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56. Who defines the rules in relation to any given issue?
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57. Why is this needed?
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58. Did you miss any major Quality in Health Care issues?
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59. Are there any specific expectations or concerns about the Quality in Health Care team, Quality in Health Care itself?
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60. Consider your own Quality in Health Care 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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61. What Quality in Health Care events should you attend?
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62. What needs to be done?
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63. Are problem definition and motivation clearly presented?
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64. Who are your key stakeholders who need to sign off?
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65. Does Quality in Health Care create potential expectations in other areas that need to be recognized and considered?
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66. Do you recognize Quality in Health Care achievements?
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67. To what extent would your organization benefit from being recognized as a award recipient?
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68. Who needs to know about Quality in Health Care?
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69. What prevents you from making the changes you know will make you a more effective Quality in Health Care leader?
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70. Is it clear when you think of the day ahead of you what activities and tasks you need to complete?
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71. Does the problem have ethical dimensions?
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72. What should be considered when identifying available resources, constraints, and deadlines?
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73. Is the need for organizational change recognized?
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74. What Quality in Health Care coordination do you need?
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75. How are you going to measure success?
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76. What are the stakeholder objectives to be achieved with Quality in Health Care?
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77. Where is training needed?
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78. How do you identify subcontractor relationships?
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79. Are controls defined to recognize and contain problems?
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80. Would you recognize a threat from the inside?
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81. Where do you need to exercise leadership?
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82. How do you assess your Quality in Health Care workforce capability and capacity needs, including skills, competencies, and staffing levels?
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83. Are employees recognized or rewarded for performance that demonstrates the highest levels of integrity?
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84. What information do users need?
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85. What activities does the governance board need to consider?
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86. What do you need to start doing?
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87. What is the problem or issue?
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88. What are the timeframes required to resolve each of the issues/problems?
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89. What resources or support might you need?
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90. What Quality in Health Care capabilities do you need?
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91. What are the minority interests and what amount of minority interests can be recognized?
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92. Is it needed?
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93. Is the quality assurance team identified?
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94. How are the Quality in Health Care’s objectives aligned to the group’s overall stakeholder strategy?
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95. Do you need to avoid or amend any Quality in Health Care activities?
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96. How many trainings, in total, are needed?
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97. Do you have/need 24-hour access to key personnel?
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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 Quality in Health Care 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 audit criteria, scope, frequency and methods defined?
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2. Is the Quality in Health Care scope complete and appropriately sized?
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3. Has a high-level ‘as is’ process map been completed, verified and validated?
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4. Has a team charter been developed and communicated?
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5. 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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6. What is the definition of success?
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7. Is the Quality in Health Care scope manageable?
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8. How often are the team meetings?
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9. Scope of sensitive information?