Читать книгу Managed Health Care A Complete Guide - 2020 Edition - Gerardus Blokdyk - Страница 8
ОглавлениеCRITERION #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. How do you manage scope?
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2. What system do you use for gathering Managed health care information?
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3. What are (control) requirements for Managed health care Information?
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4. What Managed health care services do you require?
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5. What sort of initial information to gather?
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6. Who is gathering Managed health care information?
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7. When is/was the Managed health care start date?
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8. How often are the team meetings?
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9. Has a team charter been developed and communicated?
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10. What is the scope?
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11. How will the Managed health care team and the group measure complete success of Managed health care?
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12. What are the Managed health care use cases?
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13. Is Managed health care required?
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14. What is the scope of Managed health care?
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15. Is the current ‘as is’ process being followed? If not, what are the discrepancies?
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16. Has the Managed health care 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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17. Is the team adequately staffed with the desired cross-functionality? If not, what additional resources are available to the team?
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18. How do you gather Managed health care requirements?
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19. In what way can you redefine the criteria of choice clients have in your category in your favor?
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20. Are roles and responsibilities formally defined?
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21. What is the definition of success?
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22. How have you defined all Managed health care requirements first?
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23. What is in the scope and what is not in scope?
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24. Is there any additional Managed health care definition of success?
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25. How do you gather the stories?
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26. Is the scope of Managed health care defined?
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27. How do you gather requirements?
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28. Who defines (or who defined) the rules and roles?
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29. Are different versions of process maps needed to account for the different types of inputs?
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30. Is there a Managed health care management charter, including stakeholder case, problem and goal statements, scope, milestones, roles and responsibilities, communication plan?
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31. Does the team have regular meetings?
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32. What Managed health care requirements should be gathered?
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33. How do you think the partners involved in Managed health care would have defined success?
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34. Are there different segments of customers?
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35. How do you manage changes in Managed health care requirements?
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36. What customer feedback methods were used to solicit their input?
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37. Is the Managed health care scope manageable?
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38. What is a worst-case scenario for losses?
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39. Is there a clear Managed health care case definition?
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40. How do you manage unclear Managed health care requirements?
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41. Have all of the relationships been defined properly?
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42. What defines best in class?
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43. Has the improvement team collected the ‘voice of the customer’ (obtained feedback – qualitative and quantitative)?
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44. What baselines are required to be defined and managed?
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45. Is scope creep really all bad news?
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46. Are approval levels defined for contracts and supplements to contracts?
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47. What intelligence can you gather?
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48. Has a Managed health care requirement not been met?
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49. How was the ‘as is’ process map developed, reviewed, verified and validated?
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50. What are the Managed health care tasks and definitions?
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51. What is out of scope?
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52. Are audit criteria, scope, frequency and methods defined?
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53. Has a high-level ‘as is’ process map been completed, verified and validated?
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54. Is the Managed health care scope complete and appropriately sized?
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55. Does the scope remain the same?
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56. Have the customer needs been translated into specific, measurable requirements? How?
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57. What are the requirements for audit information?
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58. Do the problem and goal statements meet the SMART criteria (specific, measurable, attainable, relevant, and time-bound)?
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59. Do you have organizational privacy requirements?
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60. What happens if Managed health care’s scope changes?
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61. Is special Managed health care user knowledge required?
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62. How do you catch Managed health care definition inconsistencies?
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63. How is the team tracking and documenting its work?
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64. Are resources adequate for the scope?
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65. How would you define Managed health care leadership?
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66. What are the dynamics of the communication plan?
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67. Are the Managed health care requirements testable?
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68. What is the definition of Managed health care excellence?
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69. If substitutes have been appointed, have they been briefed on the Managed health care goals and received regular communications as to the progress to date?
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70. Who are the Managed health care improvement team members, including Management Leads and Coaches?
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71. What is out-of-scope initially?
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72. Are there any constraints known that bear on the ability to perform Managed health care work? How is the team addressing them?
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73. What are the Roles and Responsibilities for each team member and its leadership? Where is this documented?
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74. What would be the goal or target for a Managed health care’s improvement team?
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75. Is the work to date meeting requirements?
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76. How and when will the baselines be defined?
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77. What specifically is the problem? Where does it occur? When does it occur? What is its extent?
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78. What are the core elements of the Managed health care business case?
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79. What information do you gather?
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80. Has everyone on the team, including the team leaders, been properly trained?
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81. Is Managed health care linked to key stakeholder goals and objectives?
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82. What are the tasks and definitions?
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83. Are task requirements clearly defined?
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84. What are the compelling stakeholder reasons for embarking on Managed health care?
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85. Has your scope been defined?
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86. Have all basic functions of Managed health care been defined?
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87. What scope do you want your strategy to cover?
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88. When is the estimated completion date?
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89. What knowledge or experience is required?
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90. How would you define the culture at your organization, how susceptible is it to Managed health care changes?
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91. Why are you doing Managed health care and what is the scope?
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92. 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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93. The political context: who holds power?
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94. Has/have the customer(s) been identified?
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95. When are meeting minutes sent out? Who is on the distribution list?
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96. Are accountability and ownership for Managed health care clearly defined?
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97. What is in scope?
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98. How did the Managed health care manager receive input to the development of a Managed health care improvement plan and the estimated completion dates/times of each activity?
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99. Will a Managed health care production readiness review be required?
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100. Is there a completed, verified, and validated high-level ‘as is’ (not ‘should be’ or ‘could be’) stakeholder process map?
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101. Do you have a Managed health care success story or case study ready to tell and share?
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102. Are all requirements met?
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103. Is there a completed SIPOC representation, describing the Suppliers, Inputs, Process, Outputs, and Customers?
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104. Where can you gather more information?
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105. What are the rough order estimates on cost savings/opportunities that Managed health care brings?
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106. What was the context?
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107. Have specific policy objectives been defined?
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108. Has a project plan, Gantt chart, or similar been developed/completed?
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109. How does the Managed health care manager ensure against scope creep?
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110. What are the record-keeping requirements of Managed health care activities?
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111. What is the worst case scenario?
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112. Are required metrics defined, what are they?
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113. What gets examined?
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114. How will variation in the actual durations of each activity be dealt with to ensure that the expected Managed health care results are met?
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115. What constraints exist that might impact the team?
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116. Is Managed health care currently on schedule according to the plan?
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117. Are the Managed health care requirements complete?
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118. Who is gathering information?
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119. What key stakeholder process output measure(s) does Managed health care leverage and how?
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120. How do you build the right business case?
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121. Do you all define Managed health care in the same way?
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122. 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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123. Is there a critical path to deliver Managed health care results?
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124. Scope of sensitive information?
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125. 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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126. Has the direction changed at all during the course of Managed health care? If so, when did it change and why?
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127. What information should you gather?
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128. What is the context?
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129. How do you keep key subject matter experts in the loop?
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130. 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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131. How do you hand over Managed health care context?
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132. Is it clearly defined in and to your organization what you do?
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133. What critical content must be communicated – who, what, when, where, and how?
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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 care Index at the beginning of the Self-Assessment.