BMJ Open: Development And Pilot Of A Multicriteria Decision Analysis (MCDA) Tool For Health Services Administrator

AusHSI was contracted to work collaboratively with the Royal Brisbane and Women’s Hospital (RBWH) to develop a method for comparing projects across a range of outcomes. Due to the diverse nature of hospital and health service delivery, AusHSI developed a multi-criteria decision analysis (MCDA) toolkit for health services executives and administrators that assisted in funding decisions based on return on investment, released capacity, patient outcomes, hospital safety, staff training, and risk.

The paper was accepted by BMJ Open and published in May 2019.

The methods and development are available in the full article. AusHSI can work collaboratively with organisations needing a more objective and informative process for funding health services projects to design and implement the tool on a local level. Please reach out to for more information.

The full article is available here.

The AusHSI case study of this project can be read here.

By Robin Blythe, Research Fellow – Policy Analysis

Figure 2
Plotting projects on a plane after cost-saving projects are accepted. APHS, insourcing chemotherapy supply; CEP-CARU, epilepsy surgical centre; CF2, chemotherapy funding change; CN/CF, clinical nurse/clinical facilitator; EPICentre, early patient intervention centre; ES Pod, elective surgery pod; FIM, functional independence measurement; OPAT, outpatient antibiotic therapy; SW, social worker support; TMT, tracheotomy management team; VASE, vascular access education.

Table 6
Total cost and impact scores on an individual project basis