applications of project management in public health · 2015. 8. 26. · applications of project...
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![Page 1: Applications of Project Management in Public Health · 2015. 8. 26. · Applications of Project Management in Public Health Mohit Arora, MS, PMP mohit.arora@sph.cuny.edu . 8/26/2015](https://reader035.vdocument.in/reader035/viewer/2022071506/6126fceb1fa3894c3a2fb3e2/html5/thumbnails/1.jpg)
8/26/2015 Mohit Arora, MS, PMP
Applications of Project Management in Public Health
Mohit Arora, MS, PMP [email protected]
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8/26/2015 Mohit Arora, MS, PMP
Agenda
• Background – Definitions + Characteristics
• Case Studies – Application of PM techniques in Public Health
• Project Management Tools
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8/26/2015 Mohit Arora, MS, PMP
Background
Definitions + Characteristics
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8/26/2015 Mohit Arora, MS, PMP
Which of these is a project?
Managing the daily tasks of a community clinic
Periodically testing the quality of city water
Continuous surveillance of population health and disease outbreaks
Creating a public health educational Campaign
Icons made by Freepik from www.flaticon.com licensed by CC BY 3.0
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8/26/2015 Mohit Arora, MS, PMP
What is a Project?
“a temporary endeavor undertaken
to create a unique product, service, or result”
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8/26/2015 Mohit Arora, MS, PMP
Characteristics of Projects
• Unique purpose
• Temporary
• Requires resources
• Developed using progressive elaboration
• Involves uncertainty
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8/26/2015 Mohit Arora, MS, PMP
Managing the daily tasks of a community clinic
Periodically testing the quality of city water
Continuous surveillance of population health and disease outbreaks
Creating a public health educational Campaign
Which of these is a project? Icons made by Freepik from www.flaticon.com
licensed by CC BY 3.0
![Page 8: Applications of Project Management in Public Health · 2015. 8. 26. · Applications of Project Management in Public Health Mohit Arora, MS, PMP mohit.arora@sph.cuny.edu . 8/26/2015](https://reader035.vdocument.in/reader035/viewer/2022071506/6126fceb1fa3894c3a2fb3e2/html5/thumbnails/8.jpg)
8/26/2015 Mohit Arora, MS, PMP
Managing the daily tasks of a community clinic
Periodically testing the quality of city water
Continuous surveillance of population health and disease outbreaks
Creating a public health educational Campaign
Which of these is a project? Icons made by Freepik from www.flaticon.com
licensed by CC BY 3.0
![Page 9: Applications of Project Management in Public Health · 2015. 8. 26. · Applications of Project Management in Public Health Mohit Arora, MS, PMP mohit.arora@sph.cuny.edu . 8/26/2015](https://reader035.vdocument.in/reader035/viewer/2022071506/6126fceb1fa3894c3a2fb3e2/html5/thumbnails/9.jpg)
8/26/2015 Mohit Arora, MS, PMP
Examples of Public Health Projects
• A community health center creates an in-house lab to expedite test results and minimize testing cost
• A hospital develops a program to reduce readmission rates by identifying and monitoring high-risk patient discharges
• A research team develops a smart phone application to assist diabetics and performs usability and field testing
• A health department launches a maternal and child health wellness program
• A health research-funding agency designs and launches a new grant program
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8/26/2015 Mohit Arora, MS, PMP
Project constraints
Scope
Budget Schedule
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8/26/2015 Mohit Arora, MS, PMP
What is Project Management?
