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J Am Med Inform Assoc 6:219-233 doi:10.1136/jamia.1999.0060219
  • Original Investigation

The Determination of Relevant Goals and Criteria Used to Select an Automated Patient Care Information System

Table 5

Calculation of Overall Product Score for Product B

Mean of Consensus Round Criterion Weight Product Criterion Score Maximum Criterion Score Maximum Goal Weight Score Product Goal Weight Score*
1. Designed for direct use by caregivers: 31 18.5
 Supports online access to data from all previous episodes of care 6.20 9.33 57.85 93.30
 System availability 6.40 9.22 59.02 92.22
 Supports clinical decision making (alerts, online reference, etc.) 7.80 9.11 71.06 91.10
 Easy movement within and between patient records 5.50 8.67 47.66 86.66
 Transaction time (quick response time) 7.00 8.44 59.11 84.44
Contains features that improve caregiver productivity 4.50 8.22 37.00 82.22
 Provides online Help at screen and field level 5.80 7.56 43.82 75.56
Attractive user interface 3.80 7.33 27.87 73.33
 Number of screen flips per transaction is minimal 4.00 7.33 29.33 73.33
 Supports free text entry of data 4.44 6.56 29.10 65.55
 Ease of creation of department/personal order sets 8.40 5.89 49.46 58.88
 Flexible and personalized views of data, including graphic display 5.60 5.78 32.35 57.77
 Computer-based training available 8.78 4.67 40.97 46.66
584.60 981.02
2. Basis for electronic patient record: 24 13.4
 Supports ad hoc user access to clinical data 2.70 9.88 26.66 98.75
 Provides unique encounter identifier 6.30 9.38 59.06 93.75
 Can merge records 3.90 9.00 35.10 90.00
 Security of system 7.56 8.50 64.26 85.00
 Appointments: strength of scheduling function 8.89 8.38 74.45 83.75
 Usability of system management tools 4.78 8.25 39.44 82.50
298.97 533.75
3. Proven product/stable vendor/future directions: 15 11.1
 Confidence in vendor's ability to provide ongoing support 8.80 9.22 81.15 92.22
 Confidence in vendor's ability to provide implementation support 9.40 8.89 83.55 88.88
 Futures: technology and development 6.40 8.78 56.19 87.80
 Willingness to adapt the product quickly 5.90 8.33 49.16 83.33
 Comprehensiveness of hospital starter set 8.40 7.33 61.60 73.33
 Prospects for joint product development 4.30 6.94 29.86 69.44
 Strong and active user group 8.90 4.56 40.54 45.55
 Total number of installations 7.60 2.89 21.95 28.88
 Number of sites installed in Canada 6.00 2.33 14.00 23.33
438.00 592.76
4. Fully integrated product: 11 4.6
 Provides tools to create specialty databases with main database 4.00 9.00 36.00 90.00
 Emergency room functionality available 4.10 8.67 35.53 86.67
 Availability of integrated ancillary subsystems 4.40 7.22 31.78 72.22
103.31 248.89
5. Basis for re-engineering work processes: 10 7.7
 Electronic patient record 6.60 9.67 63.80 96.66
 Supports physician-driven order communication 8.90 8.89 79.10 88.88
142.90 185.54
6. Financial payback: 9 5.4
 Provides timely alerts/advice that support cost containment 6.00 9.33 56.00 93.33
56.00 93.33
Overall product score for Product A: 100 60.7
  • * The product goal weight score (PGWS) was calculated as follows:Graphicwhere PCS is the product criterion score; MCS, the maximum criterion score; and MGWS, the maximum goal weight score. Thus, the PGWS for Goal 1 for Product B is: (584.60/981.02) × 31 = 18.5.

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