titanium awards 2017 entry form & criteria...

TITANIUM AWARDS 2017

Entry Form & Criteria Document

5 May 2017

Deadline 5 June 2017

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P O Box 2324, Parklands 2121, South Africa Tel: +27 11 537-0200 Fax: +27 11 880-8798

e-mail: [email protected] web: http://www.bhfglobal.com/titanium-awards

Table of Contents

1 Titanium Award for Service to Membership .................................................................. 5

1.1 Open Medical Schemes ..........................................................................................................................5

1.2 Closed Medical Schemes ........................................................................................................................7

2 Titanium Award for Service Excellence ......................................................................... 9

2.1 Administrators ........................................................................................................................................9

2.2 Managed Healthcare ........................................................................................................................... 10

3 Titanium Award for Health Facilities (Hospitals, Clinics, etc.) ..................................... 12

Private sector ................................................................................................................................................... 12

3.1 Public sector ........................................................................................................................................ 13

4 Titanium Award for Excellence in Corporate Social Investment .................................. 14

5 Titanium Award for Young Achiever ............................................................................ 15

6 Dr Humphrey Zokufa Lifetime Achievement Award .................................................... 17

7 Health Journalist of the year Titanium Award.............................................................. 18

8 Titanium Award for Advisory Services Excellence ...................................................... 19

9 Application Process .................................................................................................... 22

10 Terms and Conditions for participation ....................................................................... 23

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CATEGORY: Tick category

entered

1. Titanium Award for Service to membership – Open Medical Scheme

1. Titanium Award for Service to membership – Closed Medical Scheme

2. Titanium Award for Service Excellence – Managed Healthcare Entities

2. Titanium Award for Service Excellence – Administrators

3. Titanium Award for Health Facilities – Private Sector

3. Titanium Award for Health Facilities – Public Sector

7. Health Journalist of the year Titanium Award

8. Titanium Award for Advisory Services Excellence

NAME of ENTRANT:

Full Name:

Date of Entry Completion:

Address:

Contact Person:

Telephone No:

Email:

Approval by HEAD of Organisation:

Full Name:

SIGNATURE:

Contact Person:

Telephone No:

Email:

The information supplied is correct and has been approved by the ENTRANT organisation

NAME:

SIGNATURE: DATE:

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CATEGORY: Tick category entered

4. Titanium Award for Excellence in Corporate Social Investment

5. Titanium Young Achiever Award

6. Dr Humphrey Zokufa Lifetime Achievement Award

NAME of ENTRANT:

Full Name:

Date of Entry Completion:

Address:

Contact Person:

Telephone No:

Email:

Name of Young Achiever/Lifetime Achiever/CSI Project:

Full Name:

Contact Person:

Telephone No:

Email:

Address:

APPROVAL by Young Achiever/Lifetime Achiever/CSI Project Head:

Full Name:

SIGNATURE:

Contact Person:

Telephone No:

Email:

Approval by HEAD of Organisation:

Full Name:

SIGNATURE:

Contact Person:

Telephone No:

Email:

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NAME:

SIGNATURE: DATE:

CATEGORY 1

1 Titanium Award for Service to Membership

1.1 Open Medical Schemes

This award recognises and rewards open medical schemes providing the best service to their members. It

celebrates industry excellence and unprecedented contributions to members by providing value for money.

To submit an entry organisations must submit nominations together with a motivation. The winning scheme will

be chosen by an approved panel of judges.

Entries will be adjudicated based on the submission of documentation supporting the following criteria:

1. Percentage growth over the past three years.

2. 2016 credit rating.

3. Member satisfaction survey results?

4. Membership of an industry association?

YES

NO

5. Proof of average increase in member contributions in the last three years.

6. Entrants to provide a benefit change schedule detailing the increase or decrease in benefits to members.

7. a: Are scheme reserves over 25%?

YES

NO

• Provide financial report to support the above.

• If your answer is NO, please provide explanation and planned actions.

b: Are you using a risk-based capital model for management and monitoring purposes?

YES

NO

• Provide proof.

• If you answer is NO, please provide explanation and planned actions.

8. Does the scheme have a health governance programme in place?

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YES

NO

• If YES, then proof of implementation is required.

