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-makerManager CoachSales person Communication channelPM expert EncouragerFacilitator Power brokerBehavior model DisciplinarianLeader MentorMulti-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 Clayes Echirolles BULL in Healthcare extensive presence and support across Europe Department of Social Security (UK) 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) 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)