® Medical Group Management Association ACMPE FELLOWSHIP CASE STUDY OUTLINE APPROVAL FORM Name: _________________________________ Team #: ____________________ Grader #: ______________ Date: __________________________________ Title: ____________________________________________ In addition to content, all case study outlines are evaluated on presentation. Please review the following points before submitting your outlines: I. Presentation qThe outline is well organized, with a logical flow. qThere is adequate documentation of the decision process. qThe writing is clear, vocabulary is appropriate for the audience and all terminology and acronyms are defined. qThe sentence structure, punctuation and spelling are correct. qIt is written in an objective and impartial manner, using third-person narrative. qIt is clear what other managers will learn from this case study. II. Manuscript Title qThe title is succinct, to the point and effective. Introduction qClearly states the problem or situation faced. qClearly states why corrective action was needed. qClearly explains what might happen if the situation is not corrected. Alternatives considered qDescribes actions taken to arrive at the alternative solutions considered (for example, literature searches conducted, who was involved in researching the alternatives or finding the possible solution, meetings held or attended). qClearly lists ALL of the possible alternatives that were considered. qIncludes a brief description of the advantages and disadvantages for each alternative. Advancing Leaders. Advancing Practices.TM 104 Inverness Terrace East Englewood, CO 80112 T 303.799.1111 F 303.784.6110 mgma.org ® Medical Group Management Association Chosen solution qPresents a detailed list of procedures used to choose the particular solution, for example: — Who was involved? — What were all of the factors considered? — What process was used to reach the decision? — Why was that particular solution chosen? qPresents a detailed list indicating how the solution was implemented, for example: — Who was in charge of implementing the solution and overseeing the process? — What was the step-by-step process? — What was the time frame involved? Lessons learned qPresents a brief summary and list of findings, for example: ­ — What was the effect on personnel, workloads, process flow and financials? — In hindsight, would a different solution have worked any better? — Did the solution produce the expected outcome? — If the process were to be done over again, what would be done differently? Optional qWhat recommendations would you offer other managers, based on the outcome of this case study? (Although this is optional, it strengthens the case study.) III. Recommendation (check one) (If revisions are needed or if the outline rejected, list specifics below.) qAccept in present form qAccept, with minor revisions, as noted below — Grader comments required _____________________________________________________________________________________ _____________________________________________________________________________________ qResubmit, major revisions needed as noted below — Grader comments required _____________________________________________________________________________________ _____________________________________________________________________________________ qReject, topic unacceptable, see comments below — Grader comments required _____________________________________________________________________________________ _____________________________________________________________________________________ CASE STUDY OUTLINE APPROVAL FORM | 3 ® Medical Group Management Association Problem areas and recommendations for improvement (Please identify specific problem areas and revisions needed for the author to receive a passing grade.) _____________________________________________________________________________________ _____________________________________________________________________________________ qEditing Required (Please explain why this is needed and include examples if necessary.) _____________________________________________________________________________________ _____________________________________________________________________________________ qRefer to Mentor Team for Assistance (Please explain why this author needs mentor assistance.) _____________________________________________________________________________________ _____________________________________________________________________________________ qOutside Technical Review Required — Submission contains legal implications or other technical subject matter (for example, clinical) that is beyond my ability to evaluate or verify. (Please explain why this outline needs special review.) _____________________________________________________________________________________ _____________________________________________________________________________________ General Comments _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ CASE STUDY OUTLINE APPROVAL FORM | 4