Return On Investment (Roi)/economic Impact (Ei) Form printable pdf download

Return On Investment (Roi)/economic Impact (Ei) Form

QI 101 Project

Return on Investment (ROI)/Economic Impact (EI) Form

I. Date

II. QI Project Name

III. Organization and Dept. or

Wave:

Branch and QI 101 Wave

IV. Summary of Aim

Insert a brief summary, not the full aim

statement. For example, use only the first line of

the aim.

V. Measurable Goals for the Project

See Charter or Measurement Plan. Be sure to

include baseline, target, and actual result for

each goal.

VI. Intangible Benefits

Important benefits derived from the QI project,

but it is not possible to place a monetary value

on them, e.g., improved staff morale, improved

teamwork.

VII-A. Financial Benefits for

Internal Process Improvements -

Annualized

Tangible monetary benefits derived from the QI

project for your agency only, e.g., reducing lead

time results in overtime salary reduction,

eliminating printing, postage or supplies costs,

increasing patient volume results in increased

revenue. Excludes community benefit.

Total Financial Benefits for Internal

Process Improvements - Annualized:

Return On Investment (Roi)/economic Impact (Ei) Form