ksa pacs implementation at 200 moh hospitals program · 2018-05-25 · project management overview...
TRANSCRIPT
PMP Course 2012
Chamber of Commerce
KSA PACS IMPLEMENTATION AT 200 MOH
HOSPITALS PROGRAM
Project Management
Plan (PMP)
PHASE I – 10 HOSPITALS
PACS PROJECT
CONTENTS
PACS Introduction
Project Management Overview Overview
Objectives
Constraints & Assumptions
Stakeholders Analysis Context Diagram
Register List
Analysis Diagram
Strategy & Approach
Project Scope Work Breakdown Structure Diagram
Project Schedule
Project Critical Path
Milestones & Deliverables
Project Budget & Cost
Project Org. & Mgt
Organization Chart
Roles & Resp. Matrix
Positions Description
Quality Plan
Quality Standards
Benchmarks Review
Communications Mgt.
Risks Mgt.
PACS INTRODUCTION
PACS stands for Picture Archiving and Communication System. This new system will allow users to acquire, transmit, store, retrieve and modify digital images taken from modalities in Radiology Departments throughout Group Health Cooperative.
PACS INTRODUCTION – BEFORE PACS
Average 6
Days
Turnaround
PACS INTRODUCTION – AFTER PACS
Average <3
Days
Turnaround
PROJECT MANAGEMENT OVERVIEW – OVERVIEW
MOH is implementing a comprehensive solution that will be used for archiving patient PACs in the Ministry of Health hospitals included in this project, achieving system, and digital communications support, the need to reduce radiology films print, and upgrade radiology departments to work in filmless and paperless solution environment with support of a wide range of diagnostic applications.
This Program consists of multiple projects. This is the initial project, which will cover the complete implementation requirements, installation at MOH central site and deployment to 10 Hospitals.
The project timing is 18 months implementation and 36M of O&SM
The Project includes the procurement for a full large scale PACS. This will include the following:
Servers, LAN & WAN, Storage Media, Display WS, Image Data Compression SW, PACS SW, and others.
PROJECT MANAGEMENT OVERVIEW - OBJECTIVES
Allow easy access of penitent's radiology image at any time from any location.
Achieve excellency in health care, by better quality and reduced time.
Remote consultants can participate in the diagnoses and review of any patient's radiology image.
Establish the PACS platform and infrastructure to deploy and install PACS at the remaining MOH hospitals.
Reduce Cost and operate a filmless environment.
Allow better distribution of Radiology skills around the kingdom.
Enrich the health care knowledge by allowing the access and share of critical and scares cases.
PROJECT MANAGEMENT OVERVIEW – CONSTRAINTS &
ASSUMPTIONS
Constraints:
The rollout is at multiple cities and regions.
The contract period is limited to 18 months including the rollout.
Assumptions:
MOH is responsible to have all the sites ready and prepared for the system installation.
Communication Links will be paid by MOH directly based on requisition from PACS Team
MOH is responsible to have all hospitals assigned acceptance teams available as per the project schedule.
MOH is responsible to have all facilities available for installation teams as per the schedule.
PROJECT MANAGEMENT OVERVIEW –
STAKEHOLDERS ANALYSIS
MOH HQHealth
Private Sect.
Hospitals
Directorates
Subcont./
SuppliersMedia
Other Gov.
