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Is there a problem? What do you observe that tells you so?
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Good response
We don't have good clinic records.
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Not-so good response
Providers are lazy.
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For further analysis, ask:
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Probe further to identify problem, ask:
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What's wrong with the records? Are they not filled out? Are they incomplete? Be more specific.
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What are they not doing? Can you be specific? What does that look like (can you describe it?)
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How will you know when the problem is solved? What will be different?
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Not-so good response
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Providers will be more effective. |
Probe further to identify problem, ask:
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What do you mean by more effective? What is it that makes them ineffective? What will it look like? |
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How general is the problem?
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- Where does it occur? (region, department)
- Is it restricted to a specific place/area?
- Is it the only place that it occurs?
- Where does it not occur?
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When is it a problem?
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- When does it occur? (every day, each instance, every 3 clients)
- Does it always occur at the same time?
- Is that the only time it occurs?
- When does it not occur?
- How long has it been happening?
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Who is the performer in question?
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- Is it a group of performers?
- What is the desired performance?
- What specifically is the performer doing wrong?
- What are other performers doing?
- Can you identify a performer that does it correctly? (desired performance)
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Good response
Desired Performance
Answers client's questions or refers client to doctor.
Actual Performance
Does not answer client's questions.
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Not-so good response
Desired Performance
Makes clients feel good.
Actual Performance
Has poor attitude towards client.
Probe: What do these statements mean?
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Is this problem important?
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- Does the problem affect:
- Quality?
- Cost?
- Timeliness?
- Quantity?
- How does the outcome compare with other organizations?
- Is the 'poor performance' similar across the region? Sector?
- When compared with other countries or organizations, does it still stand out as a problem?
- Is it worth the cost of 'fixing it'?
- How much does it cost the organization? In money? In lives?
- Are there other problems that, when fixed, can reap greater benefit?
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This question must be answered by the key stakeholders:
Is this problem worth pursuing?
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