Project Management Institute 02 18 10

T SAINTVINCENT

The Project Management Institute

Project Management in a Healthcare Environment

Mark Kresse, PT, FACHEFebruary 18, 2010

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…

1.What types of projects are managed within hospitals and health care organizations?

2.Who are the key stakeholders and how are their relationships managed?

3.In what other ways is project management in a health care environment unique?

4.Tools?

Project TypesFacilities•Campus-building•New construction •Renovation

From design through construction, outfitting and inauguration

Project TypesInformation systems & technology•Network infrastructure •Electronic medical records•Long-term record archiving•Disaster recovery•Telemedicine

Project TypesHealth care services•New medical services (e.g. urgent care center, cardiac CT)

Project TypesHealth care services•New medical services (e.g. urgent care center, cardiac CT)•Provider recruitment (physicians, mid-level providers, etc.)

Project TypesHealth 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 TypesAdministrative projects•Patient safety projects (e.g. medication reconciliation)

Project TypesAdministrative projects•Patient safety projects (e.g. medication reconciliation)•Evidence-based practice implementation

“comparative-effectiveness analysis”

Project Types

Project TypesMixed 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

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

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

• 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

• Strong executive champion for overall project management or specific projects

• Key medical staff/physician support

• 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

TIf you build it, they will come…

T SAINTVINCENT

Mark Kresse, PT, FACHEmkresse@svhs.org

814/452-7888

Project Management Institute 02 18 10

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