Home > MS Brain Health Awards 2022 > Submission form – for those nominating a patient advocate or person with MS
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Entries for this category can be from individual patient advocates (or person with MS) or be nominations by other individuals on behalf of an individual patient advocate (or person with MS).
Each entry should highlight how the patient advocate has actively fostered one or more of the MS Brain Health recommendations and shared this with other members of their community via podcasts, blogs, social media, support groups or patient meetings (on a local, national or global level). Entries should demonstrate the unmet needs, awareness raising and outcomes, as well as include testimonials.
Nominators (those nominating someone else) should submit a 200-word summary outlining the reason for nomination. We will then contact the nominees and ask them to submit further information.
All entries must be submitted as a written document and short video in the English language. Please see the entry specifications below. All entries will be anonymised for judging.
Written document
Entry title
Please give a simple title for your entry of no more than 15 words.
Executive summary – 150 words maximum
This section is a summary of your entry and will be used if the entry is selected as a finalist. It does not need to be anonymised.
Situation analysis and needs assessment – 150 words maximum
Strategy – 200 words maximum
Creativity and execution – 250 words maximum
Effectiveness: outcomes vs objectives – 250 words maximum
Written documents can include figures, images and diagrams (but this should be limited to three) and should only be used if copyright permissions have been granted. Any patient cases included must be anonymised.
Video entry
Videos should be no more than 2–3 minutes in length and should be provided as a MP4 file or as a PowerPoint (PPT) file with audio.
Videos should include:
If your entry is selected as a finalist, your video will be shared on the MS Brain Health website and social media channels, so please ensure you gain written permission for the video to be shared from everyone who is included in your film. Please avoid including any personal contact details in the video.
By submitting an entry, you agree you have read and understood the terms of our privacy policy.
Please submit a 200-word summary outlining the reason for nomination and highlighting how the healthcare professional has actively fostered one or more of the MS Brain Health recommendations and applied them to their clinic to improve patient outcomes.
By submitting a nomination, you agree you have read and understood the terms of our privacy policy.
Entries for this category can include any MS clinic or healthcare team that has actively encouraged the adoption of methods to maximize the lifelong brain health of people with MS. This should include one or more of the MS Brain Health recommendations or the use of the MS Brain Health quality improvement tool at a local or national level since the recommendations report launch in 2015. Entries will be judged on the need for improvement, the strategy and tactics implemented, and the impact and outcomes of the project. Please also highlight any progression of the project that may occur in the future.
All entries must be submitted as a written document and short video in the English language. Please see the entry specifications below. All entries will be anonymised for judging.
Written document
Entry title
Please give a simple title for your entry of no more than 15 words.
Executive summary – 150 words maximum
This section is a summary of your entry and will be used if the entry is selected as a finalist. It does not need to be anonymised.
Situation analysis and needs assessment – 150 words maximum
Strategy – 200 words maximum
Creativity and execution – 250 words maximum
Effectiveness: outcomes vs objectives – 250 words maximum
Written documents can include figures, images and diagrams (but this should be limited to three) and should only be used if copyright permissions have been granted. Any patient cases included must be anonymised.
Video entry
Videos should be no more than 2–3 minutes in length and should be provided as a MP4 file or as a PowerPoint (PPT) file with audio.
Videos should include:
If your entry is selected as a finalist, your video will be shared on the MS Brain Health website and social media channels, so please ensure you gain written permission for the video to be shared from everyone who is included in your film. Please avoid including any personal contact details in the video.
By submitting an entry, you agree you have read and understood the terms of our privacy policy.
Entries for this category can be from individual healthcare professionals (neurologists, nurses, allied healthcare professionals) or be nominations by other individuals on behalf of an individual healthcare professional.
Each entry should highlight how the healthcare professional has actively fostered one or more of the MS Brain Health recommendations and applied this to their clinic or practice to improve patient outcomes. Entries should demonstrate the unmet needs, strategy and outcomes, as well as include anonymized patient case studies.
Nominators (those nominating someone else) should submit a 200-word summary outlining the reason for nomination. We will then contact the nominees and ask them to submit further information.
All entries must be submitted as a written document and short video in the English language. Please see the entry specifications below. All entries will be anonymised for judging.
