonstrated dedication to the advancement
of education in the Central Service profession.
The recipient of this
award will be recognized during the 2014
Annual Conference and
Expo and will receive an
engraved plaque, plus a
monetary award in the
amount of $1,000.

Educator of
The Year Award
Bertha Yanis Litsky, Ph. D.
The Educator of the Year Award was established in honor of Dr. Bertha Litsky, who
was an environmental microbiologist, researcher and educator at the University of
Massachusetts. Her passion, commitment and dedication to her profession propelled
her to the status of an international legend and pioneer in healthcare infection control.
Dr. Litsky was a consultant throughout the world to many hospitals, food service
entities, manufacturers and suppliers of medical devices. She worked with many
institutions, corporations and municipalities to improve sanitation and promote public
health and safety. Dr. Litsky became a strong advocate and mentor for the Central
Service profession and was an active participant in IAHCSMM, ASHCSP, AAMI,
and AORN. Her expertise and contributions blazed the way to the establishment of
many principles and standards of practice relative to infection control, reprocessing,
packaging, and sterilization. She published several articles and books on relative
topics. Dr. Litsky became a sought-after speaker and educator throughout the world.
Her wit and humor allowed her to deliver her lectures and messages in a manner that
left her students with an everlasting impression to guide their future behaviors. She
would frequently incorporate props, such as marionettes dressed as bacteria, and
rely on humorous yet educational skits and stories to emphasize her message. The
closing words of all her lectures, delivered with the loud BANG of a starter pistol,
still resonate throughout the CS profession: An unsterile item used in surgery is as
dangerous as a loaded gun.

AWARD ELIGIBILITY AND SUBMISSION CRITERIA


Nominee must be an active member of
IAHCSMM
The nominee of this award will
have demonstrated significant
contributions to CS education in
the calendar year preceding the award.
Personal accomplishments related
to educational endeavors, citations
or acknowledgments, etc., will be
considered
Nominees are eligible for consideration
if they have contributed to CS
education in at least 5 of the following
categories:
IAHCSMM CE-Approved
presentation at a national conference
IAHCSMM CE-Approved presentation
at a local/regional conference
Published article in a national
publication

Published article in a local



publication
Teaching a CS-related training
course
Teaching healthcare facility
inservices
Other CS-related educational
projects
IAHCSMM committee membership/
support for association programs
A narrative explaining why the
nominee should receive this award,
and documentation to substantiate
the nominees educational contribution
for the previous calendar year, must be
submitted with the nomination
The Educator of the Year Award Nomination
form must be completed and returned with the
required submission documents.

Educator of the Year Award Nomination Form


Name of Nominee:___________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Nominated by:______________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Deadline: February 1, 2014


Mail: IAHCSMM, 55 West Wacker Drive, Suite 501, Chicago, IL 60601
Fax: 312.440.9474
Email: awards@iahcsmm.org
Note: All papers become the property of IAHCSMM and cannot be reproduced, published or edited in any form without the
written permission of IAHCSMM. Applicant grants permission to IAHCSMM to reprint and distribute this submission.

Sponsored by

The Past Presidents


Award, sponsored by
IAHCSMM, recognizes
an author of an
outstanding paper on
the challenges and
developments to the
Central Service
profession.

Past Presidents
Award
About Ruth Anne Brooks, RN, Past President
This award was established in honor of Ruth Anne Brooks,
RN, CRCST, who served as IAHCSMM President from 19931995. Brooks served on the IAHCSMM Board of Directors for
many years and was President of the Delaware Valley Chapter.
Brooks was Director of Material Central Service at the Medical
Center of Delaware, in Newark, DE, until her death in 1997. In
1994, while serving as IAHCSMM President, Brooks worked
with Robert Mood, ASHCSP President, to oversee a committee
that formulated and published the first joint position paper
entitled Reprocessing Medical Devices.
The recipient of this award will be recognized during the
2014 Annual Conference and Expo and will receive an engraved plaque, plus a monetary award in the amount of $1,000.

