Nicholas E. Davies Enterprise Award of Excellence

Value Statement

Revised – January 2015

Since 1994, the HIMSS Nicholas E. Davies Award of Excellence recognized outstanding achievement of organizations that have utilized health information technology to substantially improve patient outcomes while achieving return on investment. The Davies Awards program promotes electronic health record-enabled improvement in patient outcomes through sharing of case studies and lessons learned across a wide range of efforts, including implementation strategies, workflow design, best practice development and adherence, and patient engagement that have improved ambulatory care outcomes for patients.

The focus of the Davies Award of Excellence is to:

  • Recognize excellence in the use of health IT to improve outcomes. In order to be Davies worthy, an applicant must demonstrate enterprise-wide utilization of electronic health record and information technology to improve care outcomes and generate positive return on investment.
  • Advance the knowledge of industry and promote best practices for achieving Health IT-enabled value.

In 2015, HIMSS will require Davies Enterprise Applicants to submit a “Value Statement” to demonstrate the breadth of healthIT’s impact on the organization.The following template will assist you with compiling the critical data required to demonstrate improved care outcomes and return on investment.

As your organization prepares to resubmit the case studies, please do not hesitate to contact Jonathan French, Director of Quality and Patient Safety, at .

Part 1: Return on Investment Calculation

For a Davies submission to be successful, an applicant must demonstrate hard return on investment. This requires a detailed accounting of costs, savings, and additional revenue derived as result of EHR/IT enabled business and clinical improvements. An ROI calculation must feature:

  • A detailed accounting of the capital costs associated with the adoption and implementation of the applicant’s enterprise-wide EHR. Examples include:
  • Hardware
  • Software
  • Interfaces
  • Consulting
  • New Staff
  • Training
  • Lost Productivity/Licenses and maintenance
  • A detailed accounting of annual operational costs associated with maintaining and updating the use of the enterprise-wide EHR. Examples include:
  • Replacing hardware.
  • Software updates/upgrades.
  • New interfaces
  • Training
  • New clinical improvement initiatives, licenses, and maintenance
  • Staffing changes
  • Compliance regulatory costs/staffing
  • Transitioning legacy systems
  • A detailed accounting of any unique costs associated with specific quality improvement projects highlighted in the applicant’s menu case studies and clinical value examples.
  • A detailed accounting of cost savings (potential examples)
  • Using records space for new business purposes
  • Reduced Forms/Folders (No Paper)
  • Reduced HIM FTE
  • Reduced Unit Clerk Chart
  • Reduced cost of compliance (reduced fines and penalties for poor data/data errors)- TJC
  • Cost savings associated with clinical improvements:
  • blood management
  • medication error reduction
  • infection reduction
  • Reduced Length of Stay
  • Reduced Hospitalizations/Re-Admissions
  • A detailed accounting of additional revenue enabled by IT. Examples include:
  • Quality/Pay for Performance Revenue (Federal, State, and Private Payer)
  • Value Based Purchasing/Bundled Payments
  • Inpatient Quality Reporting
  • Physician Quality Reporting System (for Enterprise Ambulatory Clinics)
  • Meaningful Use Incentives
  • Meaningful Use should not be the pre-dominant revenue source.
  • Increased reimbursement through improved cost to collect and better documentation
  • Improved patient throughput
  • A detailed accounting of cost avoidance as result of clinical improvements. Cite peer-reviewed studies to indicate how the cost avoidance is calculated.
  • MEANINGFUL USE DOLLARS
  • Revenue from Research from where the EHR/HIT was a critical component to the research.

Example of an effective ROI Calculation:

Part 2: Clinical Value Examples

Provide a minimum of five examples of clinical value realized through the use of IT to improve clinical workflows. Each example should include:

Brief Narrative (1 Paragraph)

The narrative should briefly summarize the following information:

  1. Identify the types of Value Derived using the HIMSS STEPS Model
  2. Satisfaction (Patient Satisfaction)
  3. Treatment/Clinical (Improvement in Adherence to Clinical Best Practice and Improved Clinical Outcomes)
  4. Electronic (Health Information Exchange/Data
  5. Prevention/Patient Education
  6. Savings
  7. Efficiencies
  8. Financial/Business
  9. Operational
  10. Increased Revenue
  11. Identify the clinical problem or business case for the adoption of an IT-enabled solution. (1 sentence and provide a baseline data point identifying the specific problem within your organization.)
  12. Describe in four sentences what IT intervention was utilized and how was it incorporated into workflow. One problem we had last year was the ability to clearly tie the benefit to the specific IT intervention. I am afraid we might get great outcomes(Our CMS core measures improved from 88-100% over 12 months) but we will not know if it was IT or resource/process change. May need more detail here.
  13. Summarize the overall value derived.state that the information submitted in the value statement section of the application must clearly and explicitly identify how the use of the EHR has contributed to positive clinical outcomes and operational efficiency in the applicant organization

Evidence of Value

Provide a minimum of 12 months of trended data demonstrating process improvement, and then provide 12 months of outcomes data that demonstrates the impact of the process improvement on care or/and business outcomes

Examples of Process Improvement Data:

  • Best practice adherence (alert response, order set compliance, documentation improvement data)
  • Joint Commission, Meaningful Use clinical quality measures

Examples of Outcomes Improvement Data:

  • Lowered Mortality, Length of Stay
  • Lowered Readmissions
  • Improved Health Outcomes (Lowered Morbidity)
  • Reduction in Hospital Acquired Infections, Adverse Events, Medication Errors, etc.

Data should be trended, and show causation. Here is an example where an applicant provides process improvement data (improved successful medication scan rates) and then provides outcomes data demonstrating a reduction in medication errors.

2015 Davies Enterprise Value Statement Template

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