participatory vendor selection
DESCRIPTION
Participatory Vendor Selection. Farrokh Alemi, Ph.D. Objectives. Facilitate communication Create consensus Improve documentation. Let us redo the entire process. The cost of EHR could bankrupt us. It should save me time. I hate computers. This is all a waste of time. What is it?. - PowerPoint PPT PresentationTRANSCRIPT
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?
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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
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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
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Misleading Numbers
Numbers approximate preferences
Focus should be on building behavioral consensus
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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
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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
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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
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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
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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
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Step 5: Discuss Major Differences
Discuss reasons not the ratings
Check assumptions
Accept some differences and re-rate
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Step 6: Measure Vendor’s Performance
Expert rating
Standardized cases
Committee ratings DemonstrationsSite visits
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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
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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
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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
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Take Home Lesson
Process Matters