How to Prepare to For the HIMSS Value Score

HIMSS Value Score
How to Prepare to Measure
the Value Driven From Your
Organization’s Health IT

What is the
HIMSS
Value Score?
Product Overview
http://www.himss.org/valuesuite/value-score

The HIMSS Value Score is a
publically available tool for
healthcare provider
organizations that
measures the impact health
information technologies
(HIT) have to deliver value-
based care, expressed in a
multiplicity of ways, including:
What is the HIMSS Value Score?
• Satisfaction for patients & providers
• Treatment-driven clinical outcomes
• Effectively secured health data
• Populations of engaged patients
• Savings in efficiency, productivity, financially

SATISFACTION
Focuses on people, process and technology use cases
that increases stakeholders' satisfaction with the delivery
of care. Satisfaction includes types of value such as:
•Patient satisfaction
•Provider satisfaction
•Staff satisfaction
•Other satisfaction
TREATMENT/CLINICAL
This type of value focuses on effective and
improved treatment of patients, reduction in
medical errors, inappropriate/duplicate care,
increase in safety, quality of care and overall
clinical efficiencies. Treatment/Clinical includes
types of value such as:
•Efficiencies
•Quality of Care
•Safety
•Other treatment/clinical
ELECTRONIC SECURE DATA
This type of value focuses on improved data capture,
data sharing, reporting, use of evidence-based
medicine, and improved communication by and
between physicians, staff and patients. Electronic
Secure Data includes types of value such as:
•Privacy & Security
•Data sharing
•Data reporting
•Enhanced communication
PATIENT ENGAGEMENT &
POPULATION MANAGEMENT
This type of value focuses on improved population
health and reduction in disease due to improved
surveillance/screening, immunizations and increased
patient engagement due to improved patient
education and access to information. Patient
Engagement & Population Management includes
type of value such as:
•Patient education
•Patient engagement
•Prevention
•Population Health
SAVINGS
This type of value focuses on documented financial,
operational and efficiency savings resulting from
factors such as improved charge capture, use of staff
resources and workflow and increased patient volume
and more efficient use of space .
The value-based care analysis vocabulary your Value Score provides your organization
HIMSS Value STEPS™ Framework

5|
Some benefits your organization gain from Value Score analysis
C-Suite and Senior Executives
• Track and report progress to key stakeholders on your
organization’s efforts to maximize operational & clinical
benefits
• Build value-focused strategies for future health IT
investments
• Focus resources more efficiently on population health
management and emerging value-based payment models
• Assess the gaps and identify opportunities in your value
optimization strategies
Clinicians
• Establish a value benchmark against which you can
measure your organizational and clinical benefits
• Strengthen your business while improving the relationship
with your patient population
Federal/State/Local Public Health Facilities
• Demonstrate how publicly funded healthcare organizations
have optimized value to achieve the triple aim of improving
population health, enhancing the patient experience, and
reducing the per capita cost of health care

Value Score Delivery Expectations
Once you’ve completed your Value Score
submission
• HIMSS will send the Value Score submitter
an email verifying receipt of the submission
and the estimated Value Score
(one business day)
• Members of the HIMSS evaluation team will
review submission and generate a verified
Value Score
(within five business days)
• HIMSS will send the Value Score submitter the verified Value Score
and .pdf summary of the submission
(within one business day post-verified Value Score delivery)
Getting the most out of this analysis process

“We have our verified Value Score… now
what?”
• Reconvene data collection team and review
scores within each value pillar to identify strengths
and opportunities
– Analyze case examples where submitted information
was limited and determine if case studies could be
“strengthened”
– Analyze strong case examples to see if similar examples
exist within the organization and/or could be replicated
for additional case examples
• Strategize on ways to improve current performance and set
appropriate performance targets
• Leverage Value Score submission as part of Davies Award
submission

Preparation Guidance
What Should Our Organization
Expect from a HIMSS Value Score?

