> Larry wrote: > so you're saying it ain't broke so don't fix it ... cherry pick the best from > them to create a better coverage system that is suited to the US. >
I'm explicitly saying US healthcare is broken and needs to be fixed. However I'm saying we can't simply cherry pick things. I'm in full agreement with Judah's Dr. Berwick: rather than cherry pick I think: (1.) We need to agree on core principles first. This will set our "final-state vision" and may will involve cherry picking of *principles* rather than systems. (2.) We need to do a complete current-state systems assessment of the US. (3.) We need to do a functional decomposition of both the current-state and final-state. (4.) We need to do a people, process, and technology map to the decomps (5.) We need to do a gap analysis between the decomps. (6.) We need to conduct an options analysis on a migration plan that includes impact assessments for each stakeholder and constituent group. (7.) We need to design a communications plan to gain agreement on the best option(s) that meet our principles - this is the political process. (8.) We need to design a funding plan for those options and iterate our options analysis. (you do it this way to keep the negotiation from becoming positional) (9) We need to design the final transition staging plan including an impact assessment for all stakeholders and we need to clearly communicate that impact to set expectations. The plan needs to include sufficiently granular staging such that backout and freezing is fast and easy. (10.) We need to secure end-to-end funding and project teams, including a variance process with pre-set principles, and execute. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~| Adobe® ColdFusion® 8 software 8 is the most important and dramatic release to date Get the Free Trial http://ad.doubleclick.net/clk;207172674;29440083;f Archive: http://www.houseoffusion.com/groups/cf-community/message.cfm/messageid:289145 Subscription: http://www.houseoffusion.com/groups/cf-community/subscribe.cfm Unsubscribe: http://www.houseoffusion.com/cf_lists/unsubscribe.cfm?user=89.70.5
