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CRITERION #2: DEFINE:

INTENT: Formulate the stakeholder problem. Define the problem, needs and objectives.

In my belief, the answer to this question is clearly defined:

5 Strongly Agree

4 Agree

3 Neutral

2 Disagree

1 Strongly Disagree

1. What are the Managed Health Services use cases?

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2. If substitutes have been appointed, have they been briefed on the Managed Health Services goals and received regular communications as to the progress to date?

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3. Are required metrics defined, what are they?

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4. What is the scope of the Managed Health Services effort?

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5. What sources do you use to gather information for a Managed Health Services study?

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6. Is Managed Health Services linked to key stakeholder goals and objectives?

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7. How do you hand over Managed Health Services context?

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8. Who is gathering Managed Health Services information?

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9. Is there regularly 100% attendance at the team meetings? If not, have appointed substitutes attended to preserve cross-functionality and full representation?

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10. Has anyone else (internal or external to the group) attempted to solve this problem or a similar one before? If so, what knowledge can be leveraged from these previous efforts?

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11. What are the dynamics of the communication plan?

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12. What is in scope?

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13. Is data collected and displayed to better understand customer(s) critical needs and requirements.

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14. Is there any additional Managed Health Services definition of success?

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15. Who approved the Managed Health Services scope?

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16. What information should you gather?

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17. How does the Managed Health Services manager ensure against scope creep?

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18. Is Managed Health Services currently on schedule according to the plan?

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19. Have the customer needs been translated into specific, measurable requirements? How?

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20. Is it clearly defined in and to your organization what you do?

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21. Is the Managed Health Services scope manageable?

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22. How will the Managed Health Services team and the group measure complete success of Managed Health Services?

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23. What scope to assess?

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24. What information do you gather?

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25. Has everyone on the team, including the team leaders, been properly trained?

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26. Is the team adequately staffed with the desired cross-functionality? If not, what additional resources are available to the team?

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27. What happens if Managed Health Services’s scope changes?

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28. Who are the Managed Health Services improvement team members, including Management Leads and Coaches?

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29. When are meeting minutes sent out? Who is on the distribution list?

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30. Is the Managed Health Services scope complete and appropriately sized?

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31. Do the problem and goal statements meet the SMART criteria (specific, measurable, attainable, relevant, and time-bound)?

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32. Are approval levels defined for contracts and supplements to contracts?

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33. Has a high-level ‘as is’ process map been completed, verified and validated?

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34. Is the team equipped with available and reliable resources?

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35. What are the core elements of the Managed Health Services business case?

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36. Who is gathering information?

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37. How do you build the right business case?

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38. What are the compelling stakeholder reasons for embarking on Managed Health Services?

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39. Are audit criteria, scope, frequency and methods defined?

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40. What is in the scope and what is not in scope?

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41. How and when will the baselines be defined?

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42. What are the record-keeping requirements of Managed Health Services activities?

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43. Is the improvement team aware of the different versions of a process: what they think it is vs. what it actually is vs. what it should be vs. what it could be?

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44. Has/have the customer(s) been identified?

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45. Are resources adequate for the scope?

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46. What are the rough order estimates on cost savings/opportunities that Managed Health Services brings?

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47. Has the direction changed at all during the course of Managed Health Services? If so, when did it change and why?

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48. Is scope creep really all bad news?

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49. How have you defined all Managed Health Services requirements first?

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50. Why are you doing Managed Health Services and what is the scope?

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51. Is the scope of Managed Health Services defined?

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52. What intelligence can you gather?

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53. What system do you use for gathering Managed Health Services information?

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54. Are accountability and ownership for Managed Health Services clearly defined?

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55. Are customer(s) identified and segmented according to their different needs and requirements?

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56. How can the value of Managed Health Services be defined?

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57. Do you all define Managed Health Services in the same way?

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58. What was the context?

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59. Are there any constraints known that bear on the ability to perform Managed Health Services work? How is the team addressing them?

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60. What defines best in class?

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61. How do you gather Managed Health Services requirements?

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62. Are all requirements met?

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63. Is there a critical path to deliver Managed Health Services results?

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64. What customer feedback methods were used to solicit their input?

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65. What are the Managed Health Services tasks and definitions?