AWARD ELIGIBILITY AND SUBMISSION CRITERIA


Nominee must be an active member of
IAHCSMM
Papers must contain original work
related to the challenges and
developments of the Central Service
profession. The paper must contain
original work and previously published
papers will not be considered for
this award
Research undertaken by the author is
desirable, and must be performed
within the same calendar year

Successful submissions for Fellowship


may be considered for this award
Papers must be presented in essay
form, typed and at least 2,000 words
in length
References must be given in standard
citation form
The authors name and contact infor-
mation must appear on the title page
Pages must be numbered
All submissions must include a vitae
sheet on the author

All papers will be judged by the Past Presidents Committee of IAHCSMM. The Past
Presidents Awards Nomination Form must be completed and returned with the required
submission documents.

Past Presidents Award Nomination Form


Name of Nominee:___________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Nominated by:______________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Deadline: February 1, 2014


Mail: IAHCSMM, 55 West Wacker Drive, Suite 501, Chicago, IL 60601
Fax: 312.440.9474
Email: awards@iahcsmm.org
Note: All papers become the property of IAHCSMM and cannot be reproduced, published or edited in any form without the
written permission of IAHCSMM. Applicant grants permission to IAHCSMM to reprint and distribute this submission.

Sponsored by

The Technician
Achievement Award is
presented to an Active
Member of IAHCSMM
to recognize outstanding
achievement by a CS
Technician.

Technician
Achievement
Award
Peggy Ryan, RN
This award was established in honor of Margaret J. (Peggy)
Ryan, RN. Peggy graduated from St. Lukes Hospital School
of Nursing in Denver, CO, and has had extensive experience in
Emergency Room, Operating Room, Delivery Room, Service
Department and Materials Management. She has worked at
several hospitals in the Denver area and served as a hospital
consultant for many years. She has been active in AORN and
is a past president of ASHCSP. She has won numerous awards
and has served as a nurse consultant for several companies.
She is the author of many articles, including what many consider to be the definitive article on implementing a CS/OR case
cart system. She is also a renowned lecturer.
The recipient of this award will be recognized during the
2014 Annual Conference and Expo, and will receive an engraved plaque, plus a monetary award in the amount of $1,000.

AWARD ELIGIBILITY AND SUBMISSION CRITERIA


Candidates for this award must be:
Nominated by their Department
Director, Manager, Supervisor, or
Coordinator
An active member of IAHCSMM
Must have been employed in the field
of CS for a minimum of three years
at the time of nomination, documented
by a letter from human resources or
the department manager
Must have developed, instituted and
exhibited a workable, documented
concept that has improved CS
functions and operations

Submission Documents:
Completed Technician Achievement
Award Nomination Form
Documentation that includes a
statement of the positive outcomes
that occurred as a result of the
instituted concept, and how other
departments and/or facilities may
utilize this program

Technician achievement AWARD Nomination Form


Name of Nominee:___________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Nominated by:______________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Deadline: February 1, 2014


Mail: IAHCSMM, 55 West Wacker Drive, Suite 501, Chicago, IL 60601
Fax: 312.440.9474
Email: awards@iahcsmm.org
Note: All papers become the property of IAHCSMM and cannot be reproduced, published or edited in any form without the
written permission of IAHCSMM. Applicant grants permission to IAHCSMM to reprint and distribute this submission.

Sponsored by

CS Supervisor/
Manager of
the Year Award
This award recognizes a Central Service Department Supervisor or Manager who has made significant contributions to their
facility and the advancement of the Central Service profession.
The recipient of this award will be recognized during the
2014 IAHCSMM Annual Conference and Expo and will receive
an engraved plaque, plus a monetary award in the amount of
$1,000. In addition, a press release acknowledging the award
winner and an announcement letter will be sent to the award
recipients hospital administrator.

