Project Management for Healthcare Information Technology (HIT) Session IND02

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1 Project Management for Healthcare Information Technology (HIT) Session IND02 Scott Coplan, PMP, CPHIMS & David Masuda, M.D., MSc COPLAN AND COMPANY 2010 Permission is granted to PMI for PMI Marketplace use only

2 The Healthcare Crisis We consume 17% of our GDP in healthcare, and get what many would call second-class care 1 A patient walking 2 into a clinic or hospital has only a 55% chance of getting the right medical advice 2 2

3 The HIT Crisis Only 6.3% of physicians report having extensive, fully functional Electronic Health Records (EHR) systems due in part to adaptability and sustainability issues: 3 Resistance from physicians Loss of productivity Uncertainty about ROI Inappropriate patient information disclosure Copyright 2011, PMI Healthcare Community of Practice. All rights reserved 3

4 Confronting the Crises The U.S. plans to spend over $18 billion on HIT in the next five years 4, so unless we improve HIT project success rates: We will waste that investment 4 Increasing demand on healthcare services will result in crises 4

5 Solving the Crises Increased HIT means a fundamental shift in how organizations provide healthcare services Project, product and change management disciplines alone contribute to project success, but only integrating all three increases the likelihood of project success - -- Integrated Project Management (IPM) 5

6 Beyond the PMI Process Groups Use the framework you know as the basis for integrating additional knowledge areas Rely on proven project management methods to manage HIT scope, schedule, cost and quality Include additional disciplines already used on successful HIT projects 6

7 Project Management Knowledge Areas 7

8 Product Management Project management focuses on the processes to perform the project, e.g., scope, time, cost Product management, 8 however, focuses on the tangible output of the project, e.g., an EHR 8

9 IT Management Information Technology (IT) Management produces the product of an HIT project We derive IT management knowledge areas from the Institute of Electrical and 9 Electronics Engineers (IEEE) Software Engineering Body of Knowledge (SWEBOK) 9

10 IT Management Knowledge Areas 10

11 Change Management Project management focuses on processes and outputs undertaken to achieve a final outcome Product management focuses on developing and deploying a final product Change management focuses on transitioning individuals and groups from the current to a future state 11

12 An Individual s Change Journey 12

13 An Organization s Change Journey Without Change Management With Change Management 13

14 Why Organizations Resist Change Management 5 Properties Project or Product Management Change Management Measurability Easy Difficult Predictability Strong Weak Accountability Precise Ambiguous Respectability Widespread Limited Suitability Useful Useless 14

15 Change Management Standards Unlike project and IT management, change management has no accredited formal standards We propose a framework 15 using theories and best practices from organizational behavior and development 15

16 Change Management Knowledge Areas 16

17 Successful Change Realization Sponsorship Transformation Training Optimization Successful Change 17

18 Unsuccessful Change Change Realization Frustration Change Sponsorship Confusion Change Transformation Resistance Change Training Anxiety Change Optimization Stagnation 18

19 Separate Disciplines 19 19

20 Integrated Disciplines 20 20

21 IPM Can Shift Focus to Patient Needs Workflow change encourages caregiver and patient dialogue, which strengthens their therapeutic alliance and improves patient satisfaction 21

22 IPM Can Help Improve Patient Outcomes CPOE/CDS has the potential to significantly reduce hospital-wide mortality rates Project Start (Current) Project End (Cutover) Optimized (Future) 22 No CPOE/CDS CPOE/CDS IPM + CPOE/CDS 22

23 References 1. Goldman, D. and McGlynn, E.A. (2005). US Health Care: Facts About Cost, Access, and Quality. Santa Monica: Rand and the Communications Institute 2. McGlynn, E.A., Asch, S.M., Adams, J., Keesey, J., Hicks, J., Decristofaro, A., and Kerr, E.A. (2003). The quality of health care delivered to adults in the United States. New England Journal of Medicine, 348, National Center for Health Statistics, December Millard, M. (2010). Big Growth Project for HIS Market. Healthcare IT News 5. Lorenzi, NM, and Riley, RT. (2003). Organizational issues = change. International Journal of Medical Informatics, 69, This presentation excerpted from Project Management for Health Information Technology, by Scott Coplan and David Masuda, Copyright 2011 by The McGraw-Hill Companies, Inc. All rights reserved. 23

24 Contact Information Session IND02 Scott R. Coplan, PMP, CPHIMS, COPLAN AND COMPANY, Dave Masuda, M.D., MSc, University of Washington, , Ext. #

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