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Questions and Answers
Study Notes
Course Information
- Course Title: Project Management
- Course Code: PHHA 422
- Department of Health Management
- College of Public Health and Health Informatics
- University of Hail
Course Outline
- Chapter 1: Introduction to Project Management
- Chapter 2: Project Definition and Scope
- Chapter 3: Understanding the Project Context and Healthcare
- Chapter 4: Needs Analysis
- Chapter 5: Project Planning and Design
- Chapter 6: Project Implementation and Control
- Chapter 7: Evaluating the Project Performance
- Chapter 8: Project Completion
Learning Objectives
- Understand the basic concepts of Project Management (Initiating, Planning, Executing, Controlling, Monitoring, and Closing projects).
- Understand project management in the context of healthcare.
- Understand and learn Project Management Tools and Techniques.
Schedule of Assessment
- Extracurricular Activities: 1-10 weeks, 5%
- Quizzes: Weeks 3 & 8, 10%
- Midterm Exam: Week 6, 30%
- Assignments: Week 8, 5%
- Final Exam: Week 1, 50%
Introduction
- Many organizations (including healthcare organizations) have renewed interest in project management.
- The US spends $2.3 trillion annually on projects, representing a quarter of its GDP. Globally, projected spending on projects exceeds $10 trillion.
- The Project Management Institute (PMI) formalizes project management knowledge within the Project Management Body of Knowledge (PMBOK).
What is a Project?
- A project is a temporary endeavor to create a unique product, service, or result.
- Projects have a defined beginning and end, can be large or small, and take a short or long time to complete.
- Projects typically start with a broad definition but become more specific as time passes.
- Projects need resources, often from multiple areas, and have multiple interested parties, but one primary sponsor/customer.
- Projects often involve uncertainty in terms of goals, duration, and cost.
- Projects can be the creation of a product, a service, an improvement, or a result.
Project Attributes
- Unique purpose, with a defined objective
- Temporary, with a definite start and end
- Progressive elaboration and iterative development
- Resources from various areas
- A primary customer or sponsor
- Involves uncertainty
What are the Projects?
- Developing a new product, service, or result
- Effecting an organizational change in structure, processes, staffing, etc
- Developing/acquiring new or modified information systems (hardware or software)
- Conducting a research effort
- Constructing buildings, industrial plants, or infrastructure
- Implementing, improving, or enhancing business processes and procedures
What is Project Management?
- Application of knowledge, skills, tools, and techniques to project activities to meet project requirements
Project Management Framework
- 9 knowledge areas (Scope Management, Time Management, Cost Management, Quality Management, Project Integration Management, Risk Management, Procurement Management, Communication Management, Stakeholder Management, and HR/Comm/Risk /Proc).
- Tools and techniques for each area
- Facilitating Functions (e.g., HR, Communications, Risk Management)
- Project Portfolio
Relationships Between Project, Program, & Portfolio
- Projects: Have defined objectives that may change
- Programs: Have a larger and more significant scope and benefits.
- Portfolio: Organizational scope that changes with strategic objectives.
Projects and Strategic Planning
- Many projects are undertaken to achieve organizational objectives.
- A project management office (PMO) standardizes project processes, tools, and resources.
- Projects can range from supporting functions to directly managing projects.
The Role of the Project Manager
- The project manager's role is enabling the project team.
- This includes facilitating planning, running interference for their team, procuring resources as required, and preventing outside forces from impacting the team.
- The primary responsibility is completing the project on time and within scope and budget.
- Effective managers need a balance of technical, interpersonal, and conceptual skills.
Interpersonal Skills
- Leading
- Team building
- Motivation
- Communication
- Influencing
- Decision making
- Political and cultural awareness
- Negotiation
- Trust building
- Conflict management
- Coaching
Project Management as a Profession
- Professional societies like PMI have expanded considerably.
- Project management research/certification programs continue growing.
- PMI offers PMP certification for professionals.
Ethics in Project Management
- Ethics are vital for project managers, especially in healthcare.
- Project managers face ethical decisions regularly.
- PMP applicants must agree to the PMP ethics code.
Exercise 1: Healthcare Projects in KSA
- Hospital Construction Projects
- Hospital Expansion/Renovation Projects
- Healthcare IT Projects
- Healthcare Research Projects
- International, National & State Health Projects
Chapter 2: Project Definition & Scope
- PMI definition of a project.
- Alternative definitions of a project from various sources.
The Scope of a Project
- Project scope remains constant.
- Unforeseen problems often lead to scope changes.
- Scope changes may result in budget or schedule issues, becoming a cause of failure.
The Four Project Objectives
- Performance: Quality of work.
- Scope: Magnitude of work.
- Cost: Resources applied to the project.
- Time: Project schedule.
Cost as a Function of Performance, Time, and Scope
- Project costs increase with scope and performance.
Project Managers & Scope
- Project managers inform stakeholders of scope changes.
The Triple Constraint
- Every project is constrained by scope, time, and cost simultaneously.
- Project managers balance these often-competing goals.
The Project Life Cycle
- The sequence through which a project evolves.
- A project life cycle is defined by its phases
Project Life Cycle Phases
- Initiating
- Planning
- Executing
- Monitoring & Controlling
- Closing
Risk During the Life Cycle
- Uncertainty exists at the beginning of a project.
- Uncertainty decreases as projects progress toward completion.
Project Stakeholders
- Individuals and groups with a vested interest in a project.
- Stakeholders encompass project sponsors, managers, team members, support staff, customers, users, and potential opponents.
