| 
   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 
			exampleWhat 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 
		criterionUse 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 processIndividual models
			Show the attributes and their levelsShow ratings of the levelsShow 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 attributesRecommended actionIntrospection 
		
			Comment on value of participatory vendor selectionComment on value of quantificationComment 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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