9. Does the scheme produce and monitor the health status measures and quality of care report?

YES

NO

10. Are preventative health care benefits in place?

YES

NO

• Entrants to provide a schedule detailing preventative health care benefits compared with the BHF

preventative care recommendations.

• Entrants to provide a schedule detailing the funding of preventative healthcare benefits for risk.

11. A schedule detailing the primary care benefits offered.

12. Non- Healthcare Costs per Member:

2016 2015 2014

Total Non- Healthcare Costs Value

Percentage

Total Admin Fees Value

Percentage

Total Managed Care Fees Value

Percentage

Total Broker, Marketing, Advert and Sponsorship Costs Value

Percentage

Total of other non-healthcare/ office costs Value

Percentage

The entry must include a well-presented and neatly bound report or motivation that is sufficiently

comprehensive. Where relevant, drawings, graphs, tables and other supporting documentation must be

included.

• At least 10 high-resolution (min 1MB) photos and/ a two-minute video clip of the organisation in jpeg format and stored on a disk must be included.

• A high-resolution (min 1MB) logo in jpeg format must also be included.

• Please include a description of your business.

Any scheme under curatorship will be automatically disqualified from this category

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1.2 Closed Medical Schemes

This award recognises and rewards closed medical schemes providing the best service to their members based

on a defined set of criteria.

To submit an entry, organisations must submit a nomination together with a motivation. Entries will be

adjudicated by an approved panel of judges.

Entries will be adjudicated based on the submission of documentation supporting the following criteria:

1. 2016 credit rating.


YES

NO

3. Proof of average increase in contributions in the last three years to members.

4. Entrants to provide a benefit change schedule detailing the increase or decrease in benefits to members.

5. a: Are scheme reserves over 25%?

YES

NO

• Provide financial report to support the above.


b: Are you using a risk based capital model for management and monitoring purposes?

YES

NO

• Provide proof.


6. Does the scheme have a health governance programme in place?

YES

NO

• If YES, then proof of implementation is required.

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7. Does the scheme produce and monitor the health status measure and quality of care report?

YES

NO

8. Are preventative health care benefits in place?

YES

NO

• Entrants to provide a schedule detailing preventative health care benefits compared with the BHF

preventative care recommendations.

9. Entrants to provide a schedule detailing the funding of preventative healthcare benefits for risk

10. Entrants to provide a schedule detailing the primary care benefits offered.

11. Non- Healthcare Costs per Member:

2016 2015 2014

Total Non- Healthcare Costs Value

Percentage

Total Admin Fees Value

Percentage

Total Managed Care Fees Value

Percentage

Total Broker, Marketing, Advert and

Sponsorship Costs Value

Percentage

Total of other non-healthcare/ office costs Value

Percentage



included.



• Please include a description of your business.

Any scheme under curatorship will be automatically disqualified from this category

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CATEGORY 2

2 Titanium Award for Service Excellence

2.1 Administrators

This award recognises and rewards administrators providing superior service excellence to clients. The award

seeks to acknowledge efforts made towards the provision of innovative and high standards of service excellence.

To submit an entry, administrators must include supporting documents as outlined below. The winning entry

will be selected by an approved panel of judges.

Entrants will be adjudicated according to the following criteria:

1. Percentage growth over the past three years.

2. a: BBBEE score card. (Applicable to South African members only).

b: What the organisation is doing about leadership development.

3. Corporate responsibility projects.

4. An age analysis of contributions received.

5. An age analysis of benefits paid.

6. Governance, e.g. internal control reviews/independent audits of IT systems, compliance with PMB code of

conduct / CMS accreditation.

7. A customer service report, which includes:

• Call centre availability

• CRM system in place

• Claims turnaround times

• Methods for receiving queries

• Call centre management – call waiting time, drop rate, etc.

• Method of communication for:

- Claims submission

- Remittance advices

- Claims statements to members

- Application.

8. Is the entrant a member of the BHF Health Forensic Management Unit?

YES

NO


YES

NO

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included. The report should include an entry approval from the management team.



2.2 Managed Healthcare

This award recognises and rewards managed healthcare organisations providing superior service excellence and

delivering cost effective quality standard healthcare solutions to clients, based on an agreed set of criteria.

The winning entry must meet the criteria below. The winner of this award will be selected by an approved

panel of judges.


1. Accreditation and registration certificate or exemption notice from CMS to be provided.

a, BBBEE score card (applicable to South African members only).

b, What the organisation is doing about leadership development.

