Sustainability of the IOM 80/20 Nursing Initiative as Viewed through a Decision Support System Supporting “What-If” Benchmarking Capabilities

Christine T. Kovner, Chuo-Hsuan Lee, Edward J. Lusk, Carina Katigbak, Nellie Selander


We present two Decision Support Systems [DSSs] as decision aids to health planners in evaluating the
expenditures needed to launch and sustain the 80/20 policy initiative of the IOM. The core DSS is called the
Dynamic Change DSS and it is assumed that there is unrestricted activity in the parameter set. The other DSS is
called the SWAP DSS; it assumes stasis in the final total number of individuals in the service population and so
only a swap between the service classes is permitted. The SWAP is a benchmark to the Dynamic Change
information set which is the launching pad to the What-If re-parameterizations that may be needed to address
sustainability. The interactive model for these What-If re-parameterizations is an e-Delphi Workspace. These
DSSs, the Pilot-Test parameterized versions, and the respective manuals are available from the corresponding
author at no charge and with no restriction on their use.

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Journal of Management and Sustainability   ISSN 1925-4725 (Print)   ISSN 1925-4733 (Online)


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