Project Management for Healthcare IT systems implementation

1
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

• In 1998, The Standish Group looks again.
• Now only 74 of projects unsuccessful

Source The Standish Group International, Inc.
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Better Chaos

• 2004s 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).

Source The Standish Group International, Inc.
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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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OLYMPIC WINNER - 100m SPRINT
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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 dont 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
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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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BULL in Healthcare extensive presence and
support across Europe
Minesota Department of Human Services , States of
Michigan, New York , Illinois, Utah (US)
RFV (Sweden)
Department of Social Security (UK)
GGZ, OMRING (Netherlands)

• France
• CNAM TS (Health Insurance)
• Sesam Vitale (e-cards)
• Security Administration
• Erasme Project, BI
• Open Source consulting
• CNAF (Family Benefits)
• UNEDIC
• ACOSS (Fund Collecting)
• MSA (Social Security)

OFFICE NATIONAL DES PENSIONS, ONSS.APL, ONAFTS
(Belux)
Les Clayes Echirolles
OSAKIDETZA SERVICIO ANDALUZ DE SALUD (Spain)
ENASARCO (Italy)
Banco de la Providentia Social (Uruguay)
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