2012 Healthcare Advantage Award Application Form and Guidelines Employer, Health Plan, Federal/State Government and Research Thomson Reuters 2012 Healthcare Advantage Conference May 7 - 9, 2012 J.W. Marriott Orlando Grande Lakes, Orlando, FL The Healthcare Advantage Award program from Thomson Reuters provides an opportunity for your team to be recognized for its creativity and resourcefulness. Finalists will receive special recognition at the conference, an announcement in a national publication, and free Thomson Reuters client conference registration for 2012. The winner will also receive national press coverage and a $1,500 contribution to the charitable organization of their choice. How to complete the form Please work directly with your Thomson Reuters account representative to complete this nomination form. The nomination should be approximately 650-800 words. Feel free to include supporting documentation where appropriate. The Healthcare Advantage Award application and release form are due by Friday, March 16, 2012, at which time a selection committee will review all applications. Category winners will be notified by March 31, 2012. Select the category that best fits your nomination: Please select the category that best fits your nomination (select only one): Consumer Outreach and Communications Health and Clinical Outcomes Performance Efficiency Strategy and Growth Contact information: Institution Organization Name: Address: City, State, ZIP code Person completing this application Name: Title: Phone : 1 Email address: Person receiving the award Name: Title: Address (if different than above): City, State, ZIP code (if different than above): Thomson Reuters Contact/Client Director: Name: 2 Indicate which Thomson Reuters product(s) or services(s) were relevant to your success. Please indicate your selection(s) by checking the appropriate box(es) below: Employer Health Plan Advantage Suite Account Group Reporting Analytic Consulting Advantage Suite Auditing Analytic Consulting Services Benefit Design Modeler Data Management Disease Profiler Care Management Executive Dashboards Length of Stay Benchmarks Financial Modeler Marketing Analytics Health & Productivity Analysis MarketScan® for Health Plans Health Index Market Expert Informed Enrollment Medical Episode Grouper (MEG) Length of Stay Benchmarks Patient Profiling Modeler Personal Health Insights Personal Health Insights Personalized Messaging Personalized Messaging Pharmacy benefit Strategies Pharmacy Benefit Strategies Physician Performance Assessment Physician Performance Assessment Reimbursement Benchmarks Risk Profiler Treatment Cost Calculator ROI Evaluation Other Treatment Cost Calculator Other Federal Government Health Programs Advantage Auto-Audit Suite® ® State Government Health Programs Advantage Suite® Auto-Audit® Consumer Initiatives Consumer Initiatives Cost Control Cost Control ® DataProbe DataProbe® Disease Management Disease Management Informed Enrollment Informed Enrollment Managed Care J-SURS Medical Episode Grouper™ (MEG) Managed Care Program Integrity Medical Episode Grouper™ (MEG) Physician Performance Assessment™ Program Integrity Quality of Care Physician Performance Assessment™ Value-Based Purchasing Quality of Care Other Value-Based Purchasing Other Research Behavioral Health and Quality Research Outcomes Research Community Living Systems Patient-Centered Medical Home Comparative Effectiveness Research Provider Quality and Efficiency Measurement Data Integration and Database Development Physician Performance Assessment™ Health and Productivity Research Quality of Care 3 MarketScan® Research Databases Other Medical Episode Grouper™ (MEG) Other, please explain below. Provide the following information: Step 1. Briefly describe your organization, the challenge, course of action, and business results achieved. A. Company Description – Please provide a brief description of your organization’s size, scope, and services. B. Business Challenge – Discuss the business challenge that your organization faced. C. Course of Action – Describe the course of action taken to meet the challenge, and how Thomson Reuters solutions and services were used. D. Results – Discuss the outcomes (maximum of three) associated with the action taken. (Quantify the results by providing statistics and ROI information along with supporting information.) Step 2. Nominations will be evaluated against the following five criteria, equally weighted. Please explain why you feel your organization met the following requirements. E. Level of innovation – Describe the innovation and why you believe it is unique. In particular, the judging committee will be looking for “outside-of-the-box” solutions that are not yet an industry standard. The innovative idea may have come from the client, from the Thomson Reuters support team, or a combination of both. F. Size and scope of performance improvement and results – In addition to the results above, provide any additional information you’d like the judging committee to know about the business outcome that was achieved through the project. G. Applicability of the innovation to others – Describe how others can apply your innovation to improve performance in their operations. H. Success in working together – Describe how your organization worked across boundaries, departments, or other barriers to achieve the desired results. I. Importance of Thomson Reuters products to the innovation – Describe in more detail the Thomson Reuters products or information services that were used in the innovation and their importance to the project. 4 Provide any additional supporting information you would like the evaluation panel to consider. Step 3. When you are finished with this document, please email it as an attachment to HealthcareConference@thomsonreuters.com. Thank you for submitting a nomination and good luck. Healthcare Advantage Award Authorization and Release I (either individually or on behalf of the organization identified below), hereby authorize Thomson Reuters and its affiliates, for a period of three years from May 7, 2012, to use for the purpose of promoting and marketing Thomson Reuters products or services my name, picture, likeness and the information provided in this application, in whole or in part, throughout the world. I expressly release Thomson Reuters, including its agents, employees, licensees, and assigns, from any and all claims that I have or may have for privacy, defamation, or any other cause of action arising out of any such proper use by Thomson Reuters. To confirm your participation in the 2012 Healthcare Advantage Award program, please sign and return this form by March 16, 2012 via email to HealthcareConference@thomsonreuters.com. Signature Print Name Date 5