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Diagnosis
Prescription
Implementation

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Prescription
 

In the Prescription Phase, specific and detailed steps are developed for each identified problem or problem cluster. This information is then synthesized into an Implementation Plan consisting of an effective action blue print integrated into an estimated timeline. The purpose of detailed written information at this stage of the engagement is to provide the opportunity for the client to decide how to proceed. If a client feels that the first two phases have provided sufficient data for the project to be completed internally, and there are sufficient resources to implement the plan, then the engagement is finished from the perspective of Mentat Systems Inc. If there are inadequate resources for the client to proceed with an internally managed implementation, transition to the Implementation Phase is initiated.

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Healthcare Costs
The operational efficiency side of the “Drivers of Cost” diagram (A) demonstrates the traditional areas available for reduction during the classic reengineering effort. The problem is that approximately 70% of the expenses are controlled by actions of the physician staff and those activities reside on the clinical efficiency (B) side of the equation. It is quite possible to reduce the right side of the equation to a point of non-viability without reaching an appropriate level of expense reduction. It is clear that management of the physicians is key to changing the efficiency of operations within the system, but there are significant obstacles to the success of that approach. With enumeration of a few basic concepts, we hope that the approach to medical staff management might start to emerge from the “hit or miss” arena…
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