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Topics: Healthcare
Value of a Healthcare IT Project?
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How many of you out there have included specific ROI measurements of value on a healthcare IT project? I ask, because, a fellow Healthcare PM colleague and I recently reflected back on dozens of projects we've managed over the years, totaling hundreds of millions, but when we tried to answer, what actual value was delivered, it was a bit difficult to answer, but we both knew of projects we completed which clearly did not add value to the hospital. Just curious if anyone is rigorously trying to measure value of the project to the hospital/health system.
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Hi Don, this is an interesting question and research you are trying to do. Basically value is measured in different ways based on the type of the program/healthcare system and type of healthcare too. For example, I have been in healthcare over 17 years and have worked on traditional PPO and non traditional/retail side.

We did measure value in many ways.
1. For a healthcare reform(HCR) type- the value is measured in delivering per the requirements by the reform. It becomes very important for the organization as a whole to deliver the functionality on time and become compliant fully.
2. For retail/healthcare- we measured by TTM(Time to Market) or STM(Speed To Market), and we like to avail the cost savings for the current year and next two years forward.
3. Strategic value/Performance value- measured in numbers- mostly.
4. Quality- it could be from a patient perspective, calculating an outpatient costs upfront for a small surgery etc.

These are just at 10,000 foot level, really, there is a lot of complexity around healthcare programs.
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Hi Don, I would say that delivering 100% value is bit difficult in healthcare industry projects. However, the project definitely are designed to reduce manual effort.
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As Sonali noted, the projects usually are designed to reduce manual effort.

Based on my experience (years ago I participated in a SAP implementation in healthcare - not as a project manager), we were expecting after the implementation some of those improvements.

- Better Control of inventory
- Improve quality of service
- Paperless service
- Improve data information and data management

By the way, I found this post regarding the project

https://blogs.sap.com/2009/10/29/roi-in-healthcare-projects/
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Hi Don,

Some projects delivered are based on mandated federal government regulations and compliance - take for instance Meaningful Use. Was there not value delivered there, and with that, many unhappy physicians, but that, I suppose, is another discussion. Anyway, there was value there, maybe more to the patient, but also the value was compliance and resultant funding dollars.

Just a thought. I have not been in the HC for a few years.
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Interesting reflection. There are many ways to measure value; CSF, KPI, ROI, business benefits, cost savings, reduction in time spent of an activity/process/task, and redirection of staff to work on key strategic initiatives due to implementation of project.

Many times the benefits/value are already identified and hiring the staff to lead the efforts in the results of the decision to add the value identified. Sounds like you weren't included in the strategy but directed to lead the efforts. Value can be both tangible and intangible.
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1 reply by Mayte Mata-Sivera
Jun 02, 2017 4:52 PM
Mayte Mata-Sivera
...
There are still a lot of management that focus their KPI's in money and we need to work hard to help them to understand the importance of other key factors...
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Jun 02, 2017 4:34 PM
Replying to Naomi Caietti
...
Interesting reflection. There are many ways to measure value; CSF, KPI, ROI, business benefits, cost savings, reduction in time spent of an activity/process/task, and redirection of staff to work on key strategic initiatives due to implementation of project.

Many times the benefits/value are already identified and hiring the staff to lead the efforts in the results of the decision to add the value identified. Sounds like you weren't included in the strategy but directed to lead the efforts. Value can be both tangible and intangible.
There are still a lot of management that focus their KPI's in money and we need to work hard to help them to understand the importance of other key factors...
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Hi Don,
Without very heavy background in Healthcare, generally speaking when project objectives are documented, we could add evaluation metrics against each of them. Use SMART technique against those objectives.
Thanks,
Sachin.
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I implemented a secure text messaging project and in the Charter our improvement was to reduce the cost of pagers. I collected the pager invoice and determined the number of pagers. We determined that we wanted to reduce pager count by 80%. The reduction in pager count was our measured benefit realization. If you want to measure your project ROI, you need to define in the charter phase and then develop a method for measuring the benefit.
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ROI will not help to measure value for a project. In fact, what deliver value to the organization is not the project. Is the product/service/result the project will create. So, to demonstrate value you have to use other measure than ROI.
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This is a very complex topic indeed in healthcare, and it is not at all easily to deliver rigorous measures of value, especially as it needs to be system-wide and looking at many different factors. There's a relevant webinar next week which might be some help (I can't vouch for its quality, I just saw an advert for it)

http://www.himsslearn.org/do-you-know-what...value-outcomes?
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