Centricity Productivity Award entry form

We hope you are excited and willing to share your successful outcomes with peers at Centricity Live.

Now that you’ve done all of the hard work leading to your success, please take just a few minutes to help us understand some of the key elements that led to your project or program success.

Please fill out the information about your project. The * fields are required. Once you have completed the form, click Submit. At that time, you will have the opportunity to save or print a summary of your submission.

Contact and Organization Information:

Primary Contact First Name *This question is required.

Primary Contact Last Name *This question is required.

Primary Contact Job Title *This question is required.

Email Address *This question is required.

Telephone Number *This question is required.

Name of Healthcare Organization *This question is required.

Address of Healthcare Organization *This question is required.

GE Healthcare IT Solution(s) Used *This question is required.

Date of implementation *This question is required.

What was your baseline situation/challenge?

*This question is required. (400 words maximum).

How did a GE Centricity solution help contribute to or impact your solution approach? *This question is required. (400 words maximum).

How were you able to measure the positive outcome? *This question is required. (200 words maximum).

Please feel free to simply re-purpose any program summaries that you’ve already documented and created – we’re not trying to create any extra work!

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