AWARD ELIGIBILITY AND SUBMISSION CRITERIA


Candidates for this award must be:
Nominated by an IAHCSMM member,
an affiliated chapter member, or an
administrator in their facility
An active member of IAHCSMM in
good standing for a minimum of five
years, and must have been employed
in the Central Service field for a
minimum of 10 years
Must have consistently demonstrated
contributions to:
Customer relations;
Facility-wide operational/financial
performance;
Overall value of Central Service
as a profession;
Education and training
Have attended an IAHCSMM Annual
Conference in the last three years

Submission Documents:
Completed CS Manager/Supervisor
of the Year Award Nomination Form
Documentation must include a
typewritten narrative explaining why
the candidate is deserving of this
award (no more than three single sided, double-space pages)
Narrative must contain examples of
how candidate consistently demon strated contributions to customer
relations; facility wide operational/
financial performance; overall value of
Central Service as a profession; or
other educational training
Provide at least two, but no more than
three, letters of support and recom mendation from peers, community
health professionals, former or current
CS employees, managers or admin istrators. Letters should be two pages
or less in length
Include candidates rsum (maximum
of two pages)

CS supervisor/manager of the year AWARD Nomination Form


Name of Nominee:___________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Nominated by:______________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Deadline: February 1, 2014


Mail: IAHCSMM, 55 West Wacker Drive, Suite 501, Chicago, IL 60601
Fax: 312.440.9474
Email: awards@iahcsmm.org
Note: All papers become the property of IAHCSMM and cannot be reproduced, published or edited in any form without the
written permission of IAHCSMM. Applicant grants permission to IAHCSMM to reprint and distribute this submission.

Sponsored by

The Golden Slipper


Award provides an
opportunity for a CS
professional (Technician,
Supervisor or Manager)
who is committed to
Service Excellence
to receive formal
recognition.

Golden Slipper
Award for
Service
Excellence
The Golden Slipper Award for Service Excellence symbolizes
extraordinary service (going the extra mile). The award is
based on the rendering of a story about a patients slippers that
were lost in the hospital and could not be found. The hospital
administrator offered to pay the patient for his lost slippers,
but he was not satisfied by that offer. He wanted a pair like
the ones that were lost. Next, the staff offered to replace his
slippers. The patient was given a different pair of slippers, but
he was still not satisfied because the slippers were not like the
ones that were lost. Recognizing that the slippers were very important to the patient, a caring staff member searched for and
located an identical pair of slippers, which were purchased and
given to the patient. This gesture was met with the patients
complete satisfaction, and clearly demonstrated the staff members commitment to service excellence.
The recipient of this award will be recognized during the
2014 IAHCSMM Annual Conference and Expo and will receive
an engraved plaque, plus a personal gift and a monetary award
in the amount of $500.

AWARD ELIGIBILITY AND SUBMISSION CRITERIA


Candidates for this award must:
Be an active member of IAHCSMM
Demonstrate a caring, compassionate
attitude
Offer a creative, helpful solution
Go beyond the technical requirements
of the job
Be a role model for the department

Submission Documents:
Completed CS Manager/Supervisor
of the Year Award Nomination Form
Submit a typed, one-page essay of
500 words or less, or a brief audio-
tape describing why you believe
service excellence is important in
todays healthcare environment, and
describing your participation/contri-
bution(s) relative to service excellence
in the healthcare setting (i.e., an
individual contribution that made the
difference or how customer service
was improved through a process)
Provide a letter of reference from your
immediate Supervisor

Golden Slipper Award for Service Excellence Nomination Form


Name of Nominee:___________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Nominated by:______________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Deadline: February 1, 2014


Mail: IAHCSMM, 55 West Wacker Drive, Suite 501, Chicago, IL 60601
Fax: 312.440.9474
Email: awards@iahcsmm.org
Note: All papers become the property of IAHCSMM and cannot be reproduced, published or edited in any form without the
written permission of IAHCSMM. Applicant grants permission to IAHCSMM to reprint and distribute this submission.

