1. Introduction to Project Management Project Selection and Initiation Lecture a This material (Comp19_Unit3a) was developed by Johns Hopkins University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000013. 1

2. Project Selection and Initiation Learning Objectives—Lecture a Identify the key elements of a project environment and HIT landscape. Outline the needs for projects, how and why they are selected and initiated. Construct a project charter. Identify project stakeholders. Generate a stakeholder register. 2 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

3. Project Selection and Initiation Project Selection—Understanding environmental factors and the HIT landscape Project Initiation—How to get your health IT project off to a strong start Key deliverables: ―Project charter ―Stakeholder register Key event: ―Project Kick-off meeting Activities at the beginning are critical to the eventual success of the project 3 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

4. Major Factors Influencing Project Selection Identify the project environment Identify the HIT landscape Project selection principles 4 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

5. Identifying Project Environment Enterprise environmental factors Internal or external factors from any enterprise involved in project can be positive or negative on project success Organizational process asset The series of tools and systems that exist in support of the project management processes and other processes in that specific environment. 5 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

6. Culture of Health Care Workforce Cultural diversity in workgroups Nurses, physicians, highly educated staff –Various ethical standards Impact or role of health professional culture on patient care 6 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

7. Health Care “Blame Culture” “Organizational rigidity –Emphasis on compliance with existing practices –rigid, rule oriented –focus on individual blame for system failure Carrot and stick principles –Fear of punishment –Risk avoidance Distrust Silence the predominant response to error System highly litigation driven” (ONC HIT Curriculum, Component 2) 7 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

8. Health Care “Safe Culture” “Organizational learning culture Members believe they can question existing practices, etc. Management openness to worker input Overall commitment to quality Uninhibited reporting of problems Extensive information sharing about problems Organizational response to f/u e.g. staff training, etc.” (ONC HIT Curriculum, Component 2) 8 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

9. HIT Landscape Convergence of information technology and health care systems and professionals State of flux Homogenous systems and resources How can the strategic plan translate into HIT program/projects? 9 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

10. What Does MU Have to do with Project Management? Allow physician to redesign the workflow of their work in order to improve the processes involved It has to be driven by clinician It is major change in process, workflow, and information systems structure Creates a series of programs and project to be accomplished over many years to: Use data in a meaningful way Use technology to improve care, delivery, quality, and outcomes 10 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

11. How Is the Infrastructure in HIT Today? The actual infrastructure today is very fragmented –Some EMR exist –Some EHR exist –The information exchange platform is rudimentary –The general information system is being conceived, built, and tested now all at the same time 11 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

12. A View of the Future of Health Care 12 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

13. Project Selection Principles What drives project selection? Market demand Organizational needs Customer request Technology requirements Legal requirements Mandate from regulations 13 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

14. Project Selection Process Develop a HIT strategic plan in support of the organization’s overall strategic plan Perform a business area analysis Define potential projects Build the business case Select projects and assign resources based on: Business value Technology Cost/benefit questions Risk 14 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

15. Strategic Plan Selection Tools Strengths Weaknesses Opportunities Threats 15 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

16. Components of a Business Case Benefits to the organization Cost /benefits analysis over time Consequences if the project is not done Full life cycle costs Qualitative models Quantitative models Risks Benefits –Organization –Department –Technology Costs –Life cycle cost –Implementation cost Risks –Growth –Financial 16 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

17. Tools for Project Selection Qualitative models –Subject matter expert (SME) judgments –“untouchables” concept –Mandates internal or external Quantitative models or financial tools –Net present value (NPV) –Internal rate of return (IRR) –Return on investment (ROI) –Payback period 17 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

18. Project Selection and Initiation Summary—Lecture a Overview of Project Selection and Initiation –Identify the key elements of a project environment and HIT landscape –Outline the needs for projects, how and why they are selected and initiated 18 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a

19. Project Selection and Initiation References—Lecture a References Health Information Technology Curriculum, Component 2: The Culture of Health Care (2012) Office of the National Coordinator for Health Information Technology. Available from: http://www.onc-ntdc.orghttp://www.onc-ntdc.org Houston S, Bove LA. (2010) Project Management for Healthcare Informatics. New York: Springer Science + Business Media, LLC. Kerzner H. (2009) Project Management: a Systems Approach to Planning, Scheduling, and Controlling. 10 th ed. Hoboken, NJ.:Wiley. Project Management Institute, A Guide to the Project Management Body of Knowledge. 4 th ed (2008).Newtown Square, PA: PMI. Scwalbe K. (2009) Information technology project management (with Microsoft Project 2007 CD-ROM). 6th ed.; Boston: Cenage Learning. Stackpole C. (2009). A Project Manager’s Book of Forms: A Companion to the PMBOK Guide. Hoboken, N.J.:Wiley; Whitten N. Neal (2007).Whitten's Let's Talk! More No-nonsense Advice for Project Success. Vienna, VA.:Management Concepts Inc. Wysocki, RK.(2009).Effective Project Management: traditional, agile, extreme. 5th Edition. New York: Wiley. Images Slide 12: View of the Future of healthcare. Image courtesy of the US Department of Health and Human Services. Slide 15: SWOT Analysis. Creative Commons: Wikipedia. Available from: http://en.wikipedia.org/wiki/SWOT_analysishttp://en.wikipedia.org/wiki/SWOT_analysis 19 Health IT Workforce Curriculum Version 3.0/Spring 2012 Introduction to Project Management Project Selection and Initiation Lecture a