NURS 6441: Project Management: Healthcare Information Technology Essay Assignment Paper Essay Help

NURS 6441: Project Management: Healthcare Information Technology Essay Assignment Paper

NURS 6441 Entire Course Weekly Discussions And Assignments

NURS 6441 Week 1: Introduction to Project Management

Any project that even remotely impacts patient care should include nurses as stakeholders.

—Susan Houston, NIH

A nurse informaticist often serves as a link between the technical staff of a health care organization and its clinical staff. As this link, the nurse informaticist plays a significant role in ensuring that the needs of doctors and nurses are considered during any discussion on possible health information technology implementations. To be most effective, the nurse informaticist should be familiar with project management methodology. From a task as simple as training nurses on a software application to an effort as complex as installing an entire electronic health record (EHR) system, project management aids in the successful planning and implementation of innumerable processes and projects. The increased demand for health care information technology projects of all sizes is generating a need for health care professionals who are well-versed in project management methodology.

This week, you analyze the application of project management in health care organizations.

Learning Objectives

Students will: Get NURS 6441: Project Management: Healthcare Information Technology Essay Help

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Consider the following list of skills and their importance in being an effective nurse:

In actuality, this list came from a job description in project management. In daily nursing routines, nurses often apply many of the same skills that are common to project management.

In this Discussion, you are introduced to the value and use of project management in health care settings.

To prepare: NURS 6441: Project Management: Healthcare Information Technology Essay

By Day 3

Post a brief summary of the article you selected (with reference). Explain the beneficial application of project management methodology highlighted by the article. Describe how you would communicate the value of project management to nurses who are unfamiliar with the discipline. Generate at least two strategies for motivating nurses to utilize project management methodology.

By Day 6

Respond to at least two of your colleagues, on two different days, who selected different articles than you, using one or more of the following approaches:

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NURS 6441 Week 2: Managing Change

Imagine spending months designing the “perfect” project plan for implementing a new health information technology (HIT) system. You then discover that many of the end-users are expressing some resistance to the new system implementation. What could you do to alleviate their concerns?

In addition to being aware of the design steps of a project, project managers must ensure they also effectively manage conflicts and resistance to change. This week, you analyze management methods that may be used to facilitate change associated with projects. You also familiarize yourself with Microsoft Project, a commonly used project management software application, and generate a project plan using Microsoft Project.

Learning Objectives

Students will: Get NURS 6441: Project Management: Healthcare Information Technology Essay Help

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.

** The Assignment related to this Learning Objective is introduced this week and submitted in Week 5

Change often involves moving outside one’s comfort zone. The greater the change, the more discomfort it is likely to cause. The substantial changes associated with implementing major health care information technology projects can be disconcerting for individuals within health care organizations. People become comfortable with following a routine process and knowing their job expectations. For some, changes to routine may cause anxiety. Project managers must be able to apply change management methods that enable stakeholders to recognize and accept the benefits of a change. Project managers have a variety of methods at their disposal to mitigate uneasiness resulting from change, including conflict resolution, communication strategies, or team-building. With new health care technologies emerging at an increasingly rapid rate, proficiency in applying change management methods is critical.

In this Discussion, you analyze different methods that project managers employ to facilitate change.

To prepare: NURS 6441: Project Management: Healthcare Information Technology Essay

By Day 3

Post a description of a personal experience in which change was ineffectively managed. Explain which management methods could have been applied to more successfully to facilitate the change.

By Day 6

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

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NURS 6441 Week 3: Using Microsoft Project

To be most effective at any task, you need the proper tools. Just as expert craftspeople seek the best tools for their trade, project managers seek the best project planning software. Microsoft Project, which was introduced last week, is one of the preeminent project planning applications on the market. Using a program such as this streamlines the planning and tracking of a project and allows you to focus your time on implementation. By gaining a working knowledge of Microsoft Project, you increase your ability to make a valuable contribution to your organization in your role as a nurse informaticist.

