The start of any change in a process should start with evaluating how the current process is no longer working. As the old adage goes, "don't fix what's not broken." If the current process is not working, then moving to something improved makes sense. The things you would want to identify are what is not working and what is the least amount of change that needs to be made in order for the process to be effective. A good argument could be made for wanting to know if the new process will be more cast effective. Making any changes can be costly so if the process is not going to be improved, it may not be cost effective to proceed. Other things to consider are: Will the change affect job satisfaction or patient satisfaction when implemented? How much training will it involve? Who will oversee the change to be made and verify it is being done correctly? Anything short of comparing the current process with what it will be changed to is grossly negligent on the part of the person or entity that is insisting it be done. My argument would be that negligence often falls on the shoulders of those who have to do the changing and not the ones wanting it done