Org
PACS
PROJECT MANAGEMENT OVERVIEW –
STAKEHOLDERS ANALYSIS
SN Stakeholder Requirements (Expectations) Interest Power
1 MOH – PACS
Project Team
Approval, Supervision
and Authentication
Submit SOW
Submit Project Plans
Submit Monthly Progress Reports
Submit System Final Specifications and Design
Obtain Project Acceptance
Obtain Payment Acceptance based on Milestones Completion
High High
2 MOH Hospitals –
IT Dept. Site Tech Support
Request Site Readiness based on agreed specifications
Obtain Site Acceptance Support High Medium
3 MOH Hospitals –
Radiology Dept. Site Acceptance
Obtain Requirements Review via Super Users Workshops
To Participate in System Acceptance
Provide Users Training
Request Site Acceptance
Supervise their Operations at Sites
Monitor Users System Utilization
High High
4 Ministry of
Finance
Project Payments
Support Submit Invoices Regularly Low High
5 Media Health Awareness Provide them with some updates of the system advancements when it is
necessary to notify the public Low Low
6 Private Hospitals Potential
Customer/User
Provide them with the project advancements by inviting them to go live
events and post Implementation High Low
7 Customs
Department Supply Support Provide complete customs requirements to avoid any delay Low High
8
Internet and
Comm. Service
Providers
Tech Service Provider Request sites connectivity
Follow up and monitor the installation Low High
9 Ministry of Labor HR Support Submit recruitments application requests Low High
PROJECT MANAGEMENT OVERVIEW –
STAKEHOLDERS ANALYSIS
Manage CloslyKeep Satisfied
Keep InformedMonitior
High
HighLow
Low
Interest
Po
we
r
Media
MOL Cust.
MOF Comm.
MOH
Pro.
Team
Hospt.
Radi.
Hospt.
IT
Priv.
Hospt.
PROJECT SCOPE - WBS
PACS Project
0
PACS Hospital
Sites
3
PACS Hospital
Sites Roll-out
4
PACS Sys.
Central Site
2
Training
5
Proj. Mgt.
1
Operations &
Service Mgt.
6
Execution
1.3
Monitoring &
Control
1.4
Planning
1.2
Project Closing
1.5
Initiation
1.1
Procurement
2.5
Sys. Cust & Dev.
2.6
Site Preparation
2.4
Deployment &
Installation
2.7
Site Survey
2.3
Integration
2.8
Acceptance
2.9
Sys. Req & Sizing
2.1
Development
3.4
Test
3.5
Procurement
3.3
Acceptance
3.6
Design
3.2
Pilot Site
Deployment
3.7
Req. Analysis
3.1
Deployment
4.3
Integration
4.4
Preparation
4.2
Test
4.5
Site Survey
4.1
Acceptance
4.6
System Tech
Training
5.3
User Training
5.4
Trainers Training
5.2
Acceptance
5.5
Training
Management
5.1
O&SM Tools
Integration
6.3
O&SM Processes &
Procedures
6.4
Est. O&SM Org
6.2
Help Desk Mgt.
6.5
SLC Mgt.
6.1
Preventive Maint.
6.6
Sys. Design
2.2
PROJECT SCOPE – PROJECT SCHEDULE
PROJECT SCOPE –CRITICAL PATH
PROJECT SCOPE – DELIVERABLES
Deliverable Document
Name Description Language
Statement of Work (SOW) Includes detailed description of work and high level schedule to be performed by PACS
Team and MOH Team, including project deliverables. English
Project Management Plan
Defines project, provides planning information for executing, monitoring, and controlling
project. This includes the following components
Master Project Schedule
Project Execution Plan
Deployment Management Plan
Risk Management Plan
Documentation Plan
Configuration Management Plan
English
Master Project Schedule PACS Master Project Schedule English
Training Plan
Training Plan specifies work required to develop training materials and to deliver training
classes, or use operational system to provide additional experience. This includes Training
and Awareness Sessions.
English
System Specification
Defines the Allocated, Design, and Product baselines as prepared during the project.
Includes:
Requirements specification
Technical design
Specialized software descriptions
Security design and specifications
Risk management approach
Interface documents for HIS and RIS
As-built documentation
Technical documenation for airlines
English
PROJECT SCOPE – DELIVERABLES
Deliverable Document
Name Description
Langua
ge
Business Process Change
Strategy
Includes the following content:
Concept of Operations
Business Process Change Plan
To Be Business Processes
Benefits Realization
Business Process Training
English
Installation Procedures Documents requirements and sequence of software installation on hardware systems. Addresses all
site types. Maintained to address update installations English
Final Test Plan Plan for formal test and acceptance and includes Final Test Procedures. Defines overall approach,
facilities, coverage, method of requirements acceptance, definition of test coverage per release English
Final Test Report and Test
Case Results Documents results of formal test conduct. English
Final Acceptance Document Defines and documents results of Final Acceptance Test English
Operations and Service
Management Plan
Defines how PACS Team will work with MOH to operate and maintain the new PACS systems.
