HM 418 2e hcpm02 (1)
- 1. Note: See the text itself for full citations. Text Web site is www.healthcarepm.com.
- 2. Copyright 2018 Schwalbe Publishing Discuss the systems view of project management and how it applies to healthcare projects Describe the importance of aligning projects with business strategy, the strategic planning process, and using a SWOT analysis Explain two different approaches to the project planning process—a four-stage traditional approach and an agile approach Summarize the various methods for selecting projects and demonstrate how to calculate net present value, return on investment, payback, and the weighted score for a project Discuss the program selection process and distinguish the differences between programs and projects Describe the project portfolio selection process and the five levels of project portfolio management 2
- 3. Copyright 2018 Schwalbe Publishing If project managers lead projects in isolation, it is unlikely that they will ever truly serve the needs of the organization. To handle complex situations effectively, project managers need to use systems thinking, which involves taking a holistic view of a project and understanding how it relates to the larger organization. 3
- 4. Copyright 2018 Schwalbe Publishing The term systems approach emerged in the 1950s to describe a holistic and analytical approach to solving complex problems that includes using a systems philosophy, systems analysis, and systems management. A systems philosophy is an overall model for thinking about things as systems. Systems are sets of interacting components that work within an environment to fulfill some purpose. Systems analysis is a problem-solving approach that requires defining the scope of the system, dividing it into components, and then identifying and evaluating its problems, opportunities, constraints, and needs. Systems management addresses the business, technological, and organizational issues associated with creating, maintaining, and modifying a system. 4
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- 6. Copyright 2018 Schwalbe Publishing Most organizations cannot undertake most of the potential projects identified because of resource limitations and other constraints An organization’s overall mission and business strategy should guide the project selection process and management of those projects 6
- 7. Copyright 2018 Schwalbe Publishing Strategic planning involves determining long-term objectives by analyzing the strengths and weaknesses of an organization, studying opportunities and threats in the business environment, predicting future trends, and projecting the need for new products and services Strategic planning provides important information to help organizations identify and then select potential projects 7
- 8. Copyright 2018 Schwalbe Publishing SWOT analysis involves analyzing Strengths, Weaknesses, Opportunities, and Threats It can help you identify potential projects, as is shown in the example about four people trying to start a new business 8
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- 11. Copyright 2018 Schwalbe Publishing Many companies and individuals provide video tutorials to teach a new concept or software tool. Mind mapping is no exception. There are several good videos that show you how to create mind maps. For example, youtube.com includes videos by Tony Buzan, author of The Mind Map Book: How to Use Radiant Thinking to Maximize Your Brain's Untapped Potential. You can also learn how to use MindView Business software by watching their online tutorials from www.matchware.com or youtube.com. 11
- 12. Copyright 2018 Schwalbe Publishing Many organizations follow a traditional approach, often completed in four stages To make more timely decision, they may also use an agile approach 12
- 13. Copyright 2018 Schwalbe Publishing Organizations often follow a detailed planning process for project selection, often done on an annual basis Figure 2-3 shows a four-stage planning process for selecting projects It is very important to start at the top of the pyramid to select projects that support the organization’s business strategy 13
- 14. Copyright 2018 Schwalbe Publishing Organizations often follow a detailed planning process for project selection Figure 2-4 shows a four-stage planning process for selecting projects It is very important to start at the top of the pyramid to select projects that support the organization’s business strategy 14
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- 16. Copyright 2018 Schwalbe Publishing Oxford Dictionaries (July 2017) defines agile as: ◦ “able to move quickly and easily” ◦ “Relating to or denoting a method of project management, used especially for software development, that is characterized by the division of tasks into short phases of work and frequent reassessment and adaptation of plans…agile methods replace high-level design with frequent redesign” The next chapter describes agile project management in more detail, but it is important to note that an agile approach can be used to realize strategic direction 16
- 17. Copyright 2018 Schwalbe Publishing In contrast to the traditional, top-down planning approach, an agile planning approach is much more flexible and allows teams to provide feedback to strategy which can influence a change in direction Instead of selecting and funding a specific project, the corporation defines the strategic direction, funds teams, and entrusts them to figure out the best approach to define and deliver the greatest business value 17
- 18. Copyright 2018 Schwalbe Publishing Focus on competitive strategy and broad organizational needs Perform net present value analysis or other financial projections Use a weighted scoring model Implement a balanced scorecard Address problems, opportunities, and directives Consider project time frame Consider project priority 18
- 19. Copyright 2018 Schwalbe Publishing Projects that fit well with the organization’s mission and broad organizational needs are much more likely to be approved. As the old proverb says, “It is better to measure gold roughly than to count pennies precisely.” Broad organizational needs: People agree there is a need for a project, they will make funds available, and there is a strong will to make the project succeed. 19
- 20. Copyright 2018 Schwalbe Publishing Meeting regulatory, legal, or social requirements Satisfying stakeholders needs or requests Implementing or changing business or technological strategies Creating, improving, or fixing products, processes, or services 20
- 21. Copyright 2018 Schwalbe Publishing 21 Source: Project Management Institute, Inc., A Guide to the Project Management Body of Knowledge (PMBOK Guide)– Sixth Edition (2017).
