Utah Hospital Association - Distinguished Utah Healthcare Executive Award

Nomination Deadline: Friday, June 28, 5 p.m.

The award presentation for 2024 will be featured at UHA Fall Leadership Conference, to be held at The Homestead Resort in Midway on Thursday evening, September 26th. The honoree must be able to attend the Thursday, September 26th dinner to receive the award.

Hospital Name(*)

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Hospital phone(*)

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Nominee name(*)

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Title(*)

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Years in present position(*)

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Previous titles/positions and facilities within the last five years(*)

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Candidate's Qualifications

Please list the candidate’s qualifications for the award

I. Nominee’s hospital administration excellence: (management practices, staff excellence, service quality, etc.)(*)

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II. Nominee’s professional performance: (personal evaluations or academic achievements, career highlights, etc.)(*)

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III. Nominee’s healthcare organizational involvement and leadership: (in UHA or other healthcare organizations)(*)

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IV. Nominee’s other outstanding leadership qualities: (personality, influence in community affairs, etc.)

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Person making nomination

Nominated by(*)

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Title/Position(*)

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Phone(*)

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Email(*)

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(*)

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