Table II

Process and methods

What works (or what is needed)What does not work
Comprehensive framework applying economic and ethical principles to ensure process is as fair as possible while simultaneously considering value within available resources (Mitton et al., 2014)Decision-makers not having budget authority over full spectrum of services, thus making systemwide reallocation or trade-offs challenging (Mitton and Donaldson, 2004)
Explicit criteria and formal proposal scoring tool, including clearly defined and weighted criteria to guide relative value trade-off decisions (Wilson et al., 2007). By measuring the expected impact of any possible trade-off with the criteria, an organization measures the extent to which a given trade-off moves it toward or away from its mission and objectivesBudgets that are simply a roll-over of the previous year, adjusted for cost increases and population changes, with no real assessment of relative value and ad hoc threshold ICER approaches
Transparency in the process of decision-making coupled with stakeholder engagement; both of these pieces are key drivers for process fairness, which in turn results in credible results that are acceptable to key stakeholders (Jan, 2003)A lack of transparency in regard to the actual elements that guide decisions and who influences the process and further a lack of support for process-based recommendations by those bearing the financial risk, leading to a lack of buy-in by politicians or higher-level decision-makers (Waldau, 2015)

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