Project Management for Healthcare IT systems implementation
Jimmy Char
General Manager
Bull Bulgaria & Bull SAS - Branch Bulgaria
2
The “Chaos” report
The 1994 Standish Group report: “Chaos” shows:
– Overall, 84% of projects unsuccessful
– In large organizations, an incredible 91% are unsuccessful
Source: The Standish Group International, Inc.
In 1998, The Standish Group looks again.– Now only 74% of projects unsuccessful
3
“Better” “Chaos”
Source: The Standish Group International, Inc.
2004’s results show that:
– 29% of all projects succeeded (delivered on time, on budget, with
required features and functions);
– 53% are challenged (late, over budget and/or with less than the
required features and functions);
– 18% have failed (cancelled prior
to completion or delivered…
and never used).
4
Recipe for Project Success
Source: The Standish Group International, Inc.
5
User Involvement (20 points)
Identify the real User in Healthcare Systems– IT Team?– Administration Team?– Hospitals?– Physicians?– Pharmacists?– Patients?– Employers?– Journalists?– etc…
Recommendation:– Gather “User” representatives in one independent committee
Prepare Requirements and Expectations Monitor, Test, Correct and Adjust
6
Whose expectations shall we follow?
7
Executive Support (15 points)
Executives in this field are mainly politicians Executives in this field are time based Executive Support and Commitment must be total, full and
without interruption !!!
The big Question is: – WHO CAN GUARRANTEE THE CONTINUITY?
Recommendation:– Assign the right permanent skilled and motivated staff that can
teamwork with the service providers and assure success;– Create an INDEPENDENT & PERMANENT Committee as
“Sponsor” with a mission to assure continuity of Executive Support
8
Clear Business Objectives (15 points)
Business objectives can only be clear when they come from a clear Strategy
Strategy must be prepared by professional team, accepted by the “Sponsor” and approved by the legal authority
Funds must be approved and ALLOCATED Clear Objectives reflected in detail Specifications in
the issued tender books No Change of objectives in the middle of the projects Prepare in advance the necessary Changes in the
Law Close monitoring of Project Objectives
Implementation by the “Sponsor”
9
Experienced Project Manager (15 points)
10
Experienced Project Manager
Decision-maker Manager
Coach Sales person
Communication channel PM expert
Encourager Facilitator
Power broker Behavior model
Disciplinarian Leader
Mentor Multi-cultural
… …
Recommendation:– Assign experienced Project Managers and train them to become Certified
– Include Experience and Certification in the General Qualification of the bidders, as well as of your team.
11
If Not!!
12
JUSTIN GATLIN
OLYMPIC WINNER - 100m SPRINT
9,85 sec
13
Small Milestones (10 points)
Keep the progress under control Keep the stakeholders aware about the progress Clear Processes and Flows Improve monitoring and control Refine projections of resource requirements Provide a mechanism for performance measurement Increase stakeholder trust and confidence Continuously improve projects
– Best Practice– Risk management– Performance measuring– Change management
Adjust and Act when a correction measure has to be taken
Stay close to the other partner
14
Small Milestones
John Chambers, CEO of Cisco corporation, commissioned a study on the effectiveness of automating processes.
The study found that for organizations which changed their process then automated, overall effectiveness increased from 21% to 25%!
Automating without first changing the process, risked decreasing efficiency by as much as 9%!
Reform = Change
Recommendation:– Plan only Small Milestones– Plan Deliveries based on Iteration Methodology– Adjust after each Iteration– Accept the Change
15
Be ready for the change…
“A battle plan lasts until contact with the enemy.”
Napoleon Bonaparte
Recommendation:– Analyse the Risk;– Adjust the Plan;– Value the Change;– Apply the Change
wherever possible and needed.
16
If we don’t do anything, it will go wrong
Recommendation:– Analyse, Measure
and Adjust the activities;
– Record and Apply the Lessons Learned.
17
Is our project alone?
This is true, but I am
worried about the rest
I completed my project
My Project
18
Finally a “Congratulation”
Congratulation to the e-health Bulgaria Foundation
Bull will be proud to participate and become an active member working together in supporting all Healthcare Implementations
in Bulgaria
19
Les ClayesEchirolles
BULL in Healthcare extensive presence and support across Europe
Department of Social Security (UK)
FranceCNAM TS (Health Insurance)Sesam Vitale (e-cards)Security & AdministrationErasme Project, BIOpen Source consultingCNAF (Family Benefits)UNEDICACOSS (Fund Collecting)MSA (Social Security)
OFFICE NATIONAL DES PENSIONS, ONSS.APL, ONAFTS (Belux)
RFV (Sweden)Minesota Department of Human Services , States of Michigan, New York , Illinois, Utah (US)
OSAKIDETZA SERVICIO ANDALUZ DE SALUD (Spain)
ENASARCO (Italy)
GGZ, OMRING (Netherlands)
Banco de la Providentia Social (Uruguay)