Managing Your EMR Project

Last summer Ocala, Florida was hit by twowell as those of any concurrent projects.
hurricanes which barreled through the state.Microsoft Project is a great scheduling tool. Even
Lengthy power outages and widespread structuralMS Excel is able to be used for task tracking. It's
damage forced many medical practices to close.usually a good idea to maintain a log including the
Some of the more coastal practices weren't ableprobability of particular risks, including projected
to conduct surgeries for a few weeks after theimpacts and mitigation. This log should keep track
hurricanes hit.of issues that require attention. The PMI publishes
By our original time line, the launch of oursome standards including knowledge areas
electronic medical records (EMR) system was forimportant to a project manager, who should
late summer, 2005. The unfortunate effects ofemploy processes from each of the nine areas in
the hurricanes forces us to postpone the dateorder to ensure full coverage on the project.
two more months. This delay coincided with someThree of the nine areas are identifies as 'triple
other events at the practice: construction ofconstraints.' The restraints are cost (budget), time
another office location, and the addition of a new(schedule), and scope (work). If any are changed,
associate. We understood that the success of thethe others will be affected. Increasing the project
EMR system would require an ongoingscope will result in increased time and cost, for
commitment - we chose to move the go-liveexample. By lowering the cost, the quality and
date to the start of 2006.scope must both be decreased. Fewer allocated
The president of the Atlanta chapter of theresources will require more time to complete the
Project Management Institute (PMI), Frank Polack,project. It's particularly important to keep
explains methods that a project manager can usedependencies in mind, as when tackling task 2 is
to help a plan mitigate the effects ofdependent on task 1 being completed.
unforeseeable events. He describes the tenQuality Management requires inspections, to be
Change Management principles in his second articlecertain you're implementing strategies which
in the series. According to Mr. Polack,satisfy established requirements. Simply waiting to
implementation of a sound change managementsee if all turns out correctly is a bad idea.
project is a huge factor in achieving projectCommunication Management: What must be
success.communicated, and to whom and how? Important
An excellent change management project ensuresteam members may require frequent updates,
that office culture successfully adapts to newwhile others receive information less often. Will
systems. Implementation requires a Projectupdates be distributed by memo or e-mail? When
Manager to oversee the project. A project, aswill meetings take place, and who should attend?
defined by the Project Management Institute, is aHuman Resources Management: Who are the
'temporary endeavor undertaken to create aSMEs, the subject matter experts? Who's on the
unique product or service.'project team? Will the manager have full authority
Begin with a Project Charter. This charterover the allocated resources?
describes what we're doing and why, along withProcurement Management: Understand vendor
the anticipated budget and schedule. This projectcontracts and the terms you're entering into, be it
charter should also address the risk potential,cost-plus, fixed-price, or time & materials.
constraints, and outline anticipated milestones as