S
AIN
TV
INC
EN
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
S
AIN
TV
INC
EN
T
Rule #1: Know your audience
• Current work environments?– Manufacturing– Healthcare– Government– Other Services
• Interest in the health care environment?
S
AIN
TV
INC
EN
T
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?
S
AIN
TV
INC
EN
T
Project TypesFacilities•Campus-building•New construction •Renovation
From design through construction, outfitting and inauguration
S
AIN
TV
INC
EN
T
Project TypesInformation systems & technology•Network infrastructure •Electronic medical records•Long-term record archiving•Disaster recovery•Telemedicine
S
AIN
TV
INC
EN
T
Project TypesInformation systems & technology•Network infrastructure •Electronic medical records•Long-term record archiving•Disaster recovery•Telemedicine
S
AIN
TV
INC
EN
T
Project TypesHealth care services•New medical services (e.g. urgent care center, cardiac CT)
S
AIN
TV
INC
EN
T
Project TypesHealth care services•New medical services (e.g. urgent care center, cardiac CT)•Provider recruitment (physicians, mid-level providers, etc.)
S
AIN
TV
INC
EN
T
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)
S
AIN
TV
INC
EN
T
Project TypesAdministrative projects•Patient safety projects (e.g. medication reconciliation)
S
AIN
TV
INC
EN
T
Project TypesAdministrative projects•Patient safety projects (e.g. medication reconciliation)•Evidence-based practice implementation
“comparative-effectiveness analysis”
S
AIN
TV
INC
EN
T
Project Types
S
AIN
TV
INC
EN
T
Project TypesMixed projects•New services that involve facilities, information systems, medical services and administrative aspects
S
AIN
TV
INC
EN
T
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
S
AIN
TV
INC
EN
T
Stakeholder Relationships
Macro -•Purchasers – groups which aggregate healthcare products and services for distribution•Producers – providers of drugs and devices used in health care services
S
AIN
TV
INC
EN
T
http://www.pmforum.org/library/papers/2009/PDFs/aug/FP-ShlichterThomas-HealthcarePM.pdf
S
AIN
TV
INC
EN
T
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?)
S
AIN
TV
INC
EN
T
Compare & Contrast• Legal and Regulatory Issues
• PA Department of Health• The Joint Commission• HIPAA• Third party payer contracts
S
AIN
TV
INC
EN
T
Compare & Contrast• Legal and Regulatory Issues
• PA Department of Health• The Joint Commission• HIPAA• Third party payer contracts
• Public reporting (hospitalcompare.com)
S
AIN
TV
INC
EN
T
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
S
AIN
TV
INC
EN
T
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
S
AIN
TV
INC
EN
T
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.
S
AIN
TV
INC
EN
T
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
S
AIN
TV
INC
EN
T
Provider Relationships
S
AIN
TV
INC
EN
T
Critical Success Factors• A well-defined strategic plan and
top-down leadership help set priorities
S
AIN
TV
INC
EN
T
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
S
AIN
TV
INC
EN
T
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
S
AIN
TV
INC
EN
T
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
S
AIN
TV
INC
EN
T
• Current project management communication tool?– MS Project– MS Excel– Other
S
AIN
TV
INC
EN
T
• 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
S
AIN
TV
INC
EN
TIf you build it, they will come…
S
AIN
TV
INC
EN
T
S
AIN
TV
INC
EN
T
S
AIN
TV
INC
EN
T
Recommended
