Project Management https://chamonix.com.au/blog/category-projectmanagement en Why is working on a healthcare project so different? (part 2) https://chamonix.com.au/blog/article-whiisworkingonahealthcareprojectsodifferent2 <span>Why is working on a healthcare project so different? (part 2)</span> <span><span>Paul Pankiewicz</span></span> <span>Tue, 06/26/2018 - 01:30</span> <div><p>If you didn’t read part one of this blog, you can read it&nbsp;<a href="https://chamonixvue.wordpress.com/2016/01/18/why-is-working-on-a-healthcare-project-so-different-part-1/">here</a>. It talks about some of the unique challenges faced on projects in a healthcare setting. This next blog looks at some of the strategies I have seen employed to overcome these challenges and deliver great outcomes for health projects.</p> </div> <ul class="clearlist content-slider mb-40"><li> <img src="/sites/default/files/styles/blog_1140x642_/public/2018-08/healthcarepart2.jpg?itok=wMRH6oW8" width="1140" height="642" alt="Why is working on a healthcare project so different? (part 2)" /> </li></ul> <div><h3 class = ' ui-sortable-handle align-left font-alt uppercase black ui-sortable-handle ui-sortable-handle'>6 tips for overcoming health project challenges. </h3> <div class = ' ui-sortable-handle ui-sortable-handle' style = 'margin-top: 20px; margin-bottom: 20px;'><hr class="mt-0 mb-0"></div> <h4 class = ' ui-sortable-handle align-left font-alt uppercase black ui-sortable-handle ui-sortable-handle'>Subject Matter Experts </h4> <div class = ' ui-sortable-handle ui-sortable-handle ui-sortable-handle'><p>As a healthcare illiterate project manager (at that point of time), I made sure that I took a subject matter expert with me to every meeting with clinicians. When I look back at my weekly status meeting with the 12 nursing directors, it was invaluable to have the ex-nurse turned IT expert with me to interpret the terminology and at times translate the conversation both ways. (BTW, we did resolve the issues from the previous project, so this awkward situation was turned around by sheer persistence and delivering on improved clinical workflows and patient outcomes mentioned in part 1).</p></div> <div class = ' ui-sortable-handle ui-sortable-handle' style = 'margin-top: 20px; margin-bottom: 20px;'><hr class="mt-0 mb-0"></div> <h4 class = ' ui-sortable-handle align-left font-alt uppercase black ui-sortable-handle ui-sortable-handle'>Thorough Stakeholder Mapping </h4> <div class = ' ui-sortable-handle ui-sortable-handle ui-sortable-handle'><p>Understand the hierarchy in the hospital before setting up meetings. You may need to approve using someone’s time with their manager/director before contacting them, unless you want the wrath of the Director of Nursing upon you!</p></div> <div class = ' ui-sortable-handle ui-sortable-handle' style = 'margin-top: 20px; margin-bottom: 20px;'><hr class="mt-0 mb-0"></div> <h4 class = ' ui-sortable-handle align-left font-alt uppercase black ui-sortable-handle ui-sortable-handle'>It's all about them </h4> <div class = ' ui-sortable-handle ui-sortable-handle ui-sortable-handle'><p>You have to work around the clinician’s availability. The clinicians have an important day job and helping a project is often seen to be a major distraction. Some tips here:</p><ul class = "list"> <li>Accept less than 100% commitment – plan for it and work around it;</li> <li>Incentivise health staff to attend meetings – chocolate, pizza, payments, gift cards, and offering training may persuade attendance;</li> <li>Work to their schedule, early/late meetings, provide on floor updates via the clinicians existing communication procedures.</li></ul></div> <div class = ' ui-sortable-handle ui-sortable-handle' style = 'margin-top: 20px; margin-bottom: 20px;'><hr class="mt-0 mb-0"></div> <h4 class = ' ui-sortable-handle align-left font-alt uppercase black ui-sortable-handle ui-sortable-handle'>Collaborate & consult </h4> <div class = ' ui-sortable-handle ui-sortable-handle ui-sortable-handle'><p>Consultation, consultation, consultation. When presenting information and/or new ideas you will be challenged on who you have consulted. Record your sources. Also, be aware of the quiet ones in meetings. There can be a clear pecking order which gets in the way of a balanced view due to input being dominated by one group over another and it might not necessarily follow the expected hierarchy. If you are gathering information, make sure you gain the information from all impacted groups.</p></div> <div class = ' ui-sortable-handle ui-sortable-handle' style = 'margin-top: 20px; margin-bottom: 20px;'><hr class="mt-0 mb-0"></div> <h4 class = ' ui-sortable-handle align-left font-alt uppercase black ui-sortable-handle ui-sortable-handle'>The right champions </h4> <div class = ' ui-sortable-handle ui-sortable-handle ui-sortable-handle'><p>Identify Clinical Champions – if you can get to the people who know about the area that will be impacted by your project then you are certainly better placed to provide the best project outcome possible.