Change Impact Analysis

Viewing as IDEL staff

Demo Vendor Contract Expansion

SAMP-2026-0001Under ReviewMajorScore 75/100Route: Executive Leadership

Impact analysis

Calculated from the submitted answers by fixed rules.

75/ 100

Major

Organization-level. Executive visibility before implementation.

Recommended review route
Executive Leadership
Highest individual impact identified
Major
What drove this score
How severely those areas are affected · Departments affected · How severely those groups are affected

Raised to 75 by an escalation rule

At least one affected area is rated Major. The weighted total was 52.1, which understates a change of this severity, so the rule sets a minimum.

Where the points came from

  • How many areas are affected6.8 / 15

    5 of the 11 listed areas were rated above N/A.

  • How severely those areas are affected12.0 / 15

    Across the 5 areas that were rated, the average is 2.4 on the Minor-to-Major scale. Areas marked N/A are excluded here — they are counted in the breadth dimension above.

  • Departments affected9.0 / 15

    3 of 5 departments were selected.

  • Operational categories affected3.8 / 10

    3 of the 8 operational categories were answered Yes.

  • How many stakeholder groups are affected3.8 / 10

    3 of the 8 stakeholder groups were rated above N/A.

  • How severely those groups are affected7.8 / 10

    Across the 3 groups that were rated, the average is 2.3 on the Minor-to-Major scale.

  • Compliance and risk position5.0 / 10

    Compliance review: yes. Risk assessment: yes. A completed risk assessment scores zero here — the points reflect what is outstanding.

  • Implementation complexity4.0 / 15

    Training yes, pilot no, rollback plan yes, 2 communication methods, go-live in 98 days.

This score reflects the breadth and severity of the structured impacts identified in the request. Written descriptions provide review context but do not directly change the score.

How this was calculated

Each dimension is scored against its own maximum and the eight are added together. Grid questions are read twice, once for breadth and once for severity, because those are different questions with different denominators:

  • Breadth counts rows marked N/A in the denominator. That is what makes a change touching one of eleven areas read as narrow, and a change touching eight read as wide.
  • Severity excludes them. One area hit as hard as possible is fully severe; it should not read as mild merely because the form lists eleven areas.

The highest individual impact identified above is a fact about the answers, not a second classification. Its role in the calculation is to trigger the escalation floors below.

Weighted total
52.1 / 100
After escalation floors
75.0 → displayed as 75
Classification bands
Minor below 50 · Moderate 5074 · Major 75 and above
Scoring version
change-impact-score-v1

Escalation rules that matched

  • At least one affected area is rated Major — sets a minimum of 75 (this one governs)
  • At least one stakeholder group is rated Major — sets a minimum of 75
  • A Major rating in a critical area — clinical care, patients, compliance, technology, or reporting — sets a minimum of 75

These weights are a draft. They were proposed for review and have not been approved as IDEL policy. Changing them produces a new scoring version, so past scores keep meaning what they meant when they were calculated.

Overview

Organization
Sample Health Network
Requestor
Sample Submitter
Role
Manager / Supervisor
Executive sponsor
Sample Operations Leader
Date submitted
Jul 9, 2026
Target go-live
Oct 15, 2026in 70 days
Departments impacted
Pharmacy, Finance, Administration
Rationale
Financial Performance, Strategic Initiative
Assigned reviewer
Sample Client Administrator

Description of change

Fictional demonstration record. Adds two suppliers to an existing arrangement, with new reconciliation and audit steps.

Affected areas

  • Billing / Revenue CycleModerate
  • TechnologyModerate
  • ComplianceMajor
  • FinanceMajor
  • Community PartnersModerate

Description of impact

New reconciliation steps, an expanded audit scope, and revised reporting.

Compliance and risk

Is a regulatory or compliance review required?
Yes
Has a Risk Assessment been completed?
Yes

Operational impact

  • Clinical CareNo
  • IT & DataYes
  • Finance & Revenue CycleYes
  • Patient Access & ExperienceNo
  • Workforce & StaffingNo
  • Operational & AdminYes
  • Equity & AccessNo
  • OtherNo

Stakeholders

  • ITModerate
  • LeadershipMajor
  • AdminModerate

Engagement strategy

Monthly review with finance and compliance.

Training, communication, and implementation

Training required
Yes
Training formats
Live Sessions
Communication methods
Announcement from leadership, Email update(s)
Pilot
No
Rollback plan
Yes
Target go-live
Oct 15, 2026

Review activity

  • Sample Client AdministratorJul 15, 2026, 9:30 AM

    Please confirm the audit sampling plan with compliance before the next review.

History

  1. DraftSample Submitter · Jul 2, 2026, 9:00 AM
  2. Draft → SubmittedSample Submitter · Jul 9, 2026, 11:30 AM
  3. Reviewer assignedSample Client Administrator · Jul 14, 2026, 9:00 AM
  4. Submitted → Under ReviewSample Client Administrator · Jul 14, 2026, 9:00 AM
  5. Comment addedSample Client Administrator · Jul 15, 2026, 9:30 AM

Workflow

Recommended next steps

For a Major change. Current status: Under Review.

  1. 1.Senior Executive Leadership review
  2. 2.Consider executive or board approval, as configured for this client
  3. 3.Confirm organization-wide timing and capacity
  4. 4.Complete the compliance and risk review
  5. 5.Confirm stakeholder, training, pilot, communication, and rollback plans
  6. 6.Review overlap with other Major changes in flight

These steps follow from the impact level. They are recommendations — the platform does not record any of them as complete, and none of them is an approval.

Established impact logic

The earlier reading, kept for continuity. The official classification is the impact score above.

Highest individual impact identified
Major
Recommended review route
Executive Leadership

How this was reached

  • Highest affected-area impact: Major.
  • Highest stakeholder impact: Major.
  • Overall impact is the higher of the two: Major.
  • Recommended review route: Executive Leadership. Overall impact: Major. This is a routing recommendation and does not record an approval decision.

Compliance and risk

  • Regulatory or compliance review required

    The requester indicated that a regulatory or compliance review is required before implementation.

Moderate areas
3
Major areas
2
Moderate stakeholders
2
Major stakeholders
1
Unresolved items
0
Days to go-live
98

These figures describe the answers; they are not a second classification. This request has one official classification, shown with the impact score above. The recommended route indicates who should review this change. It does not record that an approval has been given. Calculated by logic revision cia-logic-v1 from the answers as submitted.

IDEL internal

Client
Sample Health Network
Request id
req_sn_001
Template version
change-impact-analysis-v1
Submitted by (member)
mem_sn_submitter
Internal notes
0 on this request

This panel and every internal note are excluded from client responses by the serializer, not by this page.

Impact reference

Minor
Form update, scripting change — Department / Site Manager
Moderate
Workflow change across multiple departments — Operations Leader
Major
New service line, major EHR change — CEO / Board

Highest individual area rating: Major · Highest individual stakeholder rating: Major

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Supervisor Review ModeThis environment contains fictional demonstration data only.