Includes:
Service Level Contract Document
Disaster Recovery Planning
IT Service Continuity Planning
Hospitals Assistance Plan
Spares List
English
System Operator’s Manual System Operator’s Manual is reference handbook for system operators. English
PACS User Manual PACS operations for External and Internal Users English,
Arabic
PROJECT BUDGET & COST
WBS Activity by WBS Cost Percentage % Cost Amount
1 Project Management 100% 3,000,000.00
1.1 Initiation 10 % 300,000.00
1.2 Planning 22 % 660,000.00
1.3 Execution 23 % 690,000.00
1.4 Monitoring & controlling 15 % 450,000.00
1.5 Closing 20 % 600,000.00
PROJECT BUDGET & COST
WBS Activity by WBS Cost Percentage % Cost Amount
2 PACS Sys Central Sites 100% 15,000,000.00
2.1 Sys req & sizing 10% 1,500,000.00
2.2 Sys Design 12% 1,800,000.00
2.3 Sys Survay 1% 150,000.00
2.4 Sys Preperation 15% 2,250,000.00
2.5 Procurement -
2.5.1 HW 15% 2,250,000.00
2.5.2 SW 3% 450,000.00
2.5.3 Others 2% 300,000.00
2.6 Sys Cust & Dev 32% 4,800,000.00
2.7 Deployment &
Installation 8% 1,200,000.00
2.8 Integration 2% 300,000.00
PROJECT BUDGET & COST
WBS Activity by WBS Cost Percentage % Cost Amount
3 PACS Hospital Sites 100% 30,000,000.00
3.1 Req Analysis 18 % 5,400,000.00
3.2 Design 21 % 6,300,000.00
3.3 Procurement 22 % 6,600,000.00
3.4 Development 28 % 8,400,000.00
3.5 Test 2 % 600,000.00
3.6 Approval 1 % 300,000.00
3.7 Pilot Site Deployment 8 % 2,400,000.00
PROJECT BUDGET & COST
WBS Activity by WBS Cost Percentage % Cost Amount
4 PACS Hospital Sites Roll
Out 100% 5,000,000.00
4.1 Site Survey 0.5 % 25,000.00
4.2 Preparation 35 % 1,750,000.00
4.3 Deployment 30 % 1,500,000.00
4.4 Integration 10 % 500,000.00
4.5 Test 24 % 1,200,000.00
4.6 Acceptance 0.5 % 25,000.00
PROJECT BUDGET & COST
WBS Activity by WBS Cost Percentage % Cost Amount
5 Training 100% 5,000,000.00
5.1 Training Management 10 % 500,000.00
5.2 Trainers Training 35 % 1,750,000.00
5.3 System Tech Training 30 % 1,500,000.00
5.4 User Training 23 % 1,150,000.00
5.5 Acceptance 2 % 100,000.00
PROJECT ORG & MGT – ORGANIZATIONAL CHART
PROJECT ORG & MGT – ROLES & RESP. MATRIX
PROJECT ORG & MGT – POSITIONS DESCRIPTION
PACS PM JOB DESCRIPTION
Designation : Project Manager - Picture Archiving & Communications System (PACs)
Grade : A Salary SAR 45,000
Hours : 44 H per week
Responsibleto : PACS Project Manager
Will Attend: Phase One PACS Project Board
Phase One PACS Project Meetings
MOH PACS Project Meetings
Role : The primary function of the post will be to manage the PACS Project from inception to completion.
The role will involve working with Project Teams within Radiology and other MOH organisations in and suppliers. In terms of focus extensive liaison with
clinical staff especially in Radiology will be required and ensuring that the completed project are capable of being supported by the First, Second, Third
Line Support teams in PACS project.
RESPONSIBILITIES (Smaple):-
Project Management: The primary function of the post will be to manage the PACS Project from inception to completion. This will require the post
holder to.
Specification Development: Review the national PACS Specification and work with the PACS Team to ensure local requirements are accurately reflected
in the local version.
Contract Development: Review the national PACS Contract and work with the MOH PACS Team to ensure local requirements are accurately reflected.
