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      81. What happens if Health IT’s scope changes?

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      82. How do you manage scope?

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      83. What intelligence can you gather?

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      84. Does the scope remain the same?

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      85. Has a Health IT requirement not been met?

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

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      87. What is out of scope?

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

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

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      90. What was the context?

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      91. Will a Health IT production readiness review be required?

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      92. What sources do you use to gather information for a Health IT study?

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

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

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      95. When is/was the Health IT start date?

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      96. How are consistent Health IT definitions important?

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

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      99. What is the scope of the Health IT effort?

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      100. 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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      101. How did the Health IT manager receive input to the development of a Health IT improvement plan and the estimated completion dates/times of each activity?

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      102. Do you have a Health IT success story or case study ready to tell and share?

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      103. Are accountability and ownership for Health IT clearly defined?

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

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

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      106. Has your scope been defined?

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      107. Who are the Health IT improvement team members, including Management Leads and Coaches?

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      108. Are required metrics defined, what are they?

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      109. Do you all define Health IT in the same way?

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      110. What are the core elements of the Health IT business case?

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

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      112. What is in scope?

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      113. How do you gather the stories?

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      114. Is Health IT currently on schedule according to the plan?

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      115. What is the definition of success?

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      116. How do you catch Health IT definition inconsistencies?

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      117. The political context: who holds power?

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

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

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      120. Is scope creep really all bad news?

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

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      122. Can a practice work with more than one health IT vendor to meet the requirements of the model?

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      123. What is the context?

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      124. Is the Health IT scope manageable?

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      125. Where can you gather more information?

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      126. Is special Health IT user knowledge required?

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      127. Are there different segments of customers?

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      128. What defines best in class?

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      129. What are the dynamics of the communication plan?

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

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      131. How does the Health IT manager ensure against scope creep?

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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 Health IT Index at the beginning of the Self-Assessment.

      CRITERION #3: MEASURE:

      INTENT: Gather the correct data. Measure the current performance and evolution of the situation.

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

      5 Strongly Agree

      4 Agree

      3 Neutral

      2 Disagree

      1

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