OPS.19:4.5 - Construct materially different operating alternatives

Compare the current arrangement with at least one alternative that changes the decision. Include bounded continuation, reconfiguration, defer or hold, and stop only where each is feasible and materially different. Do not rename the same arrangement or vary only its presentation.

For every alternative, expose where it moves delay, burden, evidence risk, cash need, service exposure, quality risk, or recovery cost. Ask which participant or operating scope receives that moved consequence and whether the required condition or authority is current there.

Preserve protected conditions before seeking a local gain. An alternative that requires unavailable access, unsupported overtime, missing clinical authority, consumed incident margin, or evidence from the wrong configuration is not yet feasible. Return the exact missing result instead of treating the alternative as available.