QUALITY PLAN
- QUALITY STANDARDS
DICOM
(Digital Imaging and
Communications in
Medicine)
The DICOM standard was established to aid the distribution and viewing of digital
medical image data. Conformance to the DICOM standards helps devices within a PACS
to communicate. It should be noted that merely “conforming to DICOM” does not
guarantee that any two devices will be able successfully to communicate; it must be
ensured that the devices’ particular implementation of DICOM is complementary
IHE
(Integrating the
Healthcare
Enterprise)
IHE is an initiative by healthcare professionals and industry to improve the way computer
systems in healthcare share information. IHE promotes the coordinated use of
established standards such as DICOM and HL7 to address specific clinical need in
support of optimal patient care. Systems developed in accordance with IHE
communicate with one another better, are easier to implement, and enable care
providers to use information more effectively
HL7
Health Level Seven
It is standard for exchanging information between different Information systems
deployed in healthcare setup.DICOM is used for the integration of RIS PACS with
Modalities(CT,MR etc) but HL7 is required for the integration of RIS with different
Information system in the hospital like HIS Master patient index,EMR etc.
Currently, interfacing systems can be difficult due to the different standards – and implementation of those standards – employed by such systems. IHE aims to define how existing standards may be used in order to facilitate communications between computer systems used in healthcare; initially, IHE will concentrate on DICOM and HL7 but mat extend to other standards if necessary.
QUALITY PLAN
Project Area Benchmark PACS
Implementation
Lessons Learned /Approach
Remote Access Fraser Health
Authority (Canada)
Consider how support will be provided to remote
users, outside of the network.
Project Team
Logistics
Fraser Health
Authority (Canada)
PACS Project Team should be on-site for at least
three months - one month prior to Go-live, one
month during, and one month after Go live.
Planning NHS (UK) A network survey must be done, the bandwidth
of both backbone and branches must be
assessed and any upgrading work undertaken.
Leadership/Proj
ect
Management
Fraser Health
Authority (Canada)
Recognize that project fatigue can become an
issue with large scale, multi-site
implementations.
- BENCHMARKS REVIEW
COMMUNICATION MGT.
Communica
tion Activity
Description Repetiti
on
Communi
cation
Media
Responsi
ble
Audience Form
Project Senior
Officers
Meeting
To monitor the status of
the project , constraints
and additional needs
Weekly Meeting PM Senior Officers
in the Project
MS Power
Point
Project
Performance
Meeting
Review the completed
tasks in daily basis.
Daily Quick
Meeting
TLs TMs MS Project
Customer
Monthly
Report
Monthly reports that
show the project
achievements
Monthly By Hand Project
Controller
Customer’s
Project Team &
Sponsor
MS Word
Change
Request
Orders Report
To provide change
requests , and to follow
the approval procedures.
As
Needed
E-mail TLs & PM Customer’s
Project Team,
PMO & Sponsor
MS Word
RISKS MGT.
No. Risk Impact Prob. Response Indicators
1 Sites Infrastructure
aren’t ready H L Transfer, Outsource Site Survey
2 Connection isn’t ready H M Transfer, to (V-SAT)
Technology
Far Sites like villages
3 Delivery Delay from
Vendor H L Avoid, Signing with other
Vendor
Manufactured outside
theRegion with Limit
vendors can delivery
4 Cost over Budget H L Mitigate, More mange &
control the budget and
Reduce the extra costs
Increase price of
equipment and
manpower
5 Suddenly Terminations
from Project team L M Transfer, Signing with many
Outsourcing Companies.
If no contracts with
Project team
PACS TEAM
Jehad Aldobayyan
Amer Alsarhan
Saied Abo Qasem
Fahad Aldobayyan
Abdullah Alenizi
Abdulaziz Alfadhel
Abdullah Alzahrani
ويف اخلتام أتوجه إليكم
بالشكر اجلزيل على منحي هذه الفرصة ألكون معكم
حمبكم مازن الوحش
للتواصل
[email protected] +966531099537 www.alwahsh.me
@mazen_1976 MAZEN ALWAHSH