Managing A Managing A ProjectProject

By:Asma JamaliAsma JamaliHira MalikHira MalikAnam AhmedAnam AhmedNida NaeemNida NaeemZeba Zeba

RISK MANAGEMENT

• The process of planning, leading and controlling the resources and activities of an organization.

• To fulfill its objectives cost effectively.

• To protect and grow corporate assets.

• To enhance shareholder value.

PROCESS OF RISK MANAGEMENT

AGENDATo develop Health

Information system in Fatima Jinnah Hospital

Activities• Patient registration• Admission scheduling• Admission, discharge, transfer• Doctors workbench• Pharmacy • Laboratory information system• Operation theatre• Electronic medical record• Billing • Insurance management

Patient registration• Patient demographics are captured in this

module of HIS• At the time of patient registration, the system

generates a unique MRN (Medical Registration Number)

• Subsequently appointments can be generated / scheduled using MRN

Admission scheduling

Any

appointment

with the

physician is

scheduled via

this module

Admission, discharge, transfer

Doctors workbench• It is a system provided to the

physicians, practitioners or care

providers to place various

orders for a patient

• The system transmits these

orders directly to the intended

department or individuals so

that these orders can be

executed

Pharmacy Pharmacy is the place

where the requested drugs

get dispensed.

Both outpatients and

inpatients are dispensed

drugs from the pharmacy.

Laboratory information system

• The system keeps track of

the tests performed on

different patients

• It updates the patient’s lab

records in EMR

Operation theatreThis module handles all

functions of Operation

Theatre like setting up,

booking and confirming

appointments, scheduling

investigations and

maintenance of address

bank

EMR

• It is the heart of the HIS.

• EMR contains the data only

related to the patient.

• EMR is integrated with the LIS,

RIS, and other modules of the

HIS.

Patient billing • This module takes care of

generating patient billing

details from different

modules.

• It can be generated on

daily/weekly basis or at the

time of discharge.

Insurance management

It shares the diagnosis

and the procedural code

with the insurance

organization or

reimbursement

ACTIVITY CHART

(Activities, precedence, and

times)

ID Activity Description Network Node Immediate Predecessor

Duration (days)

1 Patient registration A - 2

2 Admission scheduling B - 8

3 Admission, discharge, transfer C 1 3

4 Doctors workbench D 3 2

5 Pharmacy E 3 10

6 Laboratory information system F 2, 3 4

7 Operation theatre G 4 4

8 Electronic medical record H 5, 6 1

9 Billing I 5, 7 3

10 Insurance management J 8, 9 2

OBJECTIVE

• The objective is to identify the critical path and figure out how much time the whole project will take.

HMIS Activity on Node Diagram

J2

B8

START

C3 D2 G4

E10 I3

F4 H1

TS ES EF

LS LF0 2

0 8

2 5

8 12

5

5

7

15

7 11

15 18

15 16

18 20

2018

18

1817

15

1511

1505

17131305

1109050202 0

ACTIVITY PATHS

• A-C-D-G-I-J=16 days• A-C-E-I-J=20 days (CRITICAL PATH)• A-C-E-H-J=18 days• A-C-F-H-J=12 days• B-F-H-J=15 days

PROJECT WILL TAKE 20 DAYS TO COMPLETE

Formulas for Beta Distribution of Activity Duration

Expected Duration

6

4_ BMATe

++=

Variance

VB A= −

6

2

Note: (B - A )= Range or 6σ

Activity Means and Variances for developing HMIS

ACTIVITY OPTIMISTIC DAYS(a)

MOST LIKELY DAYS(m)

PESSIMISTIC DAYS(b)

Te=a+4m+b

Variance

6

A 1 2 3 2 0.11

B 5 8 11 8 1

C 2 3 4 3 0.11

D 1 2 3 2 0.11

E 6 9 18 10 4

F 2 4 6 4 0.44

G 1 3 11 4 2.77

H 1 1 1 1 0

I 2 2 8 3 1

J 2 2 2 1.3 0

Completion Time Distribution for developing HMIS

CRITICAL PATH

ACTIVITIES

MEAN(U) VARIANCE

A 2 0.11

C 3 0.11

E 10 4

I 3 1

J 2 0

20 5.2

Standard deviation=2.2

Question?Question?

What is the probability of patient billing if a 24 day completion time is promised?

X=24 DaysU=20

1-0.964=0.04

81.12.2

2024

=

−=

−=

Z

Z

XZ σ

µ

Data:Mean (u) =20 daysX=24 daysStandard deviation=2.2

Mean (u) =20 daysX=24 daysStandard deviation=2.2

Mean (u) =20 daysX=24 daysStandard deviation=2.2

X=24 daysStandard deviation=2.2

X=24 days

Probability for project completion

Value of 1.81 from z-table=0.9641

1-0.9641=0.04 or 4%

P(x<24)

P(z<1.81)

P=0.04 or 4%

The probability of completing the project in 24 days is 4%

BENEFITS It helps hospitals and doctors to better serve

their patients.

Better quality of care, procedures and services

to patients.

Reduces admin workload thereby increases

productivity

Ensure paperless hospital environment.