</p></div> <div class = ' ui-sortable-handle ui-sortable-handle' style = 'margin-top: 20px; margin-bottom: 20px;'><hr class="mt-0 mb-0"></div> <h4 class = ' ui-sortable-handle align-left font-alt uppercase black ui-sortable-handle ui-sortable-handle'>Advanced techniques </h4> <div class = ' ui-sortable-handle ui-sortable-handle ui-sortable-handle'><p>There are some more advanced techniques that I have heard about to overcome some of the challenges in healthcare, especially to improve access to and working more closely with the clinicians. Given more time in the healthcare industry, perhaps I might be able to implement these?</p><ol class = "list"> <li>Adapt to understand Healthcare;</li> <li>Learn Clinical Terminology;</li> <li>Consider having Clinicians lead projects, mentor them if necessary (to supplement their PM knowledge);</li> <li>Become the healthcare GURU: <ul class = "list"> <li>Build relationships within the relevant organisation;</li> <li>Know what you don’t know (don’t over step your level of understanding!);</li> <li>On clinical matters defer to the experts, they will defer to you for PM or IT expertise;</li> <li>Be cognisant of Roles and Hierarchies;</li> <li>Be a strong facilitator, be prepared, organised, be in control of the meetings</li> </ul> </li></ol></div> <div class = ' ui-sortable-handle ui-sortable-handle' style = 'margin-top: 20px; margin-bottom: 20px;'><hr class="mt-0 mb-0"></div> <div class = ' ui-sortable-handle ui-sortable-handle ui-sortable-handle'><p><em>This concludes the two-part blog ‘Why is working on a Healthcare project so different?’, authored by&nbsp;Paul Pankiewicz,&nbsp;a Project Management Consultant at Chamonix.</em></p></div> </div> Mon, 25 Jun 2018 16:00:00 +0000 Paul Pankiewicz 124 at https://chamonix.com.au Why is working on a healthcare project so different? (part 1) https://chamonix.com.au/blog/article-whiisworkingonahealthcareprojectsodifferent1 <span>Why is working on a healthcare project so different? (part 1)</span> <span><span>Paul Pankiewicz</span></span> <span>Tue, 06/26/2018 - 01:29</span> <div><p>In projects we have all heard about the triple constraints of time, cost and scope. While these are important considerations on all projects, they are not the main drivers for healthcare projects. From a clinical perspective the following factors appear to be key attributes of the project or proposed change.&nbsp;</p> </div> <ul class="clearlist content-slider mb-40"><li> <img src="/sites/default/files/styles/blog_1140x642_/public/2018-08/healthcarepart1.jpg?itok=0PyGTw8d" width="1140" height="642" alt="Why is working on a healthcare project so different? (part 1)" /> </li></ul> <div><div class = ' ui-sortable-handle'><p>Will the project or change provide:</p><ol class = "list"> <li>Efficient Clinical Workflows?</li> <li>Improvements to Patient Safety?</li> <li>Improved Patient Outcomes?</li></ol><p>In healthcare, it is not enough for a project to meet the triple constraint of time, cost and scope. The project has to meet its clinical objectives as well. I couldn’t begin to count the number of times the phrase “clinical risk” has been used in business analysis and design meetings to explain why the proposed solution is unacceptable.</p><p>In the design of a process (clinical workflow), the terminology needs to be clear, intuitive for the clinical situation, responsive, meet clinical safety aspects and as few clicks as possible.</p></div> <div class = ' ui-sortable-handle' style = 'margin-top: 20px; margin-bottom: 20px;'><hr class="mt-0 mb-0"></div> <h4 class = ' ui-sortable-handle align-left font-alt uppercase black'>What other differences might you find in a healthcare project? </h4> <div class = ' ui-sortable-handle'><p>Some of the difficult situations I have come across during my healthcare project work:</p><ul class = "list"> <li>Sitting round a table with 12 nursing directors on a weekly basis discussing status for a project that was to resolve a previous ICT project that had not provided the outcomes above – to say they were sceptical that we could improve the situation would be an understatement;</li> <li>Not understanding the terminology – and I still don’t understand most of it even after all this time working in Healthcare (it’s a secret society!);</li> <li>Not knowing the hierarchy in the hospitals and the health networks – it can be complicated (every hospital management structure seems to be unique);</li> <li>Having to utilise clinicians’ time on a fixed period basis;</li> <li>Working on third hand information to elicit requirements;</li> <li>Data privacy issues – testing the project deliverables using fake patient data;</li> <li>Testing solutions using real world examples of data; and</li> <li>Raising the project up the priority scale of the time-poor clinicians.</li></ul><p>When compared to critical “life and death” situations, project work can appear to be quite unimportant unless it is to be used in life or death situations of course. Thus while the project might be really important to the project team and the project sponsors, gaining input from clinicians requires careful planning and plenty of patience (pardon the pun!).</p><p>Tricky isn’t it – keep an eye out for next week’s blog where I talk about some of the tips I have for overcoming these challenges.</p></div> <div class = ' ui-sortable-handle' style = 'margin-top: 20px; margin-bottom: 20px;'><hr class="mt-0 mb-0"></div> </div> Mon, 25 Jun 2018 15:59:00 +0000 Paul Pankiewicz 125 at https://chamonix.com.au