This week, you assess your initial proficiency in Microsoft Project.

Learning Objectives

Students will:

In Week 2, you began creating a project plan in Microsoft Project. By now, you should have an idea about your level of comfort in using this software. You have most likely discovered some helpful techniques and may also have an idea of areas in which you could use help. Both your newfound skills and your areas of concern are valuable insights that could assist your colleagues.

In this Discussion, you assess your first experiences using Microsoft Project and exchange tips with your colleagues.

To prepare: NURS 6441: Project Management: Healthcare Information Technology Essay

By Day 3

Post an assessment of your level of comfort in using Microsoft Project. Describe a technique or tip you learned through your initial experience with Microsoft Project that might be useful to your colleagues. Specify an area in which you could use help.

By Day 6

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

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NURS 6441 Week 4: Project Initiation, Part I

The project initiation phase is the beginning, and perhaps most important, stage of designing and managing a project. To begin, the project manager must have a clear, overall understanding of what stakeholders envision for the project. The more time spent asking questions and clarifying details at the start, the smoother the process and the easier it will be to meet expectations.

One of the key events in the initiation phase is the creation of a project charter. A project charter defines a number of essential project features and functions as a roadmap to a project’s completion. This week you are introduced to the project charter development process, and you and your team produce your own preliminary charter for a health care information technology project.

Learning Objectives

Students will: Get NURS 6441: Project Management: Healthcare Information Technology Essay Help

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 5.

When considering the elements of a project charter, project managers focus on the three vitally important elements of scope, cost, and time. Project managers call these elements the “triple constraint” and group them together, as modifying one will typically affect the remaining two. Although the “triple constraint” may serve as the backbone of a project charter, other elements can also prove to be important.

In this Discussion, you analyze how the “triple constraint” impacts the development of a project charter and describe two additional project charter elements that you believe to be influential.

To prepare:

By Day 3

Post an analysis of how the element of the “triple constraint” that you were assigned impacts the development of a project charter. Describe two additional elements of a project charter that you believe to be highly influential. Provide a rationale for your selections.

By Day 6

Respond to at least two of your colleagues on two different days who analyzed different elements than you, using one or more of the following approaches:

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NURS 6441 Week 5: Project Initiation, Part II

Do you know the risk factors for heart disease? What about the risk factors for breast cancer or asthma? Nurses must be aware of health determinants that may increase an individual’s chance of injury or disease. A great deal of time and effort goes into mitigating risks factors so that disease may be prevented rather than treated. As a nurse and health care provider, you anticipate risks and take actions to mitigate those risks. Project managers frequently apply this form of risk management to ensure that projects are not derailed by unforeseen and unnecessary risks. Risk management is so vital that project managers often make provisions for unforeseen risks as early as the initiation phase of a project.

Last week, you explored how the initiation phase sets the stage for every subsequent step of the project management process. This week you focus on generating strategies for mitigating potential project risks.

Learning Objectives

Students will: Get NURS 6441: Project Management: Healthcare Information Technology Essay Help

How often have you heard someone say, “Wow! I didn’t see that coming!”? Project failure is frequently attributed to unforeseen circumstances (risks) that emerge during the different phases of a project. Though project managers may be unable to fully anticipate all risks, they can make provisions for addressing potential risks that may arise in later phases of a project. It is essential to continually weigh and mitigate risks. But what about cases in which risk is deliberately increased to reach a desired outcome?

In this Discussion, you consider a scenario in which these questions arise. Based on the scenario, you generate strategies for mitigating potential project risks.

To prepare, consider the following scenario:

You are on the project team for an IT project that must be completed on time to coincide with the opening of a new hospital wing that will rely in part on this technology. You learn that the project manager has been ordering shortcuts on testing to meet the deadline. You can see that these actions keep the project on schedule and the product seems to work well, but you are concerned about the additional risk caused by the shortcuts. Do you intervene?