2. A report of no more than four pages must to be provided, detailing the organisation’s activities in the

following areas:

• Range of services offered

• Narrowing of variance

• Cost efficiencies

• Is there a clinical committee?

• How funding decisions are made relative to quality and standards of care.

• How value is demonstrated in managing the risk of a client.

• Health status report and a quality of care report for your clients.

• Proof of outcomes of risk mitigation interventions.

• Client references and satisfaction survey results to be provided.

• Degree of patient compliance where disease management or other clinical management programmes

are offered.

• Information or patient education programmes provided to members.

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included. The report should include an entry approval from the management team.



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CATEGORY 3

3 Titanium Award for Health Facilities (Hospitals, Clinics, etc.)

Private sector

This award recognises individual private hospitals and other healthcare facilities. The award acknowledges

innovations and systems efficiency in the delivery of quality healthcare.

Individual private hospitals and other healthcare facilities are eligible to enter this category. Entry submissions

must include a motivation based on a set of predetermined criteria. The winner of this category will be chosen

by an approved panel of judges.


1. a, A BBBEE score card (applicable to South African members only).

b, What the organisation is doing about leadership development.

2. Corporate responsibility projects.

3. Participation in Private public partnerships.

4. Accreditation with COHSASA or similar?

YES

NO

• If yes, please provide the certificate.

• Where available, an audit report executive summary should be provided.

5. The assessment may be a self-assessment. The submission of a full self-assessment is required for this

entry.

• An executive summary of no more than four pages should be included to provide an overview of the

management plan in place to meet the requirements of the inspection or self-assessment.

6. Does the health facility have an adverse event register?

YES

NO


implementation and reports of the adverse event register.

7. Evidence of a clinical governance programme, including M&M meetings.

8. Participation in alternative reimbursement programmes. Proof required.

9. Patient satisfaction survey results.

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10. Participation in industry association?

YES

NO

11. Scope of services offered and acuity levels (e.g. ICU/High Care/Paed. ICU/neonatal, ICU/SICU/CICU etc.

12. Scope/range of disciplines offered (various specialities).

13. Is the quality of care delivered by the institution measured?

YES

NO

• Provide proof.


comprehensive in describing the hospital’s achievements. Where relevant, drawings, graphs, tables and

other supporting documentation must be included. The report should include an entry approval from the

hospital management team.



3.1 Public sector

This award recognises and rewards public healthcare providers that demonstrate well-maintained facilities,

contributing towards the delivery of efficient healthcare services and patient satisfaction.

This category is only open to public health entries. Entry submissions must include a motivation based on a set

of pre-determined criteria.


1. Accreditation with COHSASA or similar?

YES

NO

If yes, please provide the certificate.

If no, please provide explanation and planned actions.

2. Patient satisfaction survey results.

3. Evidence of a clinical governance programme.

4. Scope of services offered and acuity levels (e.g. ICU/High Care/ Paed ICU/neonatal ICU/SICU/CICU etc.)

5. Scope/range of disciplines offered (various specialities).

6. Where available, an audit report executive summary should be provided.

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7. The submission of a full assessment is required for this entry. The assessment may be a self-assessment or

an independent audited assessment.

• An executive summary of no more than four pages should be included to provide an overview of the management plan in place to meet the requirements of the inspection or self-assessment.

8. Does the hospital have an adverse event register?

YES

NO


implementation and reports of the adverse event register.

9. Is the quality of care measured?

YES

NO

• Provide proof.


comprehensive in describing the hospital’s achievements. Where relevant, drawings, graphs, tables and

other supporting documentation must be included. The report should include an entry approval from the

hospital management team.

• At least 10 high-resolution (min 1MB) photos and/a two-minute video clip of the organisation in jpeg format and stored on a disk must be included.


CATEGORY 4

4 Titanium Award for Excellence in Corporate Social Investment

The Titanium Award for Excellence in Corporate Social Investment (CSI) rewards healthcare providers making a

difference and an impact in improving the quality of life of the people in the communities within which they

operate.

This category is open to any organisation operating within the healthcare industry.

To submit an entry organisations must meet the criteria below and include a motivation. The winning entry will

be selected by an approved panel of judges.


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1. Entry in this category is open to all medical schemes and healthcare service providers including

laboratories, pharmaceutical organisations and private practices.

