Managed Health Care A Complete Guide - 2020 Edition. Gerardus Blokdyk

Managed Health Care A Complete Guide - 2020 Edition - Gerardus Blokdyk


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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


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