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66. What is the scope of Managed Health Services?

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67. What is out-of-scope initially?

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68. Are the Managed Health Services requirements complete?

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69. What is the definition of Managed Health Services excellence?

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70. What is the worst case scenario?

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71. Scope of sensitive information?

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72. What Managed Health Services requirements should be gathered?

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73. When is/was the Managed Health Services start date?

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74. When is the estimated completion date?

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75. What are (control) requirements for Managed Health Services Information?

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76. What are the requirements for audit information?

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77. How did the Managed Health Services manager receive input to the development of a Managed Health Services improvement plan and the estimated completion dates/times of each activity?

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78. What specifically is the problem? Where does it occur? When does it occur? What is its extent?

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79. What is the context?

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80. Is there a clear Managed Health Services case definition?

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81. Who defines (or who defined) the rules and roles?

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82. What are the tasks and definitions?

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83. How will variation in the actual durations of each activity be dealt with to ensure that the expected Managed Health Services results are met?

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84. What is a worst-case scenario for losses?

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85. What constraints exist that might impact the team?

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86. In what way can you redefine the criteria of choice clients have in your category in your favor?

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87. How do you keep key subject matter experts in the loop?

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88. Do you have a Managed Health Services success story or case study ready to tell and share?

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89. What are the boundaries of the scope? What is in bounds and what is not? What is the start point? What is the stop point?

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90. What critical content must be communicated – who, what, when, where, and how?

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91. How was the ‘as is’ process map developed, reviewed, verified and validated?

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92. Are task requirements clearly defined?

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93. How are consistent Managed Health Services definitions important?

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94. Is special Managed Health Services user knowledge required?

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95. How would you define the culture at your organization, how susceptible is it to Managed Health Services changes?

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96. Has your scope been defined?

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97. What would be the goal or target for a Managed Health Services’s improvement team?

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98. Are there different segments of customers?

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99. How often are the team meetings?

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100. How do you catch Managed Health Services definition inconsistencies?

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101. Is the current ‘as is’ process being followed? If not, what are the discrepancies?

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102. How do you manage changes in Managed Health Services requirements?

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103. How do you manage unclear Managed Health Services requirements?

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104. Has the Managed Health Services work been fairly and/or equitably divided and delegated among team members who are qualified and capable to perform the work? Has everyone contributed?

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105. Is there a completed SIPOC representation, describing the Suppliers, Inputs, Process, Outputs, and Customers?

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106. What scope do you want your strategy to cover?

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107. How do you manage scope?

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108. Are roles and responsibilities formally defined?

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109. How do you think the partners involved in Managed Health Services would have defined success?

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110. Is Managed Health Services required?

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111. What are the Roles and Responsibilities for each team member and its leadership? Where is this documented?

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112. Are different versions of process maps needed to account for the different types of inputs?

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113. What gets examined?

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114. Does the team have regular meetings?

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115. What is the definition of success?

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116. Is there a completed, verified, and validated high-level ‘as is’ (not ‘should be’ or ‘could be’) stakeholder process map?

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117. Have all basic functions of Managed Health Services been defined?

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118. How do you gather the stories?

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119. Has the improvement team collected the ‘voice of the customer’ (obtained feedback – qualitative and quantitative)?

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120. Will a Managed Health Services production readiness review be required?

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121. What sort of initial information to gather?

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122. Is there a Managed Health Services management charter, including stakeholder case, problem and goal statements, scope, milestones, roles and responsibilities, communication plan?

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123. Do you have organizational privacy requirements?

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124. Has a Managed Health Services requirement not been met?

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125. Has a project plan, Gantt chart, or similar been developed/completed?

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126. Has a team charter been developed and communicated?

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127. How would you define Managed Health Services leadership?

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128. What Managed Health Services services do you require?

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129. What key stakeholder process output measure(s) does Managed Health Services leverage and how?

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130. What is the scope of the Managed Health Services work?

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131. How is the team tracking and documenting its work?

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132. Where can you gather more information?

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Add up total points for this section: _____ = Total points for this section

Divided by: ______ (number of statements answered) = ______ Average score for this section

Transfer your score to the Managed Health Services Index at the beginning of the Self-Assessment.

Managed Health Services A Complete Guide - 2020 Edition

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