- 22. Copyright 2018 Schwalbe Publishing Financial considerations are often an important aspect of the project selection process Three important methods include: ◦ Net present value analysis ◦ Return on investment ◦ Payback analysis 22
- 23. Copyright 2018 Schwalbe Publishing Net present value (NPV) analysis is a method of calculating the expected net monetary gain or loss from a project by discounting all expected future cash inflows and outflows to the present point in time NPV means the return from a project exceeds the opportunity cost of capital—the return available by investing the capital elsewhere Projects with higher NPVs are preferred to projects with lower NPVs if all other factors are equal 23
- 24. Copyright 2018 Schwalbe Publishing 24 Schwalbe, Information Technology Project Management, Sixth Edition, 2010
- 25. Copyright 2018 Schwalbe Publishing 25 Schwalbe, Information Technology Project Management, Sixth Edition, 2010
- 26. Copyright 2018 Schwalbe Publishing Some organizations refer to the investment year(s) for project costs as Year 0 instead of Year 1 and do not discount costs in Year 0 The discount rate can vary, based on the prime rate and other economic considerations. You can enter costs as negative numbers instead of positive numbers, and you can list costs before benefits Project managers should check to see which approaches their organizations prefer when calculating NPV 26
- 27. Copyright 2018 Schwalbe Publishing 27 Schwalbe, Information Technology Project Management, Sixth Edition, 2010
- 28. Copyright 2018 Schwalbe Publishing 1. Determine the estimated costs and benefits for the life of the project and the products it produces. 2. Determine the discount rate. A discount rate is the rate used in discounting future cash flows. The annual discount factor is a multiplier for each year based on the discount rate and year (calculated as 1/(1+r)t, where r is the discount rate, and t is the year). 3. Calculate the net present value by subtracting the total discounted costs from the total discounted benefits. 28
- 29. Copyright 2018 Schwalbe Publishing Return on investment (ROI) is the result of subtracting the project costs from the benefits and then dividing by the costs. For example, if you invest $100 today and next year your investment is worth $110, your ROI is ($110 – 100)/100, or 0.10 (10 percent) Note that the ROI is always a percentage, and the higher the ROI, the better Many organizations have a required rate of return for projects— the minimum acceptable rate of return on an investment You can find the internal rate of return (IRR) by finding what discount rate results in an NPV of zero for the project 29
- 30. Copyright 2018 Schwalbe Publishing Payback period is the amount of time it will take to recoup—in the form of net cash inflows—the total dollars invested in a project Payback analysis determines how much time will lapse before accrued benefits overtake accrued and continuing costs Payback occurs in the year when the cumulative benefits minus costs reach zero The shorter the payback period, the better 30
- 31. Copyright 2018 Schwalbe Publishing A template file called payback period chart is provided on the companion Web site for this text, as well as one for calculating NPV, ROI, and payback for a project (called business case financials). See Appendix B for a list of all template files on www.healthcarepm.com under Resources. 31
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- 33. Copyright 2018 Schwalbe Publishing A weighted scoring model is a tool that provides a systematic process for selecting projects based on many criteria To create a weighted scoring model: ◦ Identify criteria important to the project selection process ◦ Assign a weight to each criterion (so they add up to 100 percent) ◦ Assign numerical scores to each criterion for each project ◦ Calculate the weighted scores by multiplying the weight for each criterion by its score and adding the resulting values 33
- 34. Copyright 2018 Schwalbe Publishing 34 Criteria Weight Trip 1 Trip 2 Trip 3 Trip 4 Total cost of the trip 25% 60 80 90 20 Probability of good weather 30% 80 60 90 70 Fun activities nearby 15% 70 30 50 90 Recommendations 30% 50 50 60 90 Weighted Project Scores 100% 64.5 57.5 75 66.5 0 20 40 60 80 Trip 1 Trip 2 Trip 3 Trip 4 Weighted Score by Project
- 35. Copyright 2018 Schwalbe Publishing Dr. Robert Kaplan and Dr. David Norton developed another approach to help select and manage projects that align with business strategy A balanced scorecard is a methodology that converts an organization’s value drivers—such as customer service, innovation, operational efficiency, and financial performance—to a series of defined metrics Visit www.balancedscorecard.org for more information on using this approach to select projects 35
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- 37. Copyright 2018 Schwalbe Publishing Problems are undesirable situations that prevent an organization from achieving its goals - can be current or anticipated Opportunities are chances to improve the organization Directives are new requirements imposed by management, government, or some external influence. For example, several hospitals initiated projects to meet the Hospital Readmission reduction (HRR) Program, a provision of the Patient Protection and Affordable Care Act (PPACA). The Department of Health & Human Services (HHS) said it would invest up to $1 billion in federal funding toward this program. 37