“the application of knowledge, skills, tools and techniques to project activities to meet project requirements”
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8/26/2015 Mohit Arora, MS, PMP
Role of a Project Manager
Scope
Schedule
Budget
Quality
Risk
Communication
Stakeholders
Procurement
Human Resources
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8/26/2015 Mohit Arora, MS, PMP
Case Studies
Application of PM techniques in Public Health
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8/26/2015 Mohit Arora, MS, PMP
NYC preventing teenage pregnancy campaign
Risk management
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8/26/2015 Mohit Arora, MS, PMP
NYC preventing teenage pregnancy campaign
• Public education campaign targeting teenage pregnancy
• Two years - $400,000
• Offended several groups including Planned Parenthood of New York City
– Stigmatized teen parents and their children
– Reinforced negative stereotypes
– Did not offer any prevention information
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8/26/2015 Mohit Arora, MS, PMP
CDC Biosense
The need for project management
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8/26/2015 Mohit Arora, MS, PMP
CDC Biosense
• Version 1 initiated in 2003
• Limited involvement from public health and preparedness stakeholders
• State and localities found it minimally acceptable – low quality, non-
useful data
• Version 2 initiated in 2010 incorporating concepts from PM
– Stakeholder engagement from the very beginning
– Improved internal contract management
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8/26/2015 Mohit Arora, MS, PMP
Healthcare.gov
“broke every rule of project management”
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8/26/2015 Mohit Arora, MS, PMP
Healthcare.gov
• Biggest new social program in the US since the 1960s
• Initial budget - $93.7 million Final cost - $292 million
• 1% of interested people were able to enroll in the first week of operations
• Problems – unrealistic requirements, technical complexity, fragmented authority, loose metrics, inadequate testing, aggressive schedules, administrative blindness
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8/26/2015 Mohit Arora, MS, PMP
Project Management Tools
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8/26/2015 Mohit Arora, MS, PMP
Scope Management
• Planning
– Requirements Analysis – interviews, walk-throughs, observation, focus groups, brainstorming, mind maps
– Work break down structure
• Monitoring
– Change management
– Watch out for scope-creep!
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8/26/2015 Mohit Arora, MS, PMP
Schedule Management
Step 1
2 days
Step 2
5 days
Step 3
3 daysStart End
10 days
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8/26/2015 Mohit Arora, MS, PMP
Schedule Management
Step 1
2 days
Step 2
5 days
Step 3
3 daysStart End
8 days
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8/26/2015 Mohit Arora, MS, PMP
Step 1
2 days
Step 2
5 days
Step 3
3 daysStart End
Schedule Management
8 days
Critical Path
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8/26/2015 Mohit Arora, MS, PMP
Schedule Management – Gantt charts
Image from http://www.idealware.org/blog/tools-gantt-charts
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8/26/2015 Mohit Arora, MS, PMP
Cost Management
• Planning / Project prioritization (is something worth doing?)
– Net present value
– Return on investment
• Monitoring (is everything going as planned?)
– Earned value
– Cost Variance
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8/26/2015 Mohit Arora, MS, PMP
Conclusion
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8/26/2015 Mohit Arora, MS, PMP
Conclusion
• Healthcare industry is poised for change – organizations are becoming more customer-focused
• Success of new projects is dependent on stakeholder engagement and effective planning and management
• Good project management can ensure that projects have clear goals, a good plan to meet those goals, and a good path for integrating the project into an organization’s regular workflow.
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8/26/2015 Mohit Arora, MS, PMP
References
• Schwalbe, K., & Furlong, D. (2013). Healthcare Project Management. Schwalbe Publishing.
• Abandoned NHS IT system has cost £10bn so far. (2013, September 18). Retrieved August 23, 2015, from http://www.theguardian.com/society/2013/sep/18/nhs-records-system-10bn
• Taylor, K. (2013, March 6). Posters on Teenage Pregnancy Draw Fire. Retrieved August 23, 2015, from http://www.nytimes.com/2013/03/07/nyregion/city-campaign-targeting-teenage-pregnancy-draws-criticism.html?_r=0
• CDC's BioSense 2.0: Bringing Together the Science and Practice of Public Health Surveillance. (2011, November 15). Retrieved August 23, 2015, from https://ajpmonline.wordpress.com/2011/11/15/cdc’s-biosense-2-0-bringing-together-the-science-and-practice-of-public-health-surveillance-4/
• Insight - As Obamacare tech woes mounted, contractor payments soared. (2013, October 17). Retrieved August 23, 2015, from http://uk.reuters.com/article/2013/10/17/uk-usa-healthcare-technology-insight-idUKBRE99G06120131017
• Thompson, L. (2013, December 3). HealthCare.gov Diagnosis: The Government Broke Every Rule Of Project Management. Retrieved August 23, 2015, from http://www.forbes.com/sites/lorenthompson/2013/12/03/healthcare-gov-diagnosis-the-government-broke-every-rule-of-project-management/
• Tools for Gantt Charts. (n.d.). Retrieved August 23, 2015, from http://www.idealware.org/blog/tools-gantt-charts