health finance and project management

You are required to develop a 2,000-word Project Plan based one of the attached case studies. Your Plan needs to include: Project Goal, Objective and Strategies Work breakdown structure to detail tasks; schedule, sequencing and timeframe Risk analysis and contingency plans Project resources required Budget Communications and reporting In addition to the Project Plan you also have to develop a short PowerPoint presentation supporting the project. It is expected that the PowerPoint presentation will consist of 12 slides and is to be used to brief the Executive staff of the project.

Task:

You are required to develop a 2,000-word Project Plan based one of the attached case studies.  Your Plan needs to include:

  1. Project Goal, Objective and Strategies
  2. Work breakdown structure to detail tasks; schedule, sequencing and timeframe
  3. Risk analysis and contingency plans
  4. Project resources required
  5. Budget
  6. Communications and reporting

In addition to the Project Plan you also have to develop a short PowerPoint presentation supporting the project.

It is expected that the PowerPoint presentation will consist of 12 slides and is to be used to brief the Executive staff of the project.

Page | 1 7324MED CASE STUDY PROJECT PLAN FOR THE MOUNT PLEASANT COMMUNITY HEALTHCARE CLINIC INTRODUCTION A new primary care facility, to meet the needs of Mount Pleasant’s growing and rapidly ageing population by delivering more accessible, affordable, integrated and quality care to all is to be opened in 2017. As a member of the health services planning team you have been asked to develop the project plan for a part of this project. The management team, oversighting this project have presented you with some data that will help you to initiate this project. The project you will be working on is the model of care for managing the growing obesity problem in the community at this new Clinic. Your task is to complete the project plan and budget for this project together with a short PowerPoint (12 slides) presentation for the executive regarding the project. CASE STUDY BACKGROUND INFORMATION AND DATA PROJECT BRIEF Develop a project plan for this project based on the information provided. You are free to make assumptions but explain this in your Plan. In order to assist you to develop the scope for the project plan the tasks that will need to be performed by this project but are not limited to:  Quantification of the size of the obesity problem in the Community where the clinic will be based  Size and cost of change management implementation in introducing new models of care  Number and mix of staff required  Solutions identification and approaches i.e. possible models of care/pathways  Project team that will be assembled for the project Community Health Clinic Features of the new clinic in which the obesity management and treatment service will be located. The clinic will:  Be future ready to support population health needs Page | 2  Improve on the chronic care model and patient care  Assign patients to regular health care teams or ‘empanelling’ so that patients are cared by regular healthcare teams led by Family Physicians  Utilise healthcare teams that will comprise family physicians, care managers, care coordinators and allied healthcare professionals  Utilise teams to consider patient’s medical and psychosocial backgrounds to better engage patients around their care plans leading to stronger relationships and more effective disease prevention, health promotion and patient empowerment  Be patient focussed  Be located close to public transport and designed for the elderly and those with disabilities  Co-locate pharmacy, radiology, laboratory, nursing services and allied health(Singapore, 2015) Data 2017 2018 2019 2035 Number of attendances 72,000 85,000 90,000 95,000 Predicted proportion of > 65 attendances at the clinic 45% 55% 65% 70% Location Adjacent to public transport

Page | 1 7324MED CASE STUDY ELECTRONIC HEALTH RECORD NEW RELEASE AND EXPANSION OF FUNCTIONALITY – CHANGE MANAGEMENT AND STRATEGY EXECUTION PROJECT PLAN FOR THE MOUNT PLEASANT HOSPITAL INTRODUCTION You are the newly appointed manager of the hospital’s clinical redesign and education unit. You have been recently approached by the management of your hospital about the new release of the software for electronic health records. This release will involve significant new functionality to that which is currently provided. There will be new software, hardware required as well as a large change management requirement. The new functionality in particular addresses requirements for some of the key specialties including cardiology and respiratory. New pathways are also being built into the EMR to aid with the management of stroke, cardiology and hip fracture in line with current guidelines. The new release of software will expand the amount of information currently shared with polyclinics and community based service programs. In order to ensure that the implementation of the new software release is a success, the hospital executive want to provide funding to your unit for a project. The project funding will assist with preparing staff education, clinical pathways and any other necessary task that you identify as necessary. Your task is to complete the project plan and budget for this project together with a short PowerPoint (12 slides) presentation for the executive regarding the project CASE STUDY BACKGROUND INFORMATION AND DATA PROJECT BRIEF Develop a project plan and necessary budget for this project based on the information provided. The hospital executive present you with some data that will help you to initiate this project plan. You are free to make assumptions but explain this in your Project Plan. The executive has given you 3 weeks to complete the project plan. The major deliverable from the project when it is completed is a report that outlines how the new release will be implemented and recommendations to ensure its success. The new release will be implemented from June 2016 over a 6-month period with full installation completed by January 2017. In order to assist you to develop the scope for the project plan the Tasks that will need to be performed by this project but are not limited to: Page | 2  Quantification of the education requirements for the new EMR release  Size and cost of change management processes for this implementation  Solutions identification and approaches  Project team that will be assembled for the project  Definition of ongoing IT/IS support requirements  Stages of the project and milestones  Data that would be needed and sources BACKGROUND MOUNT PLEASANT HOSPITAL Acute public hospital providing general surgical and orthopaedic care as well as cancer, cardiac and general medical specialties. This hospital has access to rehabilitation services for patients who need ongoing services after their acute phase. Data Provided by Hospital Executive Number of Wards Beds per ward Average Length of Stay Nurse per patient ratio 10 30 4.5 1:5 Mount Pleasant Hospital Allied Health Departments  Physiotherapy  Occupational Therapy  Social work  Speech pathology Other Diagnostic imaging and pathology located onsite Number of staff Administration Information Technology Nursing Medical Hotel services Allied Health Clinical Redesign Unit Management Staff 25 12 1500 250 200 250 4 20 Release2 EMR New costs identified to date Page | 3 Cost Item 2016 $US 2017 $US Hardware $350,000 $80,000 System training from vendor $500,000 $100,000 Support from vendor $250,000 $175,000 Total vendor costs $1,100,000 $325,000 You will need to acknowledge the vendor costs within your project. However, additional resources will be required to ensure the successful implementation of the system and that the expected benefits are realised.

