Nominal Group Technique

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Reduce Waiting & No-Shows Increase Admissions & Continuation

Nominal Group Technique

Jay Ford and John Hyatt


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).


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


When to use the Nominal Group Process

• Brainstorming

• Reaching consensus

• Assigning priorities

• Involving equitable staff participation


Nominal Group Steps


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


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


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


5. Preliminary Voting

• Rating Approach

• Ranking Approach

• “Dot” distribution


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


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

Nominal Group Technique

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