2. The nomination must be made by the nominee organisation and approved by the head of that

organisation.

3. The nomination must consist of a motivation covering the following areas:

• Detailed description of the CSI project

• Practical achievements of the project

• Recognition of awards or commendations received

• Contribution to social and economic development

• Evidence of sustainability and project success

• Press releases and media coverage of the project

• Evidence of before and after effects of the project

• Key contributors working on the project and their background.

The entry must include written consent from the CSI project head and the head of the organisation.


comprehensive in describing the nomination. Where relevant, drawings, graphs, tables and other

supporting documentation must be included. The report should include a clear motivation from the

beneficiary of the project.


• A high-resolution (minimum 1MB) logo in jpeg format must also be included.

CATEGORY 5

5 Titanium Award for Young Achiever

This award celebrates young professionals who have made a notable impact in the healthcare industry. The

award also seeks to promote effective succession within the sector to sustain the future of the medical

profession.

For entry, organisations or individuals must submit nominations of young achievers. Submissions must include a

motivation.

The winner will be selected by an approved panel of judges and must be available to represent the healthcare

sector at an upcoming international conference.

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1. The nominee must be younger than 35 years of age on 1 January of the year in which the award is made.

2. The nominee can work in any sector within the healthcare industry.

3. The nomination may be made by a co-worker, BUT must be approved by the head of the organisation.

4. Nominees must be able to make themselves available to be an ambassador for BHF and to promote the

Young Achiever Forum within the healthcare industry.

5. The nomination must include a motivation detailing the outstanding achievements of the nominee

covering the following areas:

• Educational achievements

• Practical achievements

• Recognition of awards received


• Evidence of continued professional development

• Papers and presentations delivered

• Leadership ability of the nominee and his or her contribution to building the image of the organisation

and the healthcare industry in general.

6. The entry must include written consent from the nominee and the head of the organisation.


comprehensive in describing the nomination. Where relevant, drawings, graphs, tables and other

supporting documentation must be included. The report should include a clear motivation by the

nominee as one of its main sections.

• A high-resolution (minimum 1MB) photograph – head and shoulders – of the entrant in jpeg format must be included. 10 additional photos and/ a two-minute video clip capturing the entrant’s daily work activities must also be included

NB: The nominee must make him/herself available for an interview with the adjudication panel if requested to do so.

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CATEGORY 6

6 Dr Humphrey Zokufa Lifetime Achievement Award

The Dr Humphrey Zokufa Lifetime Achievement Award seeks to recognise and celebrate any individual who has

made outstanding and exceptional contributions to the healthcare industry to promote, grow, improve and

advance the healthcare sector over a number of years.

This category has been renamed from Lifetime Achievement Award to the Dr Humphrey Zokufa Lifetime

Achievement Award to honour the late Dr Humphrey Zokufa, his legacy and contributions to BHF and the

healthcare industry, and to acknowledge his generous contributions and wealth of experience and skills. This is

also to continue to celebrate his dedication‚ commitment, energy and passion for an optimal and effective

regulatory framework in the healthcare industry.

This award is open to anyone who meets the criteria below. Entries must include a motivation and proof of

contributions made where proof can be provided. The winning entry will be selected by an approved panel of

judges.

Considerations:

1. The nominee must currently be contributing to the healthcare industry in some way.

2. The nominee must work in or have worked in the healthcare industry.

3. The nomination may be made by any individual or organisation with the written consent of the nominee.

4. The nominee must be able to make him/herself available to be an ambassador for BHF and to promote the

healthcare industry.

5. The nomination requires a motivation detailing the outstanding achievements of the nominee in the

following areas:

• Educational achievements

• Practical achievements

• Recognition of awards received


• Exceptional contributions

• Benefit consequent on the contributions made by the nominee

• Leadership ability of the nominee and his or her contribution to enhancing the healthcare industry in

general.

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included. The report should include a clear motivation by the entrant firm or individual.

• A high-resolution (minimum 1MB) photograph – head and shoulders – of the entrant in jpeg format must be included. Ten additional photos and/ a two-minute video clip capturing the entrant’s daily work activities must also be included.

NB: The nominee must make him/herself available for an interview with the adjudication panel if requested to

do so.

