Date post: | 04-Jan-2016 |
Category: |
Documents |
Upload: | gerald-powell |
View: | 225 times |
Download: | 2 times |
Participatory Vendor Selection
Farrokh Alemi, Ph.D.
Alemi at Georgetown 2
Objectives
Facilitate communication
Create consensus
Improve documentation
The cost of EHR could bankrupt us.
This is all a waste of time
I hate computers
It should save me time
Let us redo the entire process
What is it?
Alemi at Georgetown 3
What is a model of values?
Quantify preferencesHigher numbers more preferred options
AssumptionsDecision makers have optionsSelection is based on preferences Preferences are based on attributes
Alemi at Georgetown 4
Additive Multi-Attribute Value Model
Overall Value = V (A1) + V (A2) + ... + V (An)
Value on Attribute 1
Value on Attribute 2
Value on Attribute n
Alemi at Georgetown 5
Misleading Numbers
Numbers approximate preferences
Focus should be on building behavioral consensus
Alemi at Georgetown 6
Steps in Participatory Vendor Selection
1. Invite stakeholders to participate
2. One-on-one interviews
3. Group meeting
4. Construct group’s scoring
5. Discuss major differences
6. Measuring vendor performance
7. Documentation
Step 1: Invite Stakeholders
Many decision makersCIO, CMIO, CNOCliniciansPeople with budget authorityClinicians expected to use the system
Alemi at Georgetown 7
Step 2: One-on-One Interviews
Individual interviews before group meetingCan be done on phoneTakes about 1 hourModels preferences of the participant
Introduction to the processAttributes usedAssociated scoring system
Alemi at Georgetown 8
Step 3: Group Meeting
Construct straw model
Display model in flip chart sheets
Arrange participants facing the sheets
Introduce the task
Ask participants to introduce themselves
Review all attributes & attribute levels
Alemi at Georgetown 9
Step 4: Construct Group’s Scoring
Which is more important, cost per physician or ease of use? ______________If we assign 10 to the least important attribute, how many times more important is the other? ____ times
Alemi at Georgetown 10
Step 4: Construct Group’s Scoring
Which is more important, cost per physician or ease of use? ______________If we assign 10 to the least important attribute, how many times more important is the other? ____ times
Alemi at Georgetown 11
Step 5: Discuss Major Differences
Discuss reasons not the ratings
Check assumptions
Accept some differences and re-rate
Alemi at Georgetown 12
Step 6: Measure Vendor’s Performance
Expert rating
Standardized cases
Committee ratings DemonstrationsSite visits
Alemi at Georgetown 13
Alemi at Georgetown 14
Scoring Procedure
Vendor A Vendor B Vendor C
Attribute Weight Level Rating Level Rating Level Rating
Ease of use 2 minutes 3 minutes 5 minutes
Cost 11,000/bed 15,000/bed 9000/bed
Reputation Good Excellent Good
Total
Alemi at Georgetown 15
Scoring Procedure
Vendor A Vendor B Vendor C
Attribute Weight Level Rating Level Rating Level Rating
Ease of use 0..3 2 minutes 100 3 minutes 80 5 minutes 0
Cost 0.4 11,000/bed 70 15,000/bed 0 9000/bed 100
Reputation 0.2 Good 0 Excellent 100 Good 0
Total 1.0
Alemi at Georgetown 16
Scoring Procedure
Vendor A Vendor B Vendor C
Attribute Weight Level Rating Level Rating Level Rating
Ease of use 0..3 2 minutes 100 3 minutes 80 5 minutes 0
Cost 0.4 11,000/bed 70 15,000/bed 0 9000/bed 100
Reputation 0.2 Good 0 Excellent 100 Good 0
Total 1.0
=100*.3+70*.4
=58
=80*.3+100*.2
=44
=100*.4
=40
Step 7: Documentation
Who participated
Meeting process
Group’s consensus scoring systemAttributes, attribute levels & associated
scores
Performance of vendors
Conclusions and next steps
Alemi at Georgetown 17
Take Home Lesson
Process Matters