Dental VA Failure Diagnostic Checklist

Immediate gate

• No suspected privacy or security breach
• No deliberate concealment or falsified work
• No unexplained disappearance or prohibited access behavior
• If conduct is suspected, access and evidence have been secured and professional advice obtained where needed

Timing and fairness

• The person has had enough normal ramp time to judge the affected workflow
• The review accounts for migrations, staff departures, or other unusual disruption
• Expected output and quality were written
• The person received a usable procedure
• Decision rights and escalation rules were clear
• Specific corrective feedback was given more than once
• A manager had time and responsibility to support the role

Cause test

• We answered: “Would a different person succeed in this same setup?”
• Current scope was compared with the original agreement
• Work volume was compared with contracted hours and capacity
• Provider staffing, availability, training, and management claims were checked
• Repeated tasks were assessed for process redesign or automation

Working diagnosis

Primary cause: expectation / process / provider / person / solution choice

Evidence: ______

What would disprove this diagnosis: ______

Lowest-cost reversible response: fix / re-scope / replace / switch / change channel / automate / internalize

Decision owner and date: ______