By Day 3

Post a description of how you would respond to the situation described in the scenario. Identify potential risks to the project if you do or do not take action. Explain strategies you might use to mitigate the risks you identified. Is it ever beneficial to accept or increase risks in order to meet project goals? Justify your response.

By Day 6

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

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NURS 6441 Week 6: Project Planning, Part I

An unsuccessful project fails in the beginning—not at the end.

—Brian Gugerty, DNS‚ RN

All successful projects employ a set of steps or guidelines that direct the project and the work of the team. The project manager generally establishes those steps and uses them to identify the project scope, establish priorities, create a work breakdown, and integrate the breakdown within the organization. These steps help the project to be self-sustaining, and are vital to successfully managing a project.

The work breakdown structure (WBS) is a critical part of project management. The WBS helps define the scope of the project and guides the efforts of those involved.

This week you examine the process of defining steps used to manage a project. You also investigate how to identify the scope of a project, manage and establish priorities, and develop a WBS.

Learning Objectives

Students will:

Within reason, is there such a thing as a project that is too complex to complete? Consider the Space Shuttle. One of the most complex machines ever built, the Space Shuttle had over 2.5 million parts, each of which had to be accounted for by someone. How did anyone manage to track and properly assemble these parts? The answer is through the application of a work breakdown structure (WBS). A WBS is a fundamental tool that project managers use to organize and divide the work of a project. A WBS focuses on breaking down a project’s scope into individual deliverables that may be created by assigned team members.

There are multiple work breakdown structure formats and each has its own advantages and disadvantages. Project managers select a type of WBS based upon the specifics of the project they are managing. Each WBS format emphasizes different aspects of a project. These varied perspectives may each be appropriate, depending upon what information a project manager needs.

In this Discussion, you analyze different WBS formats and evaluate whether they meet basic criteria for clarity.

To prepare: NURS 6441: Project Management: Healthcare Information Technology Essay

By Day 3

Post an analysis of the advantages and disadvantages of each work breakdown structure format. Provide an analysis of whether (and how) the work breakdown structures meet the assigned criteria for clarity. Provide rationale for your response.

By Day 6

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

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NURS 6441 Week 7: Project Planning, Part II

Have you ever seen a spider web outside in the first light of day? The dew of the early morning outlines the complex interconnections of the web. Though delicate, each strand is integral to the strength of the whole. To guarantee the success of a project, it is essential that the project manager is able to see the interconnections between each of the elements of a plan. The more complex a project, the more interconnections there will be. The ability to identify these interconnections and to discern how tasks depend on each other allows a project manager to construct precise schedules that reflect the key processes and timing of a project implementation. This information is vital during the planning phase of any project.

In this week, you assess the importance of accurately identifying dependencies in a project timeline. In addition, you explore the specifics of planning a project, from the identification of the specific tasks in the project to the step-by-step development of the project schedule.

Learning Objectives

Students will: Get NURS 6441: Project Management: Healthcare Information Technology Essay Help

* The Assignment related to these Learning Objectives are introduced this week and submitted in Week 9.

Inserting an intravenous (IV) line is a multi-step process. Before attempting to find a suitable vein, nurses must gather the appropriate materials (tourniquet, catheter, IV tubing, etc.). Before puncturing a patient’s vein, nurses must first find one that is suitable. This process illustrates the project management principle of task dependencies. Each task in the process depends upon the previous one’s completion in order to begin.

Once a project’s scope has been defined and its work breakdown structure created, the next step is to generate a detailed and precise schedule for all activities in the project. This schedule allows for monitoring the project’s progress and provides a strategy for mitigating risk during the project’s life cycle. The identification of the relationships (dependencies) between the tasks in a health information technology project is critical as you determine a project timeline.

In this Discussion, you construct a brief example of a health information technology project that illustrates three of the four types of dependencies. In addition, you assess the importance of accurately identifying dependencies in a project timeline.

To prepare: NURS 6441: Project Management: Healthcare Information Technology Essay

By Day 3

Post an example that illustrates dependencies, or relationships, between tasks in a health information technology project timeline. Include at least three of the four types of dependencies between tasks in the example. Assess the importance of accurately identifying dependencies in a project timeline.

