Melinda Ashton, MD, FAAP, Vice President, Patient Safety and Quality Services, Hawai’i Pacific Health. High levels of quality improvement coupled with significant savings as Hawai’i Pacific Health, a Stage 6 facility on the HIMSS Analytics EMRAM scale, changed the way it provided care and started tracking gains, both clinical and financial. They have demonstrated an annual ROI from EHR of nine percent over 10 years. Beyond inpatient and outpatient, IT supports patients viewing lab results, educational materials, appointment scheduling and health maintenance reminders. Results include: reduced write-offs by $23.2 million, reduced transcription costs by $15.4 million, and improved documentation which led to $14.2 million in savings. HPH changed the model of care by changing the center to the patient, helping clinicians provide better, less fragmented care – team care, with guidelines and protocols, and everyone on the same page.