Magazine Article | December 1, 2002

Capture Images, Capture Savings

Source: Field Technologies Magazine

The National Institutes of Health and your company both handle tons of paper. But, does your company expect to save $15 million by streamlining its processes?

Integrated Solutions, December 2002

The federal government has never claimed to be a nimble organization. Sweeping changes happen over the course of years, not days or months. It takes time to stop the inertia that keeps the government moving forward and then, ultimately, reverse its direction.

So, when the Government Paperwork Elimination Act (GPEA) was signed into law on October 21, 1998, all parties could envision a positive outcome - at some point in the future. In five years from the signing (October 21, 2003), "individuals or entities that deal with federal agencies must have the option to submit information or transact with an agency electronically, when practicable, and to maintain records electronically, when practicable." In other words, the GPEA aimed to replace paper with digital data.

It's been more than four years since the GPEA was enacted. And for the agencies that have strived to meet the Act's objectives, the payoff in hard-dollar ROI and improved service has been significant. By using document imaging and management technologies, workflow, and portable storage media, for instance, the National Institutes of Health (NIH) has saved tens of millions of dollars in copying and distribution costs in 2002 alone. Additionally, the turnaround for processing documents at the NIH has been reduced from weeks to days.

The GPEA will not "eliminate" paper as much as it will reduce paper and improve operational processes. And, that's a noble goal for government and business alike. The technologies and services employed by the NIH are accessible to any business. And as the NIH's results prove, the bigger the problem, the bigger the opportunity for savings.

Costs Rise When Distributing Paper
To get a sense of the paperwork problem confronting the NIH, one must consider the size of the entity. For example, the NIH would fall squarely in the middle of the Fortune 100 list if its estimated 2003 budget of $27 billion was compared to other companies' revenue numbers. Unlike businesses, however, the NIH gives most of its budget away in the form of grants and contracts. Roughly 4% of the total budget is used to cover NIH administration costs, and another 10% is used to conduct intramural research on the NIH campus. That leaves about $21 billion in 2003 to fund extramural research that takes place primarily throughout the United States. "Our budget has almost doubled over the last five years, so we're talking about a very significant amount of money to be spent on research. The obvious question is, 'How do you distribute all of this money?'" asks Dr. Steven J. Hausman, a deputy institute director at the NIH. "The answer is that people apply for the money."

The application process is hardly a tidy procedure. The NIH receives between 45,000 and 55,000 applications annually, and Hausman notes that those numbers continue to rise each year. At a minimum, the grant application might be 20 pages in length. But, it's not unusual to have an application that runs more than a thousand pages. Most fall somewhere in the middle of that spectrum. "Every grant is reviewed by a study section, which is typically a group of scientists numbering about 20. Each one of those study section members needs a copy of the grant application. In terms of paperwork, you can see where all this activity is headed," comments Hausman.

To handle this volume of work requires a separate support staff at the NIH that manages incoming applications during the three major deadline dates throughout the year. Between the original application and the resulting copies for study section members, Hausman estimates that the NIH has to handle more than 200 million pieces of paper relating to grant applications. This doesn't take into account the miscellaneous correspondence that also accompanies or trails most applications. "On top of the copying costs, there are the mailing costs. The applications are placed in boxes and sent by FedEx to the relevant parties," explains Hausman. "FedEx provides us with a level of security [i.e. package tracking, signing for package release] and expediency. But, obviously, those benefits come at a price."

Document Conversion Cuts Millions In Administration Costs
Before Congress passed the GPEA, the NIH had already been working to cut back on its paper pushing. In the late 1980s, a precursor of the current Electronic Research Administration (eRA) effort was formed within the NIH to accomplish that very task. "We had a vision of receiving applications electronically, but the technology just wasn't ready at that point. This was a time before the Internet - receiving data by e-mail meant using modems and mainframes. Plus, the software we required was pretty immature," recalls Hausman. The goals of the eRA remained intact, and the GPEA - and technological advances - breathed new life into that once out-of-reach initiative.

The GPEA does not mandate that all interactions with the federal government must be handled electronically. It simply states that individuals must have the option to conduct their business electronically. That means the NIH, for example, must be equipped to handle both paper and electronic submissions by the 2003 deadline. "We will prefer to receive applications electronically, but we have not mandated this type of format. When given the choice, we think many applicants will choose the electronic submission. And, that number will rise steadily over time," states Hausman.

Currently, grant applications pouring into the NIH are in a single format - paper. However, the NIH has radically improved its processing procedures. The incoming applications are scanned and the now digital data is handed off to Quality Associates, Inc. (QAI), which runs a small service bureau at the NIH. QAI takes the resulting TIF images and converts them to PDF files equipped with indices and bookmarks. The PDFs also contain OCR (optical character recognition) text that makes it possible for study section members to perform keyword searches on the PDF files. Once complete, these PDF files are burned to CDs and distributed by FedEx to the appropriate members of the study section. Additionally, the now electronic version of the grant application is saved in the NIH's proprietary workflow system, called IMPAC. The database, which currently holds upwards of 50,000 applications, is more than 200 GB in size and is searchable by such variables as grant application number, topic, and applicant institution.

Prior to contracting QAI's services, grant applications would typically take three to four weeks to be processed before arriving on the desks of NIH review staff. Now, the PDF version of the application is likely to show up within a few days of its arrival at NIH headquarters. And instead of dealing with a box filled with weighty documents, reviewers simply receive an envelope containing a CD. In 2002, the NIH is on track to produce and distribute more than 16,000 CDs and save big-time in administration costs. "In this first year [2002], we expect to save $5 million in copying and distribution costs. In 2003, we expect our savings to increase to $15 million," says Hausman. "That doesn't include the intangibles like the injuries that are caused by lifting heavy boxes of paper, organizing that paper within an office, and the cost of the space required to store documents in offices."

Online Tools Reach Out To Citizen Customers
To completely comply with the GPEA, the NIH is ramping up to accept grant applications electronically by July 2003. This method would allow users to forego the production of a hard-copy application in favor of directly uploading the completed application to a secure site run by the NIH. The resulting XML (extensible markup language) data stream would be downloaded to a central NIH database and made available to reviewers through a browser interface. "Once the system is up and running, we hope that 25% of the grant applications will initially arrive electronically. And that number will rise continually," predicts Hausman.

The rise in electronic submission of grant applications will eventually lead to a declining need to scan, convert, and save what were previously hard-copy applications. However, the need to convert paper to electronic formats at the NIH will not subside anytime soon. The National Cancer Center, for instance, has a linear mile of shelving that holds past grant applications in all their eight-and-a-half-by-eleven glory. Eventually, the NIH would like to convert all archived documents in its institutes and centers to an electronic format.

No one would suggest that companies should be run like the federal government. But, in this particular instance, government and business are kindred spirits - "both drowning in paper," notes Hausman. And, issuing a GPEA-style act within your company might not be such a bad idea.