Sponsored by

healthmark
INDUSTRIES CO.
health care products
800-521-6224
www.hmark.com

The Decontaminator of
the Year Award, sponsored by Healthmark,
recognizes the author
of an outstanding paper
focusing on understanding the importance of
decontamination in their
workplace environment.

Decontaminator
of the Year
Award
Anne Cofiell
This award was established in honor of Anne Cofiell. Cofiell
was an active member of IAHCSMM until her retirement in
2006. Anne served as the IAHCSMM representative to AAMI
where she chaired numerous working groups. Cofiell also
authored many articles and spoke on CS topics at IAHCSMM
conferences and at numerous educational programs around
the country. She was well connected in Washington D.C. and
was an advocate on behalf of the Central Service profession
for the regulation of reuse of single-use devices to include the
importance of proper cleaning instructions.
The recipient of this award will be recognized during the
2014 IAHCSMM Annual Conference and Expo and will receive
an engraved plaque, plus a monetary award in the amount
of $1,000.

AWARD ELIGIBILITY AND SUBMISSION CRITERIA


Nominee must be an active member of
IAHCSMM
The topic of the paper must focus on
understanding the importance of de contamination in their workplace
Previously published papers will not be
considered for this award
Papers must be presented in essay
form, typed and at least 1,000 words
or less in length
References must be given in standard
citation form
Authors name and contact information
must appear on the title page

Pages must be numbered


All submissions must include a vitae
sheet on the author
All papers will be judged by Anne Cofiell
or her designee.
The Decontaminator of the Year nomination form must be completed and
returned with the required submission
documents.

Decontaminator of the Year Award Nomination Form


Name of Nominee:___________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Nominated by:______________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Deadline: February 1, 2014


Mail: IAHCSMM, 55 West Wacker Drive, Suite 501, Chicago, IL 60601
Fax: 312.440.9474
Email: awards@iahcsmm.org
Note: All papers become the property of IAHCSMM and cannot be reproduced, published or edited in any form without the
written permission of IAHCSMM. Applicant grants permission to IAHCSMM to reprint and distribute this submission.

Sponsored by

The Confidence Builder


Award recognizes a
Central Service team
that is building confidence within their organization with programs
that empower the team
and the hospital to deliver the best in patient
outcomes.

Confidence
Builder Award
To enter, tell us what your team is doing to build confidence
within your CS to deliver the best in instrument processing.
Examples could be education programs or events, team-building activities, mentoring programs, improving policies and procedures, training (including manufacturer inservices on proper
handling, etc.) and other key initiatives for the CS staff.
The winning team will be recognized during the 2014
IAHCSMM Annual Conference and Expo, and will receive:
A $1,000 educational grant from Kimberly-Clark
Healthcare industry and local community recognition through
news releases and features in the Kimberly-Clark Wrap Sheet
e-newsletter.
A commemorative Confidence Builder Award plaque.

AWARD ELIGIBILITY AND SUBMISSION CRITERIA


Nominations for this award must be
submitted by an IAHCSMM member,
an affiliated chapter member, or an
administrator in their facility
The Confidence Builder Award
Nomination form just be completed
and returned with the required sub mission documents. Be sure to include
names of the team Manager/Supervi sor and all participants

Include a brief written description (one


page or less) of the Confidence
Building program or initiative and
include results achieved to date.
(Include photographs, video clips or
supporting documents, if available)
Applications will be scored based on
innovation and impact of the program
in building CS team confidence and
capability
Only programs or activities begun or
completed between January 1, 2013,
and December 31, 2013, are eligible
for consideration

Confidence Builder Award Nomination Form


Title of Entry:________________________________________________________________________________________________________
Participating Department (s):__________________________________________________________________________________________
Hospital:____________________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip_______________________________________________________________________________________________________

Submitted by (name):________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Names/titles of all program participants:________________________________________________________________________________


___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
Deadline: February 1, 2014
Mail: IAHCSMM, 55 West Wacker Drive, Suite 501, Chicago, IL 60601
Fax: 312.440.9474
Email: awards@iahcsmm.org
Note: All papers become the property of IAHCSMM and cannot be reproduced, published or edited in any form without the
written permission of IAHCSMM. Applicant grants permission to IAHCSMM to reprint and distribute this submission.

