Over the past few months I've been talking to many industry leaders about the challenge of matching IT supply and demand. Governance committees are essential but are not enough when the number of project requests is so large that they become difficult to triage.
Objective, quantitative scoring criteria can help.
Intel has implemented a Business Value Index that is based on numerical scoring of
Customer need Business and technical risks Strategic fit Revenue potential Level of required investment Amount of innovation and learning generated
My colleagues at Stanford have developed a quantitative approach based on a weighted scoring of
Quality and Effectiveness User Productivity and Satisfaction (includes providers, patients, referring MDs) Compliance (required by law or external regulatory/accreditation body) Patient Safety Financial Scope/Urgency
Their process is very robust as described by Dr. Pravene Nath
"We take all inbound requests, whether captured by helpdesk or in meetings. A clinical informaticist reviews the request and presents it at our scoring committee meeting, which lasts for about an hour each week. The informaticist provides a preliminary scoring, and the group either confirms it, adjusts it, or sends it back for more research. Occasionally a request will be outright denied at the meeting if it just doesn't make sense. We have an appeals process for the requestor but it is rarely used. All requests, regardless of age, are kept in a rank ordered list by priority based on score. The application teams work from the top of that list downward, and they don't pick up anything new from the list until something currently underway is completed. Lastly, we reserve some capacity for fast track (easy items) which can be done even if lower on the list."
BIDMC has prioritized capital projects (IT and others) by scoring