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      58. Consider your own Community Health Systems project, what types of organizational problems do you think might be causing or affecting your problem, based on the work done so far?

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      59. Does the problem have ethical dimensions?

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      60. Do you need to avoid or amend any Community Health Systems activities?

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      61. Who defines the rules in relation to any given issue?

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      62. What is the recognized need?

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      63. What needs to be done?

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      64. Do you recognize Community Health Systems achievements?

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      65. Will new equipment/products be required to facilitate Community Health Systems delivery, for example is new software needed?

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      66. What is the problem and/or vulnerability?

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      67. For your Community Health Systems project, identify and describe the business environment, is there more than one layer to the business environment?

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      68. What Community Health Systems capabilities do you need?

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      69. Whom do you really need or want to serve?

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      70. Are employees recognized or rewarded for performance that demonstrates the highest levels of integrity?

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      71. Looking at each person individually – does every one have the qualities which are needed to work in this group?

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      72. What problems are you facing and how do you consider Community Health Systems will circumvent those obstacles?

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      73. Will it solve real problems?

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      74. Are there regulatory / compliance issues?

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      75. Is it clear when you think of the day ahead of you what activities and tasks you need to complete?

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      76. Did you miss any major Community Health Systems issues?

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      77. Who should resolve the Community Health Systems issues?

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      78. How are training requirements identified?

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      79. To what extent does each concerned units management team recognize Community Health Systems as an effective investment?

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      80. What situation(s) led to this Community Health Systems Self Assessment?

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      81. Who else hopes to benefit from it?

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      82. Are there any specific expectations or concerns about the Community Health Systems team, Community Health Systems itself?

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      83. How do you recognize an objection?

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      84. Do you need different information or graphics?

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      85. What are the clients issues and concerns?

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      86. How do you assess your Community Health Systems workforce capability and capacity needs, including skills, competencies, and staffing levels?

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      87. How much are sponsors, customers, partners, stakeholders involved in Community Health Systems? In other words, what are the risks, if Community Health Systems does not deliver successfully?

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      88. Are you making progress on prevention?

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      89. How do you identify the kinds of information that you will need?

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      90. Are controls defined to recognize and contain problems?

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      91. What Community Health Systems coordination do you need?

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      92. What should be considered when identifying available resources, constraints, and deadlines?

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      93. What are your needs in relation to Community Health Systems skills, labor, equipment, and markets?

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      94. Do you know what you need to know about Community Health Systems?

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      95. Who needs budgets?

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      96. Where do you need to exercise leadership?

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      97. What prevents you from making the changes you know will make you a more effective Community Health Systems leader?

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      98. What does Community Health Systems success mean to the stakeholders?

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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 Community Health Systems Index at the beginning of the Self-Assessment.

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

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

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

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      4. Is the Community Health Systems scope manageable?

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      5. Has your scope been defined?

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

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      7. Are different versions

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