Written document
Entry title
Please give a simple title for your entry of no more than 15 words.
Executive summary – 150 words maximum
This section is a summary of your entry and will be used if the entry is selected as a finalist. It does not need to be anonymised.
Situation analysis and needs assessment – 150 words maximum
Strategy – 200 words maximum
Creativity and execution – 250 words maximum
Effectiveness: outcomes vs objectives – 250 words maximum
Written documents can include figures, images and diagrams (but this should be limited to three) and should only be used if copyright permissions have been granted. Any patient cases included must be anonymised.
Video entry
Videos should be no more than 2–3 minutes in length and should be provided as a MP4 file or as a PowerPoint (PPT) file with audio.
Videos should include:
If your entry is selected as a finalist, your video will be shared on the MS Brain Health website and social media channels, so please ensure you gain written permission for the video to be shared from everyone who is included in your film. Please avoid including any personal contact details in the video.
By submitting an entry, you agree you have read and understood the terms of our privacy policy.
Please submit a 200-word summary outlining the reason for nomination and highlighting how the healthcare professional has actively fostered one or more of the MS Brain Health recommendations and applied them to their clinic to improve patient outcomes.
By submitting a nomination, you agree you have read and understood the terms of our privacy policy.
Entries for this category can be from individuals (healthcare professionals, pharmaceutical industry representatives or patient advocates), teams, clinics or organizations. Each entry should highlight how one or more of the MS Brain Health recommendations has been implemented to improve outcomes of people with MS through an innovation, which could include a change in clinical practice, process or system, or use of a digital technology. Entries should demonstrate the unmet needs, strategy and outcomes, as well as include links to any digital technologies or websites.
All entries must be submitted as a written document and short video in the English language. Please see the entry specifications below. All entries will be anonymised for judging.
Written document
Entry title
Please give a simple title for your entry of no more than 15 words.
Executive summary – 150 words maximum
This section is a summary of your entry and will be used if the entry is selected as a finalist. It does not need to be anonymised.
Situation analysis and needs assessment – 150 words maximum
Strategy – 200 words maximum
Creativity and execution – 250 words maximum
Effectiveness: outcomes vs objectives – 250 words maximum
Written documents can include figures, images and diagrams (but this should be limited to three) and should only be used if copyright permissions have been granted. Any patient cases included must be anonymised.
Video entry
Videos should be no more than 2–3 minutes in length and should be provided as a MP4 file or as a PowerPoint (PPT) file with audio.
Videos should include:
If your entry is selected as a finalist, your video will be shared on the MS Brain Health website and social media channels, so please ensure you gain written permission for the video to be shared from everyone who is included in your film. Please avoid including any personal contact details in the video.
By submitting an entry, you agree you have read and understood the terms of our privacy policy.
Entries for this category can include any patient group or organization that has actively encouraged the adoption of methods to maximize the lifelong brain health of people with MS. This should include one or more of the MS Brain Health recommendations on either a local, national or global scale since the recommendations report launch in 2015. Entries will be judged on the need for improvement, the strategy and tactics implemented, and the impact and outcomes achieved. Please also highlight any progression of the project that may occur in the future.
All entries must be submitted as a written document and short video in the English language. Please see the entry specifications below. All entries will be anonymised for judging.
Written document
Entry title
Please give a simple title for your entry of no more than 15 words.
Executive summary – 150 words maximum
This section is a summary of your entry and will be used if the entry is selected as a finalist. It does not need to be anonymised.
Situation analysis and needs assessment – 150 words maximum
Strategy – 200 words maximum
Creativity and execution – 250 words maximum
Effectiveness: outcomes vs objectives – 250 words maximum
Written documents can include figures, images and diagrams (but this should be limited to three) and should only be used if copyright permissions have been granted. Any patient cases included must be anonymised.
Video entry
Videos should be no more than 2–3 minutes in length and should be provided as a MP4 file or as a PowerPoint (PPT) file with audio.
Videos should include:
If your entry is selected as a finalist, your video will be shared on the MS Brain Health website and social media channels, so please ensure you gain written permission for the video to be shared from everyone who is included in your film. Please avoid including any personal contact details in the video.
By submitting an entry, you agree you have read and understood the terms of our privacy policy.
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