While the roles listed below aren’t required to be different people, completing all of the
tasks below will support creating an effective HIMSS Value Score submission
How Do We Prepare For Our Organization
for a HIMSS Value Score?
Roles Tasks Time
Submitter • Creates Value Score submission account
• Enters submission data compiled into the Value
Score online submission tool
• Receives submission confirmation, estimated and
verified Value Score
• Acts as main point of contact with Value Score
account representative
4 hours
Executive
Sponsor
• Provides organizational approval for Value Score
submission data collection process
• Establishes & leads internal team compiling
Value Score submission data
• Utilizes Value Score analysis to impact the
organization’s strategic planning process
8 hours
Data
Collectors
• Provides data from various department,
enterprise, etc. sources to Value Score submitter
• Examples of data collectors: Chief Medical
Information Officer, Chief Nursing Information
Officer, Director-Clinicial Systems, Director-
Quality, Director-IT Support
20 hours

Here is an example of the team processes involved in obtaining
your organization’s Value Score
• Create a Value Score account by completing and saving the first page
of the Value Score application
• Review all the questions required to complete the Value Score
application
• Convene data collection team to assign responsibilities and establish
timelines
• Collect required information
• Complete the Value Score application and submit

11|
Completeness
Counts
▪ Contact HIMSS Analytics to verify or update your current EMRAM or O-
EMRAM Score
▪ Answer ALL the questions in a case study to receive maximum points
▪ High Value Scores are desirable as it reflects an organization that is able to
objectively document the “measures” used to manage HIT in their
organization
▪ Lower Value Scores should be viewed as an opportunity to:
1. Reflect on the organization’s manage/measurement practices
2. Identify areas within the organization where evidences of HIT
could/should be realized
Report Response
Confidential
Results and
Algorithm
▪ Web survey yields a Value Score estimate; a verified Value Score is
produced and forwarded to you once HIMSS representatives have a chance
to review the submitted information
▪ The Value Scores algorithm is proprietary and sufficiently complex such that
external parties should not be able to re-engineer it with any degree of
certainty

12|
OKAY
“Our organization improved bundle set utilization and improved patient outcomes.”
“Bundle set utilization increased from XX% to XX%. As result, Length of Stay for
XXXX patients was reduced by X.X days, resulting in a cost savings of $XXXX.
Mortality rates for XXXX patients decreased by XX%, saving XX lives.”
BEST
BETTER
“Our organization raised bundle set utilization from 57% to 95% in a year.”
Completeness Counts: Example

Who do we contact for more information
on our HIMSS Value Score?
On Your Organization’s Value Score
Lorren Pettit, MS, MBA
Vice President, Health Information
Systems & Research
HIMSS
lpettit@himss.org
312-519-5751
On applying for a HIMSS Davies
Award of Excellence
Jonathan French, CPHIMS
Senior Director, Health Information
Systems
HIMSS
jfrench@himss.org
703-562-8822
http://www.himss.org/
valuesuite/value-score

What are the Components of the
HIMSS Value Score?
Types of Value the Score Analyzes

Measure the impact of your health IT to deliver clinical, operational & financial outcomes
The HIMSS Value Score analyzes four types of value to help you
measure and manage your organization’s health IT optimization
strategies

Baseline Value
Measures your organization’s capability to “metabolize”
patient information as reflected in your organization’s…
Electronic medical record sophistication
Employment of IT security best practices

Baseline Value Questions
Here are the questions your organization will need to
complete to obtain it’s Baseline Value Score
Q: What is your EMRAM score?
Q: Which of the
following
information
security practices
has the
organization
adopted?
• Risk assessment &
management
• Asset management
• Identity & access
management
• Threat & vulnerability
management
• Awareness training
• Cyber threat intelligence
• Incident response
• Business continuity
• Disaster recovery

Perceived Value
Measures the organization’s subjective insights surrounding the
impact of HIT in the organization
as reflected in three areas…

Perceived Value Questions
Here are the questions your organization will need to complete to
obtain it’s Perceived Value Score
What type of impact has the use of health information technology
in the organization had on the organization’s ability to…
Capture & share clinical data
Implement advanced clinical processes
Realize improved clinical outcomes
Where…
1 = No positive impact at all
2 = Inconsistent impact
3 = Slightly positive impact
4 = Moderately positive impact
5 = Very positive impact