By Day 6

Respond to at least two of your colleagues on two different days, critiquing the validity of the tasks and dependencies in your colleagues’ example. Note any additional dependencies that might be important to consider.

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NURS 6441 Week 8: Project Execution and Control, Part I

I am surrounded by people with good ideas. I need more people that implement them well.

—Will Weider, CIO, Ministry Health Care

The successful execution of a project requires continual control and monitoring to ensure that the project stays on schedule, on budget, and on specification. The ongoing collection, analysis, and reporting of project data is an essential project management tool for monitoring a project’s status throughout its execution; the information generated by this process can be used by the project team to determine appropriate actions to control the project by bringing its time, cost, and performance back in line with the project plan.

This week, you consider how to monitor and control a project throughout its execution.

Learning Objectives

Students will: Get NURS 6441: Project Management: Healthcare Information Technology Essay Help

The actual implementation of a project occurs within the execution phase. During this phase, it is not uncommon for project managers to determine that projects have deviated from the original scope, time, or cost (the “triple constraint”), often due to unforeseen issues. When one element of this “triple constraint” changes, project managers must adjust the remaining two elements in order to satisfy project requirements. Maintaining this balance is one of the greatest challenges a project manager faces.

In this Discussion, you examine scenarios featuring issues that arise during the execution phase of a project. You analyze how you would modify the project in terms of scope, time, and cost in order to resolve the issues and fulfill project requirements. You also explain how you would communicate these modifications to key stakeholders.

Consider the following scenarios.

  1. You are the lead project manager tasked with implementing a hospital’s new patient identification and tracking system. The currently planned system is designed to function using only barcodes, but many key stakeholders have called for the system to also include the use of radio-frequency identification (RFID) features. In order to meet the demands of the stakeholders, your project scope expands to include RFID technology. How will you modify your budget and schedule to accommodate this increased scope?
  2. You are managing the development of a computerized physician order entry (CPOE) system in a hospital that caters to the suburban population of a major city. A much larger hospital that accommodates most of the city’s downtown residents has recently been severely damaged in a storm. As a result, the inner-city hospital is operating at a low level of capacity and diverts much of its patient flow to other hospitals. In order to help alleviate the strain caused by this new influx of patients, your hospital’s executives are requiring you to implement the CPOE system 2 weeks early. Your project team is currently composed of just enough individuals to complete the project on time using the originaltimeline. The planned CPOE system has many non-essential features that usually take two phases to implement. However, these features are currently planned to be incorporated during your single-phase CPOE implementation. How do you adjust the project’s scope and cost to meet the new schedule demands?
  3. You are managing the implementation of an electronic medical record system in a small physician’s office. Due to much lower-than-expected profits in the fourth quarter, you have had a substantial cut in the amount of funding available for your project. The scope of the medical record system is more extensive than the bare minimum required for a practice of this size. In addition, the implementation schedule is as condensed as possible to reduce downtime in the office. This condensed schedule requires the use of expensive, high-quality resources. How can you adjust your plan to compensate for the project’s reduced budget?

To prepare:

By Day 3

Post the number of your assigned scenario and a description of where and how you would adjust the plan in terms of budget, scope, and timeline. Explain how you would communicate modifications to key stakeholders. Provide rationale for your response.

By Day 6

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

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NURS 6441 Week 9: Project Execution and Control, Part II

There is no such thing as scope creep, only scope gallop.

—Author Unknown

Last week, you explored how balancing the “triple constraint” is crucial in the execution and control phase of projects. In particular, controlling the scope of a project can often cause issues for project managers. For example, a hospital’s administration may want additional features added to the new EHR system, or a head nurse may ask for additional training in using a new system for her department. In each case, the expansion in scope will also increase the project’s cost and timeline. In order to guard against such issues, project managers need to familiarize themselves with techniques for determining the appropriate scope during a project’s planning and management phases.