Page | 1 7324MED CASE STUDY FALLS MANAGEMENT PLAN AND STRATEGY FOR THE MOUNT PLEASANT HOSPITAL INTRODUCTION You are the newly appointed manager of the hospital’s clinical redesign and education unit. You have been recently approached by the management of your hospital who is concerned by an increase in the number of elderly people in the community who have been hospitalised due to an accidental fall. To help you to understand the size of this issue – the hospital executive have referred you to the Australian Institute of Health and Welfare’s Study on falls, in particular the sections relating to falls and the injury burden that falls cause. Source: AIHW: Bradley C 2013. Trends in hospitalisations due to falls by older people, Australia 1999–00 to 2010–11. Injury research and statistics no. 84. Cat. no. INJCAT 160. Canberra: AIHW. Page | 2 There has also been an increase in the number of falls for patients during their stay in the Mount Pleasant hospital. The hospital executive call you to a meeting to explain that with the ageing population this is a worrying problem. The hospital executive also state, that as part of casemix funding some States have introduced to their performance monitoring framework a monetary-based penalty when patients have a fall during their hospital stay. The hospital executive explain that it is important for patient safety and quality and to avoid negative budget impacts to understand why falls are increasing. In order to address these issues the hospital executive want to provide funding to your unit for a project to investigate further and recommend solutions. Your task is to complete the project plan and associated budget for the falls project. In addition to this you will need to develop a short PowerPoint (12 slides) presentation for the executive regarding the project CASE STUDY BACKGROUND INFORMATION AND DATA PROJECT BRIEF Develop a project plan for this project based on the information provided. The hospital executive present you with some data that will help you to initiate the project plan. You are free to make assumptions but explain this in your Plan. The executive have given you 3 weeks to complete the project plan and advise that they want the project completed in 3 months. The major deliverable from the project when it is completed is a report that outlines recommendations/strategies for reducing falls In order to assist you to develop the scope for the project plan the Tasks that will need to be performed by this project but are not limited to:  Quantification of the size and cost of falls in hospitals  Size and cost of admissions related to elderly patients who present to the emergency department  Solutions identification and recommendations  Project team that will be assembled for the project  Data that would be needed and sources These should be addressed in the Project Plan that you write. BACKGROUND MOUNT PLEASANT HOSPITAL Acute public hospital providing general surgical and orthopaedic care as well as cancer, cardiac and general medical specialties. This hospital has access to rehabilitation services for patients who need ongoing services after their acute phase. Page | 3 Data Provided by Hospital Executive The graph below shows by body part injured, the percentage of cases in each group. Hip and lower limb injuries being the most prevalent. The graph below shows the location where injuries occurred. 0.09 0.092 0.095 0.11 0.115 0.12 0.07 0.07 0.075 0.08 0.07 0.07 0 0.02 0.04 0.06 0.08 0.1 0.12 0.14 2010 2011 2012 2013 2014 2015 Rate per 100 patient days Falls Rate Mount Pleasant Hospital Study Hospital Peer Hospital Page | 4 Source : AIHW: Bradley C 2013. Trends in hospitalisations due to falls by older people, Australia 1999– 00 to 2010–11. Injury research and statistics no. 84. Cat. no. INJCAT 160. Canberra: AIHW. Mount Pleasant Hospital Number of Wards Beds per ward Average Length of Stay Nurse per patient ratio 10 30 4.5 1:5 Mount Pleasant Hospital Allied Health Departments  Physiotherapy  Occupational Therapy  Social work Other  Electronic clinical pathways available in the electronic health record  Electronic referral system implemented in electronic health record  Electronic Incident management system implemented REFERENCES AIHW: Bradley C 2013. Trends in hospitalisations due to falls by older people, Australia 1999–00 to 2010–11. Injury research and statistics no. 84. Cat. no. INJCAT 160. Canberra: AIHW. http://www.aihw.gov.au/publication-detail/?id=60129543594