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The Project Management Institute Project Management in a Healthcare Environment Mark Kresse, PT, FACHE February 18, 2010 SAINT VINCENT Project Management Institute - Erie 02_18_10
Rule #1:  Know your audience Current work environments? Manufacturing Healthcare Government Other Services Interest in the health care environment?
Begin with the end in mind What types of projects are managed within hospitals and health care organizations? Who are the key stakeholders and how are their relationships managed? In what other ways is project management in a health care environment unique? Tools?
Project Types Facilities Campus-building New construction  Renovation  From design through construction, outfitting and inauguration
Project Types Information systems & technology Network infrastructure  Electronic medical records Long-term record archiving Disaster recovery Telemedicine
Project Types Information systems & technology Network infrastructure  Electronic medical records Long-term record archiving Disaster recovery Telemedicine
Project Types Health care services New medical services (e.g. urgent care center, cardiac CT)
Project Types Health care services New medical services (e.g. urgent care center, cardiac CT) Provider recruitment (physicians, mid-level providers, etc.)
Project Types Health care services New medical services (e.g. urgent care center, cardiac CT) Provider recruitment (physicians, mid-level providers, etc.) New equipment and/or procedures (e.g. hip resurfacing, least invasive valve surgery)
Project Types Administrative projects Patient safety projects (e.g. medication reconciliation)
Project Types Administrative projects Patient safety projects (e.g. medication reconciliation) Evidence-based practice implementation  comparative-effectiveness analysis
Project Types
Project Types Mixed projects New services that involve facilities, information systems, medical services  and  administrative aspects
Stakeholder Relationships Macro - Payers  - Government, businesses and individuals Fiscal intermediaries  - Insurers, HMOs, pharmacy benefits managers Providers   hospitals, integrated delivery networks, and individual clinics and physician practices
Stakeholder Relationships Macro - Purchasers   groups which aggregate healthcare products and services for distribution Producers   providers of drugs and devices used in health care services
http://www.pmforum.org/library/papers/2009/PDFs/aug/FP-ShlichterThomas-HealthcarePM.pdf
Stakeholder Relationships Micro - Board and executive administration Medical staff leadership and key physicians Nursing and other patient services Facilities management/construction Information technology/services Finance/patient accounting Purchasing/supply chain Legal/corporate compliance Community constituents External providers  physicians, other hospitals Department of Health (C.O.N. state?)
Compare & Contrast Legal and Regulatory Issues PA Department of Health The Joint Commission HIPAA Third party payer contracts
Compare & Contrast Legal and Regulatory Issues PA Department of Health The Joint Commission HIPAA Third party payer contracts Public reporting (hospitalcompare.com)
Compare & Contrast Legal and Regulatory Issues PA Department of Health The Joint Commission HIPAA Third party payer contracts Public reporting (hospitalcompare.com) Competitive landscape  like politics, health care is local
Compare & Contrast Legal and Regulatory Issues Public reporting Competitive landscape Who does project management? Strategic plan alignment? Organization-wide or department/ function specific? Health care providers do not receive training in project management during professional training
Provider Relationships One of the most daunting problems facing healthcare projects is the management of stakeholders and their competing interests.  Key constituents are often highly educated, with deeply embedded opinions about how processes should work.
Provider Relationships One of the most daunting problems facing healthcare projects is the management of stakeholders and their competing interests.  Key constituents are often highly educated, with deeply embedded opinions about how processes should work. Physician motivators * Pride Professionalism Profit *Peter Lund, MD  Erie Urologist, former President of PA Medical Society
Provider Relationships
Critical Success Factors A well-defined strategic plan and top-down leadership help set priorities
Critical Success Factors A well-defined strategic plan and top-down leadership help set priorities Strong executive champion for overall project management or specific projects
Critical Success Factors A well-defined strategic plan and top-down leadership help set priorities Strong executive champion for overall project management or specific projects Key medical staff/physician support
Critical Success Factors A well-defined strategic plan and top-down leadership help set priorities Strong executive champion for overall project management or specific projects Key medical staff/physician support Strong cooperation between departments supporting project implementation
Current project management communication tool? MS Project MS Excel Other
References http://www.pmforum.org/library/papers/2009/PDFs/aug/FP-ShlichterThomas-HealthcarePM.pdf http://www.pmforum.org/library/editorials/2009/PDFs/may/Editorial-Pells-PM-for-Hospitals.pdf http://www.rinergroup.com/default.aspx
If you build it, they will come
油
油
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Mark Kresse, PT, FACHE [email_address] 814/452-7888 SAINT VINCENT

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Project Management Institute 02 18 10

  • 1. The Project Management Institute Project Management in a Healthcare Environment Mark Kresse, PT, FACHE February 18, 2010 SAINT VINCENT Project Management Institute - Erie 02_18_10
  • 2. Rule #1: Know your audience Current work environments? Manufacturing Healthcare Government Other Services Interest in the health care environment?
