Project Management for Healthcare IT systems implementation

Jimmy Char

General Manager

Bull Bulgaria & Bull SAS - Branch Bulgaria

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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

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“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).

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Recipe for Project Success

Source: The Standish Group International, Inc.

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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

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Whose expectations shall we follow?

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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

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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”

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Experienced Project Manager (15 points)

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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.

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If Not!!

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JUSTIN GATLIN

OLYMPIC WINNER - 100m SPRINT

9,85 sec

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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

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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

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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.

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If we don’t do anything, it will go wrong

Recommendation:– Analyse, Measure

and Adjust the activities;

– Record and Apply the Lessons Learned.

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Is our project alone?

This is true, but I am

worried about the rest

I completed my project

My Project

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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

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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)