This week, you evaluate techniques for managing project scope and begin to compile your Portfolio.

Learning Objectives

Students will: Get NURS 6441: Project Management: Healthcare Information Technology Essay Help

* The Assignment related to this Learning Objective is introduced this week and submitted in Week 11.

Imagine approaching the completion of a clinical provider order entry (CPOE) system implementation, only to have key stakeholders require the addition of clinical decision support (CDS) in the system. The additional CDS and its associated training will considerably increase the scope of the CPOE system implementation. As in this example, a project’s scope can easily grow larger as stakeholders continually ask for “just one more thing.” This expanding scope is often referred to as “scope creep.” If more items are added to the scope, project managers have the often daunting task of ensuring that a project still remains within budget and on time.

In this Discussion, you evaluate techniques for managing project scope.

To prepare: NURS 6441: Project Management: Healthcare Information Technology Essay

By Day 3

Post a description of the project, including its purpose, the number of people involved, and their responsibilities. Explain what caused the project to expand in scope. Describe how you managed the expansion in the context of project management principles and practices. Explain how you can mitigate or prevent this type of problem in the future.

By Day 6

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

Submission and Grading Information

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NURS 6441 Week 10: Project Closeout, Part I

Just as it is important to begin a new project with careful thought and consideration, it is equally important to complete the project with the same care. A project enters the closeout phase after all of its scheduled work has concluded. Though project teams may breathe a sigh of relief when entering closeout, there are still many tasks that must be completed before a project is fully finalized. Is there any final documentation that needs to be submitted? What expectations does management have concerning finalization? What lessons has the team learned? How does the project manager ensure all tasks are, in fact, complete? There is usually considerable variation from closeout to closeout, but each experience provides project managers with unique insights for future projects.

This week you analyze the closeout process of a health information technology project.

Learning Objectives

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Closing out a project and providing subsequent support after its launch is not a one-size-fits-all process. Differing circumstances produce unique closeouts that take into account a number of situation-specific variables. For example, an electronic health record (EHR) system for an entire hospital will require additional support and a more extensive implementation process than a self-service check-in kiosk at a small orthopedic clinic. The hospital may need support from the EHR vendor for several weeks, whereas the clinic may only require an initial support period of a few days. Though there are many differences between individual project closeouts, all closeouts share some similarities in structure.

In this Discussion, you explore these commonalities and differences by analyzing the closeout process of an HIT project.

To prepare:

By Day 3

Post an assessment of best practices for preparing for a closeout. Explain what you believe to be the most important component of closing out a project. Describe strategies for obtaining meaningful feedback from all stakeholders. Justify your response using support from your research.

By Day 6

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

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NURS 6441 Week 11: Project Closeout, Part II

Health information technology projects frequently require considerable support beyond implementation, which may cause issues among project managers, vendors, and clients. In situations such as these, it is helpful for the project manager to have a firm grasp of the ethical standards of project management.

This week you assess ethical considerations involved in HIT project management. You also assess lessons learned in a health information technology (HIT) project closeout.

Learning Objectives

Students will: Get NURS 6441: Project Management: Healthcare Information Technology Essay Help

Imagine that you are employed by an EHR vendor and are the project manager for a hospital’s EHR implementation. If your team has technically satisfied all of the project requirements specified in the project plan but the hospital staff has encountered numerous issues during the go-live, what level of continued support would be ethical? After all, your team has technically fulfilled its requirements. What is the ethical balance between providing the minimum required level of support and becoming mired in a support process that never seems to end?

In this Discussion, you explore these issues by assessing the ethical considerations in a HIT project closeout.

To prepare: NURS 6441: Project Management: Healthcare Information Technology Essay

By Day 3

Post your stance on ethical considerations regarding project closeouts. Explain when it may be appropriate to provide support for a project past its stipulated timeline and the ramifications of doing so. Justify your response.

By Day 6

Repsond to at least two of your colleagues on two different days, using one or more of the following approaches:

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