Sponsored by

The Humanitarian Award


recognizes a person
who exemplifies a deep
commitment to humanitarian issues and the
Central Service field.

Humanitarian
Award
The William B. Dennis Humanitarian Award was established by the former ASHCSP
in honor and memory of Bill Dennis, who passed away in January 2001. Its an award
and tradition that IAHCSMM is pleased to continue offering its members.
Dennis was an active member of his local Central Service chapter, the North Carolina Hospital Central Service Association, and Director of Sterile Processing at Duke
University Hospital in Durham, NC. A member of ASHCSP for more than 20 years,
Dennis served as President and on the Board of Directors, and was a nationally
recognized leader in the Central Service field. He was on numerous committees and
spoke at various conferences, and was the 1983 recipient of ASHCSPs highest honor the Leonard Leipus Award. In 1982, he received the Dr. John J. Perkins Award for
his contributions to the field.
Dennis also had a deep commitment to humanitarian causes. He actively provided
humanitarian aid through church organizations, and traveled to Panama and Cuba
to distribute much-needed medical supplies. In the mid-70s, Dennis encouraged
African-Americans and women to move into prominent positions within his
department, far beyond the conventions and expectations of the time.
Friends and co-workers described Dennis as modest, generous and always ready
to crack a joke. He was committed to his vocation and to his outside philanthropic
endeavors. Much like Dennis, the recipient of this award exemplifies a deep commitment to humanitarian issues and the Central Service field.
This annual scholarship, now being awarded by IAHCSMM, is intended to promote
professional development by assisting in ongoing education, and can be used to fund
an IAHCSMM members annual conference attendance or other educational activity
leading to professional development and certification.
The recipient of this award will be recognized during the 2014 IAHCSMM Annual
Conference and Expo, and will receive an engraved plaque, plus a monetary award in
the amount of $1,000.

AWARD ELIGIBILITY AND SUBMISSION CRITERIA


Nominee must be an active member of
IAHCSMM in good standing for at
least one year
The candidate must be involved in
humanitarian causes at the local, state
or national level

Submission Documents:
Completed Humanitarian Award
Nomination Form
A one-page statement detailing the
nominees humanitarian efforts,
including their years of participation
(supporting documentation of
humanitarian efforts is required)

Note: IAHCSMM members may receive this award one time only.

Humanitarian Award Nomination Form


Name of Nominee:___________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Nominated by:______________________________________________________________________________________________________
Title:_______________________________________________________________________________________________________________
Place of Employment:________________________________________________________________________________________________
Address:____________________________________________________________________________________________________________
City/State/Zip:_______________________________________________________________________________________________________
Telephone:__________________________________________________________________________________________________________
Email:______________________________________________________________________________________________________________

Deadline: February 1, 2014


Mail: IAHCSMM, 55 West Wacker Drive, Suite 501, Chicago, IL 60601
Fax: 312.440.9474
Email: awards@iahcsmm.org
Note: All papers become the property of IAHCSMM and cannot be reproduced, published or edited in any form without the
written permission of IAHCSMM. Applicant grants permission to IAHCSMM to reprint and distribute this submission.