CATEGORY 7

7 Health Journalist of the year Titanium Award

This category acknowledges health journalists and reporters who have contributed towards creating awareness

of industry news by disseminating news and information on healthcare issues to a wide audience, and going

the extra mile to explore non-traditional channels of communication to reach a wider audience.

This award is open to all health journalists / reporters across Southern Africa. It is a competitive award, and rigorous screening will be carried out in order to identity the best health articles published; it is important that submissions reflect reporting impact.

Investigative health pieces will be accepted; please include the full storyline for those pieces to showcase the full story build-up (even in cases where the story has not been fully concluded).

Consideration will be given to journalists who show impact through distribution and engaging audiences using social media channels. Journalists must show how they have effectively used social media to reach a wider audience on health-related issues; screen shots from the journalist’s page must be submitted in PowerPoint presentation form to showcase engagement and reach.

Entries are open to print, online, TV and radio reporters / journalists.

• The entrant must supply an entry confirmation letter from their editor.

• Submissions must include entrant’s name and that of the media organisation/s.

• Description of work submitted, publication dates or broadcast material should be detailed.

• For all submissions, a short profile (no more than one page) and a photograph must be included.

• At least 10 pieces of published writing or broadcast clips from between April 2016 to April 2017 should be included. Investigative submissions can date as far back as three years.

• Previous awards and other achievements must be stated and proof of such awards included.

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• Please include all evidence of work for social media reach. Please include Facebook and Twitter handles, and screen grabs of content and engagement reach. YouTube links must be included if available. If additional social media channels were used, usernames for those should also be included and accompanied by evidence of visual work, engagement trail and audience reach.

• Submit a letter of no more than 500 words motivating why you should be considered to win the BHF Africa Reporting on Health awards.

• Submissions can also be made via www.wetransfer.com to [email protected]

CATEGORY 8

8 Titanium Award for Advisory Services Excellence This award celebrates healthcare consultants providing superior service to both corporate and individual clients, based on an agreed set of criteria.

Entries are open to healthcare advisory consultancy companies. The winning consultancy will be chosen by an

approved panel of judges.

Entrants will be adjudicated according to the following criteria: 1. Size and resourcing

Please provide the following information regarding your consultancy:

• Number of total staff in organisation.

• Actuarial

o Total number of actuarial staff

o Number of qualified Fellows and/or Associates of a recognised actuarial society

o Number of Fellows that hold a Healthcare Practicing Certificate for South Africa

o Total years of experience in healthcare of the complete actuarial team

o Total years of experience in healthcare of the Fellows and/or Associates

o Number of office locations that have actuarial staff (footprint)

o Number of medical schemes serviced in the capacity of scheme actuaries

o Number of medical schemes serviced in the capacity of peer review actuaries.

• Consulting and brokering

o Number of consulting staff with tertiary qualifications

o Total years of experience in healthcare of consulting staff

o Number of representatives with 120 FAIS credits (NQF level %)

o Number of representatives under supervision

http://www.wetransfer.com/

mailto:[email protected]

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o Number of representatives with RE5 qualification

o Number of key individuals with RE1 qualification

o Number of Certified Financial Planners

o Number of office locations that have consulting and support staff (footprint)

o Number of clients (corporate and individuals).

2. Membership changes (Consulting and Brokering)

Please provide the following information regarding your consultancy as per the table below:

• Members opening balance as at 01 Jan 2015, by medical scheme

• Movement during the course of the calendar year (resigned, transferred)

• Members closing balance as at 31 Dec 2015, by medical scheme

Medical scheme Opening

member

balance

Movement

during the

calendar year

Closing member

balance

3. Governance and Compliance


• Actuarial

o Proof of current membership of a recognised actuarial society

o Proof of Fellows that hold a Healthcare Practising Certificate for South Africa.


o Proof of Financial Services Board (FSB) and Council for Medical Schemes (CMS) registration of entity

o Proof of FSB and CMS registration/accreditation of representatives

o BBBEE score card of entity

o Proof of personal indemnity insurance cover for representatives

o Details of representative debarments, if any

o FSB audit results 2015, if available

o Proof of broker accreditation with medical schemes.

