Problem Statement
Define As-Is, Desired State, and Gap
What is Problem Statement?
A Problem Statement is the foundation of every PIPS improvement project. It describes three things: the current state (As-Is), the desired state, and the measurable gap between them. A well-crafted problem statement is specific, measurable, and free of blame or assumed solutions. It grounds the team in shared reality before anyone proposes a fix.
When to Use It
- •At the start of every PIPS project — Step 1 always begins here
- •When a team senses a problem but has not yet defined it precisely
- •When stakeholders disagree about what the real issue is
- •When you need to justify an improvement effort with data
How to Use It: Step by Step
- 1
Describe the current state (As-Is)
Write what is happening right now, using observable facts and data. Avoid opinions, blame, or assumed causes. Example: "Payment posting takes an average of 4.2 business days."
- 2
Define the desired state
Write what the ideal outcome looks like, using the same metrics. Example: "Payment posting should complete within 1 business day."
- 3
Quantify the gap
Calculate the difference between As-Is and Desired using percentages, dollars, time, or error counts. Example: "The gap is 3.2 business days, affecting 1,200 payments per month."
- 4
Assess the impact
Document who is affected and what it costs the organization. Include financial, operational, and human impact where possible.
- 5
Validate with the team
Review the draft problem statement with all stakeholders. Confirm agreement before proceeding to root cause analysis in Step 2.
Example
Healthcare claims processing — Member ID mismatches
As-Is: 8.3% of pharmacy claims are rejected due to member ID mismatches, requiring manual correction by the claims team. Desired State: Member ID mismatch rate below 1%. Gap: 7.3 percentage points, affecting approximately 2,400 claims per month. Impact: Each manual correction takes 12 minutes, costing the team 480 hours per month and delaying medication delivery for affected members.
Pro Tips
- ✓Use SMART criteria: Specific, Measurable, Achievable, Relevant, Time-bound
- ✓Never include a solution in the problem statement — "We need a new system" is a solution, not a problem
- ✓Quantify in multiple dimensions: time, money, error rate, and customer impact
- ✓Start by having each team member independently write what they think the problem is — the differences are revealing
Facilitation Guide
Gather the team for a 60-minute session. Start with each person silently writing what they believe the problem is (5 min). Share and cluster similar statements (15 min). Draft a unified As-Is / Desired State / Gap statement together (20 min). Quantify the impact with available data (15 min). Close by confirming team agreement on the statement (5 min).
Other Tools in Step 1
Impact Assessment
Quantify the problem impact
List Reduction
Narrow a long list of candidate problems to a manageable shortlist through structured elimination
Weighted Voting
Prioritize options by distributing a fixed number of votes across candidates
Impact Metrics
Capture quantitative baseline metrics (financial cost, time wasted, defect rate, customer satisfaction) before improvement begins — enables ROI calculation in Step 6
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