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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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