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Topics: Healthcare, IT Project Management, Organizational Project Management
What are the hidden indicators of a failing project in healthcare?
Network:16



For instance an administrative health database should be the core foundation for every healthcare system including activities, planing, operations. A unified health records system for all citizens within a nation where all hospitals are included would be ideal, but yet to realize.
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Network:869



Failing in what sense? Cost, schedule, functionality? These are going to be similar whether you are in Healthcare or some other field.

If the failure is value realization, it could be project-related. Maybe the wrong thing was delivered. Maybe there isn't an actual demand for what was delivered (been there). In my experience, coming up with a unified health record has problems in scope, support from the intended recipients (demand vs privacy concerns), competing interests, standards that are understood (HL7 is getting better, from what I've heard), budget concerns (small providers needing new or upgraded systems), companies attempting to monetize the UHR into exchanges that providers have to subscribe to (also affects small providers)... It's been a few years, so things may have improved since I was involved.
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1 reply by Simon Olivier Guienguere
Aug 21, 2019 2:38 PM
Simon Olivier Guienguere
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Thank you Aaron for your quick reply and inputs.
Failure in terms of realization and I will echo the privacy concerns as well.
Network:1568



Are there really hidden indicators or just indicators which we haven't paid attention to? Growing change resistance from clinicians and other key stakeholders, shifts in funding within fixed portfolio funding envelopes and not meeting key regulatory or other control requirements might all lead to failure, but none are truly hidden if we are effectively monitoring & controlling the project.
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1 reply by Simon Olivier Guienguere
Aug 21, 2019 2:43 PM
Simon Olivier Guienguere
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Thanks Kiron for the insights, definitely we did not see it coming nor we paid attention to it.Agreed with the effective monitoring and controlling rigorousness.
Network:16



Aug 21, 2019 2:27 PM
Replying to Aaron Porter
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Failing in what sense? Cost, schedule, functionality? These are going to be similar whether you are in Healthcare or some other field.

If the failure is value realization, it could be project-related. Maybe the wrong thing was delivered. Maybe there isn't an actual demand for what was delivered (been there). In my experience, coming up with a unified health record has problems in scope, support from the intended recipients (demand vs privacy concerns), competing interests, standards that are understood (HL7 is getting better, from what I've heard), budget concerns (small providers needing new or upgraded systems), companies attempting to monetize the UHR into exchanges that providers have to subscribe to (also affects small providers)... It's been a few years, so things may have improved since I was involved.
Thank you Aaron for your quick reply and inputs.
Failure in terms of realization and I will echo the privacy concerns as well.
Network:16



Aug 21, 2019 2:30 PM
Replying to Kiron Bondale
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Are there really hidden indicators or just indicators which we haven't paid attention to? Growing change resistance from clinicians and other key stakeholders, shifts in funding within fixed portfolio funding envelopes and not meeting key regulatory or other control requirements might all lead to failure, but none are truly hidden if we are effectively monitoring & controlling the project.
Thanks Kiron for the insights, definitely we did not see it coming nor we paid attention to it.Agreed with the effective monitoring and controlling rigorousness.
Network:143



Why fail? Think for positive. Look up project performance report. Try to find the lags & root cause.
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1 reply by Simon Olivier Guienguere
Aug 28, 2019 3:40 AM
Simon Olivier Guienguere
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Thanks Rajon for your inputs. I like thinking positively, however, I believe " the tree must not hide the forest". RCA could be a great start, the ideal would be preventive rather than curative.
Network:102079



Having worked in the health care field over the last twenty years, I can attest that jurisdictional legislations can hamper your products and services. For example, in Canada, each province and territory are responsible for health care. You will not likely see national registers/indicies, whether residents, clinicians or medications.

I worked with clinicians on EMR projects. They told me flat out that they won't use our solution if it will add a minute to each of their patients' visits.

Do not underestimate the time spent with point of service solution providers. Your solution will have to integrate with pharmacy and clinic POS. Make sure that your solution follows standards. Then it's just a question of asking POS suppliers to comply to the standards and test against the standards.
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1 reply by Simon Olivier Guienguere
Aug 28, 2019 3:49 AM
Simon Olivier Guienguere
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Thank you Stephane, agreed that jurisdictional legislation could constitute some hurdles.
Network:16



Aug 22, 2019 5:38 AM
Replying to RAJON BANERJEE
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Why fail? Think for positive. Look up project performance report. Try to find the lags & root cause.
Thanks Rajon for your inputs. I like thinking positively, however, I believe " the tree must not hide the forest". RCA could be a great start, the ideal would be preventive rather than curative.
Network:16



Aug 22, 2019 9:35 AM
Replying to Stéphane Parent
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Having worked in the health care field over the last twenty years, I can attest that jurisdictional legislations can hamper your products and services. For example, in Canada, each province and territory are responsible for health care. You will not likely see national registers/indicies, whether residents, clinicians or medications.

I worked with clinicians on EMR projects. They told me flat out that they won't use our solution if it will add a minute to each of their patients' visits.

Do not underestimate the time spent with point of service solution providers. Your solution will have to integrate with pharmacy and clinic POS. Make sure that your solution follows standards. Then it's just a question of asking POS suppliers to comply to the standards and test against the standards.
Thank you Stephane, agreed that jurisdictional legislation could constitute some hurdles.

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