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

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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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