Assignment: Successful ROI Estimations

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Assignment: Successful ROI Estimations

Assignment: Successful ROI Estimations

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HIGHLIGHTS FROM ARTICLES NOT INCLUDED IN SYNTHESIS Through review of the literature, five additional articles revealed benefits to the effort to demonstrate the economic value of NPD activities but did not have all the information needed for inclusion in the synthesis. Spetz, Brown, Aydin, and Donaldson (2013) studied implementing nursing ap- proaches to prevent hospital-acquired pressure ulcers. The authors’ conclusion was that surveillance and preven- tion of hospital-acquired pressure ulcers can be cost-saving

and should be considered a strategy by nurse executives as demonstrated by a net savings of $127.51 per patient. This study did not provide information on costs for personnel training, except in the fixed costs, so it was excluded from synthesis.

Curado and Teixeira (2014) used the Kirkpatrick levels model to evaluate training programs in a small logistics company. The authors estimated the fifth level of the modelVROI by reviewing (a) performance reports, (b) attained objectives, (c) service and productivity levels, (d) quality audits, and (e) accounting data. The training programs addressing work quality and conditions had above average returns, and the program on corporate so- cial responsibility producedbelow average results. Barriers to successful ROI estimation were reported as lack of qual- ification to calculate personnel time and financial resources consumed. Curado and Teixeira discussed the long-term challenge of human resource managers to pragmatically obtain accurate data to calculate learning benefits as sty- mied until Phillips and Phillips (2009) and Noe (2010) added ROI to the fifth level of Kirkpatrick’s model.

Self-management education and home-based interventions

$539 annual mean cost of outpatient visits $16,600 annual mean cost of inpatient visits $1,164 annual mean cost of ED visits $690 annual mean medication cost Average per child expenditure for treatment of asthma: $690 Cost savings from fewer ED visits/ hospitalizations resulted in ROI of 1.33; add benefits due to reduced missed school days and missed work days, the societal ROI increased to 1.85 Review of 26 intensive outpatient asthma self-management education and home visit programs 20 had greater than $1 ROI per $1 invested; 3 had less than $1 ROI per $1 invested; 3 were variable


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