# Analytic Hierarchy Process

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2. To start the process, the steering committee defines the hierarchy for the problem. The Distribution of medicine is defined as the overarching Goal, the pre-defined criteria shown below and lastly the three available solutions are defined as the alternatives. Each alternative has to consider each criteria in the hierarchy level above. The hierarchy is shown in figure xx. | 2. To start the process, the steering committee defines the hierarchy for the problem. The Distribution of medicine is defined as the overarching Goal, the pre-defined criteria shown below and lastly the three available solutions are defined as the alternatives. Each alternative has to consider each criteria in the hierarchy level above. The hierarchy is shown in figure xx. | ||

− | [[File:1_Hierarchy.png]] | + | [[File:1_Hierarchy.png]200px|thumb|left|alt text]] |

## Revision as of 21:17, 19 February 2018

## Contents |

## Abstract

**This will be written in the end**

## Introduction

### History

The Analytic hierarchy process is a multi-criteria decision making (MCDM) method (Ishizaka, 2009) utilized to analyse, solve and prioritize complex decision, by rating and comparing multiple criteria and scenarios against each other. It was Thomas Saaty, regarded as one of the pioneers of Operations research which developed the Analytic Hierarchy Process throughout the 1970s.

### The objective of the method

The Analytic Hierarchy Method compares criteria, or alternatives with respect to a criterion in a pairwise manner (Forman, Exposition). Each criteria and alternative is rated, based on a predetermined scale which has shown to capture individual preferences with respect to quantitative and qualitative attributes (Saaty 1980, 1994, “from Forman”). The Analytic Hierarchy Method has been acknowledged for combining psychology and mathematics well in decision making (rewrite and find reference).

## Methodology

### A step-by-step approach

When applying the Analytic Hierarchy Process to a multi-criteria decision, there are some basic pre-defined steps that should be followed:

#### Define the Problem

The decision making should be driven by a stated problem. The problem should be well defined and the objectives of the problem should be broadened to consider all actors, objectives and possible outcomes (Vaidy&Kumar, p2). All criteria that influence the solution, the chosen outcome, are then to be identified.

#### Define the Problem Hierarchy

The factors which effect the final decision are then arranged in an hierarchic structure. This serves two purposes:

1. It helps to structure the problem and thereby understanding the complex relations between all considered factors.

2. It helps the decision maker to visually assess whether the issues stated in each level in the hierarchy are at the same level of importance and magnitude. This is important so factors can be considered accurately and of similar manner.

The hierarchy is sorted from the overarching goal at the top, to criteria and eventual sub-criteria, and then lastly the possible alternatives that are to be considered. (saaty, 2002)

#### Pairwise comparison

Pairwise comparison of attributes on each level based with a numerical rating, based on a pre-defined scale. Comparison matrices are constructed for each set of pairwise comparisons. This requires n(n-1)/2 comparisons, n defined as the number of attributes in consideration on each level. The rating scale for the pairwise comparison goes from 1 to 9, where if attribute A is of equal importance to attribute B, it receives a rating of 1. If attribute A is of absolute more importance than B, it receives a rating of 9. Likewise, if attribute A is considered absolutely more important than B, than attribute B should be rated with the reciprocal rating of A.

#### Calculate the Goal Priority

iv. Based on the comparison matrices for each set, the priorities are obtained and utilized to weigh the priorities in the level below in the hierarchy. For each attribute, calculate the weighted value and obtain the overall global priority for the overarching goal.

#### Consider how consistent the ratings are

v. After obtaining the main global priority for the overarching goal, it is important to consider how reliable the ratings are. The ratings are a pairwise comparison and can be subjectively bias, as they are based on individual or group perspectives towards each criteria. In psychology subjective bias is typically defined as Confirmation Bias, generally defined as the interpretation of evidence which is partial to ones existing beliefs and expectations. This bias can affect the overall solution, with certain criteria or alternatives weighing to much and thereby affecting the rating consistency (confirmation bias reference).

To address this, a consistency ratio is calculated utilizing a framework and a consistency index (CI) put forward by Saaty (1997). (Ishizaka&Labib, 2009, p5). A Principal Eigen Value is calculated, based on the global priority for each attribute. The sum of the Principal Eigen Values for all attributes are accumulated and divided with n, the number of attributes in the given hierarchy level. This gives a certain Inconsistency level. This Inconsistency level is then compared to the Consistency Index as proposed by Saaty, which is defined for each matrix of size n. The numerical value for each matrix of size n in the Consistency Index, has been calculated based on large samples of random matrices and the consistency indices of those matrices (Ch 1, AHP, p3). A Consistency Ratio is calculated, by dividing the Inconsistency level with the appropriate Consistency Index. If the Consistency Ratio is less than 0.1 (10%) than the matrix can be considered as being consistent. (Ishizaka, p5). If it is higher than 10% it is advised to reconsider the attribute rating to achieve consistent measures.

#### Perform a Sensitivity Analysis

vi. Lastly, it is advised to perform a sensitivity analysis to observe the impact of modifying the input data towards the results. This is done by modifying the ranking of individual criteria as well the criteria weight towards the possible alternatives. If the global priority rank does not change, the results are considered to be robust. (Ishizaka, p 7).

### Example of utilizing the Analytical Hierarchy Process

For better understanding of the Analytical Hierarchy Process an example has been made for better understanding of the practical usage of the method. The example is derived from the theory, but created by the author of the article and based on a fictional case. The example is to consider improved scenarios for the medicinal distribution within a hospital.

#### Decision Background

A consultant team has proposed two new solutions to improve the efficiency, quality and cost of distributing medicine towards the patients within a hospital. The hospital has a low level of technology, minimal usage of IT systems and the medicinal storage is spread out throughout the hospital.

The first solution proposes to implement a new IT solution, a so called ERP system, for improved quality and management of medicine. It is considered relatively investment light and easy to implement, but with low cost improvements. This solution will be referred to as the New ERP System solution.

The second solution proposes to radically change the storage solutions within the hospital. All storage units are to be combined in one large stocking area, with improved distribution combined with smaller stock supermarket solutions and distribution medicinal runners, which fill up the supermarkets daily. An all new ERP solution is proposed as a part of the solution. This solution has been simulated and showcases improved cost, efficiency and quality of distribution. It does though need considerable investment and it is harder to implement.

The two scenarios are to be proposed towards a steering committee within the hospital, which will have to decide what they want to do. The current state is also an option. The steering committee will use the Analytical Hierarchy Process (AHP) method to decide between the solutions.

The consultant team has proposed the following criteria that have to be considered when choosing a future solution:

a. Quality (quality of medicine distribution towards patience) b. Ease of Implementation (Easiness of implementing new solution) c. Investment (Cost of initial Investment) d. Direct Cost (Reduced cost of operations) e. Technology Usage (State of the art technology usage) f. Stock Availability (Transperancy of stock availability) g. Efficiency (Efficiency in terms of daily operations)

#### Define the Problem Hierarchy

2. To start the process, the steering committee defines the hierarchy for the problem. The Distribution of medicine is defined as the overarching Goal, the pre-defined criteria shown below and lastly the three available solutions are defined as the alternatives. Each alternative has to consider each criteria in the hierarchy level above. The hierarchy is shown in figure xx.

[[File:1_Hierarchy.png]200px|thumb|left|alt text]]