Sponsored by

IAHCSMM-Purdue
University
Scholarship
Awards
IAHCSMM and Purdue University join together to offer two different scholarships. The purpose of these awards is to provide financial assistance to
individuals who wish to continue their educational and individual growth.
Two categories have been established for these awards:
1. Central Service Technicians
2. Central Service Managers/Supervisors
One winner in each category will receive a free registration and all course
materials for the respective Purdue/IAHCSMM non-credit correspondence
course. (These awards are nontransferable, and all course requirements
must be met for successful completion.) If a suitable applicant is not found
in a category, that award will not be given until the following year.
Applicants will be evaluated on the following criteria from the completed application, personal essay and letter of reference from an immediate
supervisor.
1. Financial need
2. Interest in pursuing educational and individual growth goals
3. Participation in activities (Association, hospital department, community)
4. Years of service in Central Service.

Applicants must complete the approved application and send it, along
with their personal essay and a letter of reference to:
John Wellman
IAHCSMM-Purdue Scholarship Awards
Distance Learning
PURDUE UNIVERSITY
Stewart Center G-59
128 Memorial Mall
West Lafayette, IN 47907-2034
All applications will be reviewed by a representative from IAHCSMM and
Purdue University. The recipients of the scholarships will be announced at
the 2014 Annual Conference and Expo. All decisions of the panel will
be final.

IAHCSMM Purdue University Scholarship Awards Nomination Form


Application for (check one) Correspondence Courses
q Central Service Technical Training

q Supervision Principles: Leadership Strategies for Healthcare Facilities

Name______________________________________________________________________________________________________________
Home Address______________________________________________________________________________________________________
Telephone__________________________________________________________________________________________________________
Business Address___________________________________________________________________________________________________
Business Telephone______________________________________ Email______________________________________________________
Immediate Supervisors Name_________________________________________________________________________________________
IAHCSMM Status q Member

q Non-Member

Years of Service in the Central Service Department and/or Material Management____________________________________________


Activities (describe): Association, hospital department, community, volunteer, or other.
1.__________________________________________________________________________________________________________________
2__________________________________________________________________________________________________________________
3.__________________________________________________________________________________________________________________
Personal Essay:
Please attach a 150-word essay describing your interest in pursuing educational goals for individual and personal improvement,
your financial need, and any other information that would be helpful in understanding why you wish to be awarded this scholarship.
Letter of Reference:
Please attach one (1) letter of reference from your immediate supervisor verifying your current employment and attesting to your
interest in receiving this scholarship.
Mail completed application and required material to:
John Wellman
IAHCSMM-Purdue Scholarship Awards
Distance Learning
Purdue University
Stewart Center G-59 128 Memorial Mall
West Lafayette, IN 47907-2034
Deadline: February 1, 2014

Sponsored by

The Chapter of the Year


Awards, sponsored by
STERIS Corporation,
recognizes an
IAHCSMM Chapter
that has significantly
advanced and
embraced the Central
Service in 2013.

Chapter of the
Year Awards
Chapter of the Year Awards are given in two Categories:
Large Chapter of the Year Chapters with over 50 IAHCSMM
members
Small Chapter of the Year Chapter with fewer than 50
IAHCSMM members

Winners of each category will receive an engraved plaque,
plus a monetary award in the amount of $1,500 from STERIS
Corporation. Determination of outstanding Chapters is determined by a point system of submitted materials. Extraordinary
accomplishments, originality and creativity of materials will be
favorably considered when selecting the winning entry.

AWARD ELIGIBILITY AND SUBMISSION CRITERIA


Chapters wishing to participate in the Chapter of the Year Awards must submit an
application along with their Annual Recharter, by February 1, 2014. For more
information or to request the Chapter of the Year application, please contact
Susan Adams at 800.962.8274.

Plan ahead
for.

o
I
oH CSMM
H

A
I
4
e
1
c
n
20
e
r
e
f
n
o
C
l
a
Annu Expo
&
May 4 -7, 2014

Columbus Convention Center


Columbus, Ohio
(Pre-Conference Events available May 3, 2014)

International Association of Healthcare Central Service Materiel Management


55 West Wacker Drive, Suite 501, Chicago, IL 60601
www.iahcsmm.org