  • 3. Begin with the end in mind What types of projects are managed within hospitals and health care organizations? Who are the key stakeholders and how are their relationships managed? In what other ways is project management in a health care environment unique? Tools?
  • 4. Project Types Facilities Campus-building New construction Renovation From design through construction, outfitting and inauguration
  • 5. Project Types Information systems & technology Network infrastructure Electronic medical records Long-term record archiving Disaster recovery Telemedicine
  • 6. Project Types Information systems & technology Network infrastructure Electronic medical records Long-term record archiving Disaster recovery Telemedicine
  • 7. Project Types Health care services New medical services (e.g. urgent care center, cardiac CT)
  • 8. Project Types Health care services New medical services (e.g. urgent care center, cardiac CT) Provider recruitment (physicians, mid-level providers, etc.)
  • 9. Project Types Health care services New medical services (e.g. urgent care center, cardiac CT) Provider recruitment (physicians, mid-level providers, etc.) New equipment and/or procedures (e.g. hip resurfacing, least invasive valve surgery)
  • 10. Project Types Administrative projects Patient safety projects (e.g. medication reconciliation)
  • 11. Project Types Administrative projects Patient safety projects (e.g. medication reconciliation) Evidence-based practice implementation comparative-effectiveness analysis
  • 13. Project Types Mixed projects New services that involve facilities, information systems, medical services and administrative aspects
  • 14. Stakeholder Relationships Macro - Payers - Government, businesses and individuals Fiscal intermediaries - Insurers, HMOs, pharmacy benefits managers Providers hospitals, integrated delivery networks, and individual clinics and physician practices
  • 15. Stakeholder Relationships Macro - Purchasers groups which aggregate healthcare products and services for distribution Producers providers of drugs and devices used in health care services
  • 17. Stakeholder Relationships Micro - Board and executive administration Medical staff leadership and key physicians Nursing and other patient services Facilities management/construction Information technology/services Finance/patient accounting Purchasing/supply chain Legal/corporate compliance Community constituents External providers physicians, other hospitals Department of Health (C.O.N. state?)
  • 18. Compare & Contrast Legal and Regulatory Issues PA Department of Health The Joint Commission HIPAA Third party payer contracts
  • 19. Compare & Contrast Legal and Regulatory Issues PA Department of Health The Joint Commission HIPAA Third party payer contracts Public reporting (hospitalcompare.com)
  • 20. Compare & Contrast Legal and Regulatory Issues PA Department of Health The Joint Commission HIPAA Third party payer contracts Public reporting (hospitalcompare.com) Competitive landscape like politics, health care is local
  • 21. Compare & Contrast Legal and Regulatory Issues Public reporting Competitive landscape Who does project management? Strategic plan alignment? Organization-wide or department/ function specific? Health care providers do not receive training in project management during professional training
  • 22. Provider Relationships One of the most daunting problems facing healthcare projects is the management of stakeholders and their competing interests. Key constituents are often highly educated, with deeply embedded opinions about how processes should work.
  • 23. Provider Relationships One of the most daunting problems facing healthcare projects is the management of stakeholders and their competing interests. Key constituents are often highly educated, with deeply embedded opinions about how processes should work. Physician motivators * Pride Professionalism Profit *Peter Lund, MD Erie Urologist, former President of PA Medical Society
  • 25. Critical Success Factors A well-defined strategic plan and top-down leadership help set priorities
  • 26. Critical Success Factors A well-defined strategic plan and top-down leadership help set priorities Strong executive champion for overall project management or specific projects
  • 27. Critical Success Factors A well-defined strategic plan and top-down leadership help set priorities Strong executive champion for overall project management or specific projects Key medical staff/physician support
  • 28. Critical Success Factors A well-defined strategic plan and top-down leadership help set priorities Strong executive champion for overall project management or specific projects Key medical staff/physician support Strong cooperation between departments supporting project implementation
  • 29. Current project management communication tool? MS Project MS Excel Other
  • 31. If you build it, they will come
  • 32.
  • 33.
  • 34.
  • 35. Mark Kresse, PT, FACHE [email_address] 814/452-7888 SAINT VINCENT