Assigned
Reading
- Participatory evaluation of vendors of electronic health records.
Read►
- Development of the Leapfrog methodology for evaluating hospital
implemented inpatient computerized physician order entry systems.
Journal Link►
- Selecting information technology for physicians'
practices
PubMed Central►
- Tim Thompson's lecture on participatory implementation of EHR
Slides► Bio►
- Untangling contract issues
Read►
- Jarrod's
Tutorial 1►
Tutorial 2►
Narrated slides and videos require
Flash.
Download►
Advanced learners like you,
often need different ways of understanding a topic. Reading is just one way of
understanding. Another way is through writing about what you have read.
The following questions get you to think more about the concepts
taught in this session.
- List the steps in vendor selection and for each step provide an
example
- What is the procedure for getting a decision maker to articulate
what criteria they use for selecting vendors? This question is
asking you to describe the process of soliciting attribute levels
and not any specific list of attributes or attribute levels.
- What is the method for assessing values that should be assigned
to single attributes?
- What is the method for aggregating values assigned to different
attributes of a vendor into one overall score?
- A decision maker thinks that ease of use is 3 times more
important than compatibility with existing systems and cost is 5
times more important than ease of use. What are the relative
weights for the three attributes: (a) compatibility with existing
practice, (b) ease of use and (c) cost. Start the analysis by
assigning the weight of 10 to compatibility with existing systems.
- A committee of the hospital has rated four system on three
criteria on a scale from 0 to 100. Re-scale these values so that
they range from 0 to 100.
|
Compatibility with existing
systems |
Ease of use |
Cost |
System A |
20 |
20 |
50 |
System B |
50 |
50 |
70 |
System C |
60 |
10 |
90 |
System D |
80 |
0 |
60 |
Table
2: Ratings of 4 Vendors on 3 Criteria |
- Using the data from step 5 and 6, recommend the purchase of one
of the four systems by calculating the overall score for each of the
systems.
- A purchasing committee has rated 4 systems on two criteria as
follows:
|
Ease
of Use |
Cost
of Licenses |
System A |
20 |
50 |
System B |
50 |
70 |
System C |
10 |
100 |
System D |
0 |
60 |
They also have agreed that ease of use is twice more important
than cost of licenses. Given this data what system do you
recommend they purchase?
To answer this question first calculate the standard
weights using the following information:
|
Assigned
Score |
Standard
Weight |
|
Cost of licenses |
10 |
0.33 |
=10/30 |
Ease of Use |
20 |
0.67 |
=20/30 |
TOTAL |
30 |
1.00 |
|
Next standardize both attribute ratings by using the
formula: standard X = 100*(X-Min)/(Max-Min):
|
Ease of Use |
Standard
Rating |
|
System A |
20 |
40 |
=100*(20-0)/(50-0) |
System B |
50 |
100 |
=max is 50 assigned 100 |
System C |
10 |
20 |
=100*(10-0)/(50-0) |
System D |
0 |
0 |
=min is 0 assigned 0 |
|
Cost of
Licenses |
Standard
Rating |
|
System A |
50 |
0 |
=min
is 50 & assigned 0 |
System B |
70 |
40 |
=100*(70-50)/(100-50) |
System C |
100 |
100 |
=max
is 100 & assigned 100 |
System D |
60 |
20 |
=100*(60-50)/(100-50) |
Finally calculate the sum of weighted ratings for
each system:
|
Standardized |
|
|
|
Ease of Use |
Cost of
licenses |
Overall Score |
|
Weight |
0.67 |
0.33 |
|
System A |
40 |
0 |
26.8 |
=40*0.67
+ 0*0.33 |
System B |
100 |
40 |
80.2 |
Prefered system |
System C |
20 |
100 |
46.4 |
=20*0.67
+ 100*0.33 |
System D |
0 |
20 |
6.6 |
=0*0.67
+ 20*0.33 |
Do One Assignment: Select a Vendor
Evaluate at least 2 vendors (students who do
not have access to vendors can rely on other students or family members) on at least 3
criteria. The procedures to follow are described below:
- Select two vendors of electronic health records.
- Interview at least two decision makers. Conduct
these interviews separately (could be done on the phone). You could
choose to interview classmates or friends if you do not have access to the
right decision makers.
- Select at least 3 criteria for evaluating electronic health records
based on your decision maker's input.
Example►
Another►
- Ask the participants to rate the levels of
each criterion.
- Ask the participants to rate the relative importance of each
criterion
- Use published literature or experts' opinions to
rate the performance of each vendor on each
criterion.
- Construct a model reflecting the preferences of
both of your decision makers.
- Make a recommendation based on your scoring
procedure. Calculate the score for the systems and show what EHR will
be recommended.
- Describe the process and the results in a word
document. Include the following topics:
- Title
- Description of consensus development process
- Individual models
- Show the attributes and their levels
- Show ratings of the levels
- Show weights assigned. Record the questions you asked and the answers you received
as well as the standardized weights you calculated.
- Consensus model
- Describe the final set of attributes, attribute levels, ratings
of attribute levels and weights for the attributes
- Recommended action
- Introspection
- Comment on value of participatory vendor selection
- Comment on value of quantification
- Comment on value of conducting interviews before the general
meeting.
See example completed assignments.
Jon Hall►
Rashida Brown►
Wendy's tutorial►
For additional information
(not part of the required reading), please see the following
links:
-
Modeling preferences (1 hour long, in context of HIV/AIDS)
SWF ►
-
Presentation by Suniti
Ponkshe
Bio►
Slides►
- Recent articles on vendor selection
PubMed►
Medline►
- An EHR User-Satisfaction Survey: Advice from 408 Family Physicians
Read►
-
AC Group PMS and EMR Report
Read►
-
Kartick Patel translates the lecture into Chichewa (Malawi's
national language)
Listen►
-
Examples of cost estimates from multiple vendors
More►
-
Example of request for proposal
More►
This page is part of the course on
Information Systems. This page was edited by Farrokh Alemi, Ph.D. ©Copyright protected.
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