Stakeholder Engagement Process
- Identify stakeholders
- Assess needs
- Define actions
- Establish communication channels
- Gather feedback
- Monitor and review
The Context of Healthcare Project Management
- Clinical and administrative staff in healthcare often lead projects without formal training
- Project management knowledge can improve healthcare quality and costs
Nature of Healthcare Projects
- Patient quality is a key concern in healthcare projects.
- Governments frequently play a major role in healthcare projects.
- Financial considerations and revenue estimation are different.
- Cost containment & external review are important in healthcare projects
Project Management Challenges in Healthcare
- Rivalry between clinical and financial professionals, lack of shared incentives.
- Difficulty in working together.
- Poor morale/lack of enthusiasm, and poor communications due to diversity of disciplines
Examples of Healthcare Projects
- Patient/Health Consumer
- Sole Providers and Physician Groups
- Hospitals/Hospital Departments
- Health Research
- Payers
- Government and Public Health
- Healthcare Vendor/Auditing
Exercise 2 : Stakeholders
- Sponsor, Funding Body, Customer, Suppliers, End User, Environmental Agency, Maintenance Team, Neighbours, Community
Chapter 4 : Needs Analysis
- Feasibility Analysis
- Technical Analysis
- Market and Demand Analysis
- Economic Analysis (Social Cost- Benefit Analysis)
- Financial Analysis
Feasibility Analysis
- Preliminary evaluation of a project idea to determine if worth pursuing.
- Consider three alternatives whenever possible.
- Feasibility analysis involves product/service, industry/market, organizational, and financial aspects.
Technical Analysis
- Evaluating the project technical feasibility
- Considering prerequisites for successful completion
- Considering Location, size, process
- Multiple technologies can create a particular good/service.
- Planning for Manpower necessary
- Considering Environmental impact assessment
Market and Demand Analysis
- Understanding the consumer, market size, and market needs/demand.
- Understanding market share
- Calculating the total demand of projected product/service
Economic Analysis (Social Cost-Benefit Analysis)
- Evaluation of projects from the perspective of society or economy.
- Estimating the money equivalents of cost/benefits for the community.
- Understanding the objectives of SCBA (e.g., contribution to GDP, benefits to poorer sections, utilization of scarce resources, protection/improvement of environment)
- Recognizing the rationales for SCBA (e.g., market imperfections, externalities, taxes and substitutes, concern for savings, concern for distribution, and merit wants)
SCBA Approaches
- UNIDO approach
- Little-Mirrlees approach
Project Selection
- The selection of appropriate projects is vital for company future.
- Project selection process should consider scope management, project life cycle, and feasibility studies.
Project Selection Models
- Numeric models (payback period, ROI, NPV, IRR)
- Non-numeric models (factor model, cost break-even analysis, project life-cycle cash flow)
Return on Investment (ROI)
- Measures profit/loss relative to the invested cost
- Useful to express project success in comparative terms
Cost Break-Even Analysis
- Explains how costs change.
- Used to calculate when costs equal income.
Organization Structures
- Three main types: -Functional organization -Product organization -Matrix organization -Pure project organization -Work breakup structures
The Project Implementation Plan (PIP)
- Representation of project activities in a structured format.
- Created during the project design phase, often incorporated into the project documentation, and can be completed during project activation.
- Contains the project implementation schedule (activities, sequences, timelines, responsibilities)
Project Implementation
- Called project execution, it's the actual activity of carrying out the proposed project.
- Critical stages in implementation encompass authorizations/approvals from organizations and/or government, negotiations, contracting, construction/preparation, training, and project commissioning.
Project Control
- Project control is about maintaining a project on track.
- It involves reviewing the technical accomplishment against the plan, verifying the need for project continuation, ensuring alignment with operational requirements, overseeing resource expenditures, comparing anticipated value to realized costs
- Information Monitoring
- Requires systematic tracking & observation, composed of data collection and info reporting
- Uses internal & external control systems; internal to monitor work and take action and external to impose standards (e.g client contacts, government)
Project Control Process
- The process includes setting performance standards, comparing actual performance to these standards, and taking necessary corrective action
- Three major aspects: work authorization, collecting cost, schedule, and work progress data, scope, quality, schedule, and cost control.
Steps in Conducting a Financial Analysis
- Identify costs
- Identify benefits
- Calculate costs and benefits (using financial formulas)
- Assess financial indicators
Chapter 7: Evaluating the Project Performance
- Project audit is a thorough examination of a project's management
- The project evaluation must have credibility for both management and the project team
Project Audit Life-cycle
- Initiation, baseline definition, database establishment, preliminary analysis, report preparation, termination
The Project Audit
- Depth of the Audit
- Timing of the Audit
PMIS Definition
- Project Management Information System (PMIS) is part of the enterprise environmental factors
Characteristics of PMIS Software
- Integration, Scope, Time Cost, Quality, Human Resources, Communication, Risk, Procurement, Stakeholders.
Computer-Based Project Management
- Web based PM Systems with central monitoring of multiple project summaries.
Project Life-Cycle & Cost
- Life Cycle Cost (LCC) is a systemic analysis, accumulating all associated costs with the life-cycle of the system
Chapter 8: Project Completion
- Project Termination: Extinction, Addition, Integration, Starvation
- Critical success factors in project completion: mission, top management, schedule, consultation, personnel.
Project Report
- Detailed written document of project activities.
- Contains scope in economic, technical, financial, production, and management aspects.
- Structure: Abstract, Introduction, Literature Review, Method, Results, Discussion, Conclusions, References, and Appendices.
Sustainable Project Management
- Addressing social/economic/environmental impact.
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