Recognized Value
Measures the organization’s ability to demonstrate the objective
impact of HIT in universally expected ways
as reflected in the three areas…

Recognized Value Questions
Data Sharing Topic Areas
Select from the following list, up
to two (2) examples in which
health information technology
had a positive measureable
impact on your organization's
DATA SHARING efforts within
the past three years.
Efficiencies:
• Administrative & Care Delivery Workflow
• Electronic Prescribing
Safety:
• Clinical Decision Support
• Computerized Provider Order Entry
Data Sharing:
• Protection of Patient Health Information
Data Reporting:
• Public Health and Clinical Data Registry
Patient Education/Engagement:
• Patient Electronic Access to Health
Information

Advanced Processes Topic Areas
to three (3) examples in which
helped facilitate ADVANCED
PROCESSES within your
organization during the past
three years.
Efficiencies:
• Throughput of Congested
Hospital Spaces (e.g. ED,
OR, ICU)
• Reduction of Waiting Time
(e.g. Clinics, ED)
Data Sharing:
• Improved Tracking of Chronic
Disease Management
Safety:
• Reduction of Infection (e.g.
Central Line, Catheter,
Ventilator Dependent
Pneumonia)
Enhanced
Communication:
• Health Information Exchange
Business Efficiencies:
• Revenue Cycle Management
Prevention:
• Population Health Initiatives
Patient
Education/Engagement:
• Coordination of Care through
Patient Engagement

Improved Outcomes Topic Areas
to three (3) examples in which
helped facilitate IMPROVED
OUTCOMES within your
organization during the past
three years.
Efficiencies:
• Use of Blood and Blood Products
Quality of Care:
• 30 day Readmission Rate
Data Sharing:
• Early detection of Infectious Disease
Outbreaks
Evidence Based Medicine:
• Change in Practice from the use of
Clinical Analytics
Patient Education/Engagement:
• Use of Patient Generated Health Data

Here are the type of questions your organization will need to
complete under each of the previous topic areas to obtain it’s
Recognized Value Score
• What measurable value did you realize from the use of HIT in
this specific area?
• What was your baseline numeric score on this measure when
you started your evaluation (period 1)?
• What is your current numeric score on this measure or what was
your numeric score on this measure when you completed your
evaluation (period 2)?
• How many months transpired between the start of your
evaluation (period 1) and the completion of your evaluation
(period 2)?
• What lessons did you learn from this initiative?

Innovative Value
Measures the organization’s ability to demonstrate the measurable
impact of HIT in unique/non-expected ways

Innovative Value Question Examples
Here are questions your organization will need to complete to
obtain it’s Innovative Value Score (PART 1)
• What was the problem you were attempting to address?
• What was your baseline numeric score on this measure when you started
your evaluation (period 1)?
• What is your current numeric score on this measure OR what was your
numeric score on this measure when you completed your evaluation (period
2)?
• How many months transpired between the start of your evaluation (period 1)
and the completion of your evaluation (period 2)?
• Please describe the FINANCIAL benefits (if any) your organization has
realized because of your initiatives.

Innovative Value Question Examples
Here are questions your organization will need to complete to
obtain it’s Innovative Value Score (PART 2)
• Please describe how these initiatives have impacted Physician, Employee
and/or Patient SATISFACTION.
• Please describe the initiatives you undertook to positively impact this
problem (to include the amount spent on the investment, and the reason
why the technology was implemented)
• Which IT systems and vendors/consultants (if at all) were involved in these
initiatives? Please describe the role your IT system and if involved, IT
vendor/consultant played in these initiatives.
• What lessons did you learn from this initiative?
• How difficult was this problem for your organization to address? (1 = "No
difficulty at all", 10 = "Extremely difficult")?
• How important was solving this problem to your organization?
(1 = "Not important at all", 10 = "Extremely important")

How to Prepare to For the HIMSS Value Score

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