ELSO Award FAQs

Please review the ELSO Award Application Instructions and the ELSO Award of Excellence Committee Policies and Procedures.

For inquiries, please contact the ELSO Center of Excellence Committee at award@elso.org

Which Award should I apply for?

ELSO Centers that wish to set themselves apart by being recognized as a program that has documented the use of the ELSO guidelines in creating their program, but do not yet have 5 years of experience with ECMO patients, average of 5 or more patients/year, or 3 years of membership in ELSO, should apply for the “Path to Excellence” Award. This Silver Level ELSO Award is recognition for ECLS Programs that are based on established ELSO Guidelines. These programs are on the Path to Excellence but have not yet demonstrated the extraordinary achievement in all categories as required for the Center of Excellence Designation. These programs desire recognition for their adherence to the ELSO Guidelines in providing ECLS patient care and are working towards the requirements for designation as a Center of Excellence. An ECLS program must meet or exceed criteria in the following categories:

• Systems Focus

• Environmental Focus

• Workforce Focus

• Knowledge Management

The Center of Excellence in Life Support Award will be designated amongst the applications that are established and have the experience or volume. A minimum score must be achieved on the Excellence in Life Support application to be designated as a Center of Excellence. The minimum score is determined by statistical evaluation of all application scores, using a standardized Award Scoring Tool. Historically, some centers achieve significantly higher scores than others even within those designated as Centers of Excellence.

Centers who achieve the minimum passing score but less than the highest level will be recognized with the Gold Level Award for Excellence in Life Support. Those centers that achieve the highest scores will be recognized with the Platinum Level Award for Excellence in Life Support. These ECLS programs must meet or exceed criteria in the following categories:

• Systems Focus

• Environmental Focus

• Workforce Focus

• Knowledge Management

• Quality Focus

• Process Optimization

• Family Focus

Who can apply for the Award?

ECMO Programs may apply for the Path to Excellence Award (Silver) if they are a member of ELSO and have established that they are on the Path to Excellence.

ECMO Programs may apply for the Center of Excellence Award (Gold or Platinum) designation once they have been a member of ELSO for 3 years and have been providing ECMO therapy for 5 years. The ECMO program must have supported an average of 5 or more patients per year over the last 5 years. All ECMO patients from the applying institution MUST be entered into the ELSO Registry

What does the Application process entail?

The application consists of 38 questions, some with multiple sub questions, organized into 7 categories. The application process is impartial, and the application is blinded to assure anonymity. The application must be completely de-identified – No staff names, no hospital names, states or countries, or individual program names should be used. “X” may be used in place of any identifier. Refer to the Application Instructions for specific directions regarding completion of the application.

What documentation should be attached?

Five specific supportive documentsmust be attached with the completed application:

• Basic core outline or plan for the most recent ECMO Training Course

• Initial water drill checklist or simulation scenario

• Recent annual written test

• Recent continuing education water drill checklist or simulation scenario

• Orientation competency check-off documentation

The redaction tool in Adobe Acrobat may be used for PDFs that are in need of de-identification.

Additional documents should not be attached. Additional documentation must be within the body of the application, not as an attachment.

How do I know if my program is ready to apply?

ECMO programs can evaluate their readiness for the award process by downloading the ELSO Award Readiness Tool. This tool will help you decide if your program is meeting ELSO criteria and is ready to apply. Once you determine that you are ready, the award application can be downloaded from the ELSO website and submitted electronically.

When should I apply?

The Application submission period is October 15, 2018 through March 1, 2019 at 23:59 EST. Applications submitted outside of these time periods will not be considered.

What are the fees associated with applying?

Center of Excellence (Gold or Platinum)

• $3,500 fee USD

• Valid for a 3 year Award Period

Or

Center on the Path to Excellence (Silver)

• $2,000 fee USD

• Valid for a 3 year Award Period

How do I pay the Application fee?

The fee may be paid by check or credit card. Please refer to the Payment Section for details.

Does the fee need to accompany my Application?

Application fees must be received in full by the Application submission deadline, March 1, 2019, for the Application to be accepted.

How long is the Award designation?

The Center of Excellence in Life Support and the Center on the Path to Excellence designations covers a 3 year period which begins and ends in September.

What happens after the Application is submitted?

A confirmation email will be sent to the center contact once the application is submitted electronically and received by ELSO. After the application is verified, it is assigned to a panel of expert reviewers trained in the award criteria. Anonymity and confidentiality of the application is maintained throughout the application and review process. ECMO program contacts listed in the application will be notified of their application results by July 15th.

What if my Application is not approved and I do not receive the Award?

Your center must meet a wide variety of criteria in order to receive the ELSO Award for Excellence in Life Support. The panel of reviewers scores each application. If an application scores insufficiently, the application is denied. The Center will be notified by the Committee. Applications that do not meet criteria will not be allowed to resubmit. The decisions of the Committee are final.

What if I want to appeal the Reviewer’s decision?

The Committee scoring process is such that any application that does not achieve minimum score is automatically reviewed by additional reviewers and the decisions are final. Please see Committee Policy and Procedures

How do I achieve Platinum?

Centers that achieve the highest scores will be recognized with the Platinum Level Award for Excellence in Life Support. Centers should use the ELSO guidelines to build an excellent program by:

• Having a comprehensive quality program

• Maintain and continuously improve upon existing programs

• Complete the application thoroughly and describe processes and policies in detail

• Review and learn from previous application scores, and determine areas of weakness by comparing your scores in categories with other centers

• Use the ELSO Award for Excellence Readiness Tool

How is the Application scored?

Each Application is blinded by ELSO administration. The Committee does not know center identity at the time of review. Each center has the responsibility to ensure that their application is de-identified. The Center of Excellence Committee is multi-disciplinary and has years of extracorporeal life support experience. Every reviewer completes a training session to learn to review applications. Interrater reliability is measured yearly, to ensure standardized evaluation of every application. A standardized scoring rubric is used for each application question and total points are compiled. A minimum score is required to receive the Center of Excellence in Life Support Award.

How long does it take to complete the Application?

The application is a lengthy one. The application process may take several months. It is recommended that centers involve members of their institution Quality department and leadership teams in the application process.

Why can’t I have access to the Scoring Tool?

The Scoring Tool is proprietary information and publication could bias center answers.

How long should I wait to apply for the Award of Excellence after achieving the Path to Excellence?

You must meet the application criteria as listed for the Award of Excellence. Once you meet these criteria you may apply during the next Award application period.

What if I haven’t been a dues paying Center for three years?

You must be a member of ELSO and current on your dues for three years. Dues may be paid in arrears. Center of Excellence designation will be automatically forfeited if ELSO dues are delinquent during the designated Award period.

What if my patient numbers have fallen off during the past two years?

If your Centers’ average patient numbers for five years equal 5 or more, you are still eligible to apply.

What if I missed the deadline for the Award Application?

No late applications will be accepted.

What if my patient numbers do not match what ELSO has?

The Application process includes a verification of patients submitted into the ELSO Registry and compares those numbers to the Application. Discrepancies must be reconciled. Please assure that your patient submissions are up to date when you submit.

What if we do not have a Coordinator right now? May I still submit an Application?

Yes, as long as the Center has staff that is fulfilling the job duties associated with the Coordinator, describe that person. It may be the Medical Director or other team member completing these duties.