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Participatory Vendor Selection

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?.

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Participatory Vendor Selection

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  1. Participatory Vendor Selection Farrokh Alemi, Ph.D.

  2. 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? Alemi at Georgetown

  3. What is a model of values? • Quantify preferences • Higher numbers more preferred options • Assumptions • Decision makers have options • Selection 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 • Invite stakeholders to participate • One-on-one interviews • Group meeting • Construct group’s scoring • Discuss major differences • Measuring vendor performance • Documentation Alemi at Georgetown

  7. Step 1: Invite Stakeholders • Many decision makers • CIO, CMIO, CNO • Clinicians • People with budget authority • Clinicians expected to use the system Alemi at Georgetown

  8. Step 2: One-on-One Interviews • Individual interviews before group meeting • Can be done on phone • Takes about 1 hour • Models preferences of the participant • Introduction to the process • Attributes used • Associated scoring system Alemi at Georgetown

  9. 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

  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 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

  12. Step 5: Discuss Major Differences • Discuss reasons not the ratings • Check assumptions • Accept some differences and re-rate Alemi at Georgetown

  13. Step 6: Measure Vendor’s Performance • Expert rating • Standardized cases • Committee ratings • Demonstrations • Site visits Alemi at Georgetown

  14. Scoring Procedure Alemi at Georgetown

  15. Scoring Procedure Alemi at Georgetown

  16. Scoring Procedure Alemi at Georgetown

  17. Step 7: Documentation • Who participated • Meeting process • Group’s consensus scoring system • Attributes, attribute levels & associated scores • Performance of vendors • Conclusions and next steps Alemi at Georgetown

  18. Take Home Lesson Process Matters

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