- 38. Copyright 2018 Schwalbe Publishing Another approach to project selection is based on the time it will take to complete a project or the date by which it must be done For example, some potential projects must be finished within a specific time period. If they cannot be finished by this set date, they are no longer valid projects Some projects can be completed very quickly—within a few weeks, days, or even minutes. However, even though many projects can be completed quickly, it is still important to prioritize them 38
- 39. Copyright 2018 Schwalbe Publishing Many organizations prioritize projects as being high, medium, or low priority based on the current business environment Organizations should always focus on high-priority projects 39
- 40. Copyright 2018 Schwalbe Publishing Recall that a program is a group of projects managed in a coordinated way to obtain benefits and control not available from managing them individually After deciding which projects to pursue, organizations need to decide if it is advantageous to manage several projects together as part of a program There might already be a program that a new project would logically fall under, or the organization might initiate a program and then approve projects for it 40
- 41. Copyright 2018 Schwalbe Publishing Save money: A firm can purchase materials, obtain services, and hire workers for less money if it is managing the construction of one hundred buildings instead of just one Save time: One person or group can be responsible for similar work, such as obtaining all the permits for all the buildings Increase authority: The program manager can use authority in multiple situations, such as negotiating better prices with suppliers and obtaining better services in a more timely fashion 41
- 42. Copyright 2018 Schwalbe Publishing Janice Weaver, PMP, was the program manager responsible for building the Norton Brownsboro Hospital, the first hospital built in Louisville, Kentucky in over 20 years. This five-story hospital is licensed for 127 beds, includes 16 critical care rooms, a 24-hour emergency room, 22 treatment rooms, eight operating rooms, two endoscopy suites, a catheterization lab, and an interventional radiology suite. They decided to break the program down into fourteen separate projects with fourteen different project managers. Janice made sure that all of these projects “crossed the finish line” together by including a project called integrated testing, which she described as being like a final exam. They wanted to make sure that the hospital was ready for the first patient to walk through the door. Everything was done in a concurrent versus a linear fashion. They also built mock rooms, including a full-scale emergency room treatment room, a medical- surgical patient room, an Intensive Care Unit (ICU) patient room, and a fully equipped operating room. You can watch a short video about this program from the companion Web site for this text. The Norton Brownsboro Hospital was a finalist in PMI’s Project of the Year Award in 2010. 42
- 43. Copyright 2018 Schwalbe Publishing Some new projects naturally fall into existing programs, such as buildings being built in a certain geographic area. Other projects might spark the need for developing a new program. When too many projects are part of one program, it might be wise to create a new program to improve their management. 43
- 44. Copyright 2018 Schwalbe Publishing It’s crucial to focus on enterprise success when creating project portfolios. There may be a need to cancel or put several projects on hold, reassign resources from one project to another, suggest changes in project leadership, or take other actions that might negatively affect individual projects or programs to help the organization as a whole. 44
- 45. Copyright 2018 Schwalbe Publishing Figure 2-11 illustrates one approach for project portfolio management in which there is one large portfolio for the entire organization. Sections of the portfolio are broken down to improve the management of projects in each sector The IT projects are broken down into three categories: ◦ Venture: Projects that help transform the business ◦ Growth: Projects that help increase revenues ◦ Core: Projects that help run the business 45
- 46. Copyright 2018 Schwalbe Publishing 46 Schwalbe, Information Technology Project Management, Sixth Edition, 2010
- 47. Copyright 2018 Schwalbe Publishing 1. Put all of your projects in one list 2. Prioritize the projects in your list 3. Divide your projects into several categories based on types of investment 4. Automate the list 5. Apply modern portfolio theory, including risk-return tools that map project risks 47
- 48. Copyright 2018 Schwalbe Publishing 48 Schwalbe, Information Technology Project Management, Sixth Edition, 2010
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- 50. Copyright 2018 Schwalbe Publishing To handle complex situations effectively, project managers need to use systems thinking, which involves taking a holistic view of a project and understanding how it relates to the larger organization. An organization’s overall mission and business strategy should guide the project selection process and management of those projects The four-stage planning process helps organizations align their projects with their business strategy Several methods are available for selecting projects, including financial methods (net present value, return on investment, and payback); weighted scoring models; balanced scorecards; addressing problems, opportunities, and directives; project time frame; and project priority The main criteria for program selection are the coordination and benefits available by grouping projects The goal of project portfolio management is to help maximize business value to ensure enterprise success 50