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Nominal Group Technique

Nominal Group Technique

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Nominal Group Technique

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  1. Nominal Group Technique Jay Ford and John Hyatt Reduce Waiting & No-Shows  Increase Admissions & Continuation

  2. Nominal Group Technique • Designed to promote group participation in the decision making process, • Used by small groups to • Reach consensus on the identification of key problems (Principle 2) or • Develop solutions that can be tested using rapid change cycles (Principle 5).

  3. Generating Solutions • We have done a walk-through • We have identified key process problems • We have identified an aim to focus on… • NOW we need SOLUTIONS – this is where the NGT comes in

  4. When to use the Nominal Group Process • Brainstorming • Reaching consensus • Assigning priorities • Involving equitable staff participation

  5. Nominal Group Steps

  6. 2. Silent Idea Generation • Allows adequate time for thinking and reflection through recall • Promotes social facilitation (e.g., seeing others hard at work) • Avoids interruptions, undue focus on one idea, and competition, as well as status and conformance pressures or choosing prematurely between ideas • Promotes a problem-centered focus

  7. 3. Round Robin Recording • Promotes equal participation • Increases problem-mindedness and the ability to deal with a large number of ideas • Separates the ideas from the person • Allows for the tolerance of conflicting ideas • Encourages hitchhiking on ideas • Provides written records of the ideas

  8. 4. Serial Discussion of Idea • Avoids unduly focusing on any one idea or a subset of ideas • Provides an opportunity for clarification and the elimination of any misunderstanding • Outlines the arguments and disagreements over ideas • Records differences of opinion without undue augmentation

  9. 5. Preliminary Voting • Rating Approach • Ranking Approach • “Dot” distribution

  10. NGT Steps 6 and 7 • Preliminary discussion • Examine items with inconsistent voting patterns • Discuss ideas with “too many” or “too few” votes • Final Voting • Prioritization among top ideas

  11. Change Team Assignment • As a table, ask one participant to identify a key issue that they are dealing with as the focus of your nominal group process. • Assign a Change Leader to facilitate • Go through each section as a team to generate solutions • Vote on those solutions to identify the top idea to test first