I-CCFRT Scoring Summary: Please enter the total cumulative score for Section F and program requirement as listed below: Readiness Sections: Section F - Certification Requirements Total Cumulative Score: Program Requirement 1 Total Cumulative Score: Program Requirement 2 Total Cumulative Score: Program Requirement 3 Total Cumulative Score: Program Requirement 4 Total Cumulative Score: Program Requirement 5 Total Cumulative Score: Program Requirement 6 Total Cumulative Score Section F Total Section F Scores: SUMMARY: Total number of questions in Readiness Section F included in the I-CCFRT is 115 Total Maximum Score at level rating each is 575 “5” Total Minimum Score at level rating each is 115 “1” Total Average Score at an level rating is 345 average “3” A cumulative clinic-wide score of less than 300 will require significant change management process support to effect transformational changes needed. Section G Change Management/ Total Cumulative Score: Decision-Making SUMMARY: Total number of questions in practice management portion of the I-CCFRT is 10 Total Maximum Score at level rating each is 50 “5” Total Minimum Score at level rating each is 10 “1” Total Average Score at an level rating is 30 average “3” A cumulative clinic-wide score of less than 25 will require significant change management leadership support to implement and sustain transformational changes needed. Grand Total Cumulative Score Sections Grand Total All Section A G Scores: – A - G I-CCFRT Score and Change Management Priority Rating Sheet
I-CCFRT Scoring Summary: Please enter the total cumulative score for Section F and program requirement as listed below: Readiness Sections: Section F - Certification Requirements Program Requirement 1 Total Cumulative Score: Program Requirement 2 Total Cumulative Score: Program Requirement 3 Total Cumulative Score: Program Requirement 4 Total Cumulative Score: Program Requirement 5 Total Cumulative Score: Program Requirement 6 Total Cumulative Score: Total Cumulative Score Section F Total Section F Scores: SUMMARY: Total number of questions in Readiness Section F included in the I-CCFRT is 115 Total Maximum Score at “5” level rating each is 575 Total Minimum Score at “1” level rating each is 115 Total Average Score at an average “3” level rating is 345 A cumulative clinic-wide score of less than 300 will require significant change management process support to effect transformational changes needed. Section G Change Management/ Decision-Making Total Cumulative Score: SUMMARY: Total number of questions in practice management portion of the I-CCFRT is 10 Total Maximum Score at “5” level rating each is 50 Total Minimum Score at “1” level rating each is 10 Total Average Score at an average “3” level rating is 30 A cumulative clinic-wide score of less than 25 will require significant change management leadership support to implement and sustain transformational changes needed. Grand Total Cumulative Score Sections A - G Grand Total All Section A – G Scores: I-CCFRT Score and Change Management Priority Rating Sheet
FD2_I-CCBHC-Feasibility-and-Readiness-Assessment-E-FORM-12-8-15.docx