4. Complaints handling (Actuarial, consulting and brokering)


• Client/member complaints handling process followed by the organisation

• Number of complaints (if any) made to ASSA or IFA by clients or other interested parties

• Number of member complaints (if any) lodged with CMS by broker/brokerage

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• Number of complaints (if any) made to CMS by clients or other interested parties

5. Advice process


• Actuarial

o An outline of the methodology and consulting approach followed by your organisation with respect to:

▪ Medical schemes



▪ Employer groups

▪ Members

o Sample member Financial Needs Analysis (FNA)

6. Communication, education and training


• Actuarial

o Number of articles in recognised publications over the last year

o Number of presentations at recognised conferences over the last year

o Number of healthcare publications / research (by the Company) or in the consulting Actuary’s individual capacity.



▪ Employers

▪ Members

o Sample client communication

o Articles and publications produced over the last year

o Client seminars/workshops hosted over the last year.

6. Membership of an industry/professional association (Actuarial, consulting and brokering) Please provide proof of membership.

The entry must include a well-presented and neatly bound report or motivation that is sufficiently comprehensive. Where relevant, drawings, graphs, tables and other supporting documentation must be included. The report should include an entry approval from the management team. • At least 10 high-resolution (min 1MB) photos of the organisation in jpeg format and stored on a disk must be included. • A high-resolution (min 1MB) logo in jpeg format must also be included

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9 Application Process

Step 1: Call for Entry Notices

The call for entries opened on 5 May 2017. Entries will close on 5 June 2017. The announcement to potential

participants will be communicated directly via email, and a notice will be placed on the BHF website.

Step 2: Collation and Validation

All entries received will be collated by Ngubane & Co and then validated as to their alignment with the terms and

conditions as well as eligibility criteria set out for the awards.

All entries will be audited and entrants will be notified in writing of the acceptance of their submission. Should an

entry not meet the eligibility criteria and terms and conditions, the entrant will be notified in writing of the rejection

of their submission identifying the criteria that have not been met.

All hard copy entries to be delivered to:

Ngubane & Co

Building 1 | Midrand Business Park

563 Old Pretoria Main Road, MIDRAND, 1685

or

e-mail entries to be sent to: [email protected]

To confirm receipt of your delivery please contact Nqabisa Ravele at 011 254 0800 or 073 653 7597/

Ronald Mukoyi at 011 254 0800 or 084 086 6416

Step 3: Adjudication

The adjudication process will take place with each member of the judging panel independently marking the

entries, based on a unique voting form.

Step 4: Finalists

Finalists will be announced in the media and online and each finalist will be notified individually in writing.

Step 5: Awards Ceremony

The inaugural Excellence awards will take place this year culminating in an Awards Gala Banquet where the

winners will be announced. This event is being held in conjunction with the 2017 BHF Annual Conference on

Monday 17 July, at the ICC in Cape Town.

mailto:[email protected]

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10 Terms and Conditions for participation

a. The Awards are open to any organisation.

b. Organisations throughout the SADC region may enter in any category relevant to them.

c. All applications need to be supported by relevant documentation.

d. The Judges reserve the right to cancel any category due to insufficient entries, or for any other reason, and

the decision of the judging panel is final. All results will be audited by an external accredited auditing firm

approved by BHF. The decision of the judges will be final and binding and no correspondence in this regard

will be entered into.

e. Entries will be published in industry specific magazines and will be distributed in hardcopy at the 2017 BHF

Annual Southern African Conference.

f. With the exception of confidential information, the information received by the organisers may be submitted

in its entirety to the publisher of any industry specific magazine for inclusion in the publication and entrants

should be mindful of submitting information that might be sensitive or confidential, as it will appear in the

public domain.

g. Entrants are reminded that the information they submit will be accepted VERBATIM by the publishers and

therefore should be checked and approved by all parties prior to submission.

h. Entrants should be aware that their information will undergo an editing process, necessary to ensure that

both entrants and category winners can be accommodated in published material and multimedia

applications

i. All submissions must be delivered in hardcopy with one electronic copy included. All copy must be provided

in MS Word. All photographs must be labelled and titled.

j. Entries must be submitted on or before the final day for submissions – 05 June 2017.

k. Winners will be announced at the Awards Gala Banquet on Monday 17 July 2017 at the CTICC in Cape

Town.

l. BHF reserves the right to cancel or postpone the Awards Gala Banquet or change the venue for any

unavoidable reason. All changes will be communicated effectively.

m. There are NO FEES payable for entry.

titanium awards 2017 entry form & criteria...

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