Jackie Lee Houston Shining Star

Jackie Lee Houston Shining Star

Shining Star Nomination Form

This program rewards Eisenhower staff members that go above and beyond their job responsibilities in exemplifying one of Eisenhower Medical Center’s supporting commitments.

If you or a loved one has had an exceptional patient experience and you would like an Eisenhower staff member recognized for this please complete the following Shining Star nomination form. NOTE: All published stories will have names and personal identifiers removed to protect patient privacy.

  • Please complete the following form. The fields with red asterisks * are required.
  • Your personal information is secure; see our notice of Privacy Practices for details.
Your Details
  1. *
  2. *
  3. *
  4. *
Nomination Details
  1. *
    If you do not know the name of the person you would like to nominate, please provide additional details here. We will do our best to identify the staff member from the details you provide.
    1. Clinical Excellence - Ensure that measured outcomes meet/exceed agreed upon expectations. Evidence-based clinical practice policies, procedures, and other standards are practiced 100 percent of the time. Tests, treatments and procedures are thoroughly explained to patients and are understood. Patients, visitors and donors are always safe from harm and prefer Eisenhower because of its high quality.
    2. Courtesy and Caring - Staff always practice good manners, are friendly, polite, and emotionally sensitive to each individual whether patient, family, visitor or fellow employee.
    3. Healing Environment - A supportive setting is developed and maintained that embraces the physical, emotional, and spiritual aspects of health and healing.
  2. *
    What was the situation, task, opportunity or challenge?
  3. *
    What was said or done in response?
  4. *
    What changed for the better because of the nominee’s actions?
Submit
  1. *
  2. Remember Me
    Check this to remember your contact details for future submissions.