lion’s lair submission form breaking walls – … lair form2.pdf · lion’s lair submission...

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Organised by: Supported by: LION’S LAIR SUBMISSION FORM BREAKING WALLS – DELIVERING CARE IN AN OUTBREAK Main Presenter’s Details Title First Name Mobile No Fax No Last Name Mr. Mrs. Ms. Dr. Prof. Others: Office No Email Postal Code Address Country Company Industry Type Job Title Job Role Others: Academia Industry Public Healthcare Private Healthcare Community Care Doctor Nurse Allied Health Professional Administrator Academic Researcher Student Others: Title First Name Mobile No Fax No Last Name Mr. Mrs. Ms. Dr. Prof. Others: Office No Email Postal Code Address Country Company Industry Type Job Title Job Role Others: Academia Industry Public Healthcare Private Healthcare Community Care Doctor Nurse Allied Health Professional Administrator Academic Researcher Student Others: 2nd Presenter’s Details (For group submission)

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Page 1: LION’S LAIR SUBMISSION FORM BREAKING WALLS – … lair form2.pdf · LION’S LAIR SUBMISSION FORM BREAKING WALLS – DELIVERING CARE IN AN OUTBREAK Main Presenter’s Details Title

Organised by: Supported by:

LION’S LAIR SUBMISSION FORM

BREAKING WALLS – DELIVERING CARE IN AN OUTBREAK

Main Presenter’s Details

Title

First Name

Mobile No

Fax No

Last Name

Mr. Mrs. Ms. Dr. Prof. Others:

Office No

Email

Postal Code

Address

Country

Company

Industry Type

Job Title

Job Role

Others:Academia Industry Public Healthcare Private HealthcareCommunity Care

Doctor Nurse Allied Health Professional Administrator Academic Researcher Student Others:

Title

First Name

Mobile No

Fax No

Last Name

Mr. Mrs. Ms. Dr. Prof. Others:

Office No

Email

Postal Code

Address

Country

Company

Industry Type

Job Title

Job Role

Others:Academia Industry Public Healthcare Private HealthcareCommunity Care

Doctor Nurse Allied Health Professional Administrator Academic Researcher Student Others:

2nd Presenter’s Details (For group submission)

Page 2: LION’S LAIR SUBMISSION FORM BREAKING WALLS – … lair form2.pdf · LION’S LAIR SUBMISSION FORM BREAKING WALLS – DELIVERING CARE IN AN OUTBREAK Main Presenter’s Details Title

Organised by: Supported by:

Title

First Name

Mobile No

Fax No

Last Name

Mr. Mrs. Ms. Dr. Prof. Others:

Office No

Email

Postal Code

Address

Country

Company

Industry Type

Job Title

Job Role

Others:Academia Industry Public Healthcare Private HealthcareCommunity Care

Doctor Nurse Allied Health Professional Administrator Academic Researcher Student Others:

If you have more parties, please submit their names in a separate sheet.

Please tell us your innovation idea, strictly based on our 2020 theme “BREAKING WALLS – DELIVERING CARE IN AN OUTBREAK”.

In the midst of a pandemic, continuity of care for the general population cannot be neglected, and this is even more so for the frail and vulnerable. We are looking for innovations, large or small, that would enable continued, timely and optimal delivery of care despite the various restrictions imposed in these trying times. We look forward to hearing from you on how you can innovate to provide care during this period!

Please describe your pitch/ project in 500 words, using the following questions as a guideline:

Problem Statement & Objective (What is the challenge faced or what is objective of this project?)

Solution / Ideas (What is your solution for this challenge? How do you intend to implement it? What stage of development is this idea at currently?)

Target State (What is your ideal end-stage vision? How does this gel with the theme “Breaking Walls- Delivering Care in an Outbreak”?)

Note: While crafting your pitch, do bear in mind the solution must address a true need, be innovative (represents a true change in care model, innovative use of technology or redesign of current jobs), impactful, scalable and feasible (financially and logistically).

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3rd Presenter’s Details (For group submission)