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Project managing for spread and sustainability

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Project managing for spread and sustainability. Insert name of presenter. Outline of session ... Visio. Timecalendar LE 1.6.3. Commercial Draw Packages ... – PowerPoint PPT presentation

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Title: Project managing for spread and sustainability


1
Project managing for spread and sustainability
  • Insert name of presenter

2
Outline of session
  • Improvement within the NHS
  • Creating improvement by project management
  • To plan and how to plan
  • Working with spread and sustainability

3
The NHS
  • 50 billion turnover
  • 1.3 million staff
  • 300 Primary Care Trusts
  • 200 Acute Trusts
  • Comprehensive, needs based care
  • Funded from general taxation

4
Investment in Improvement
  • Over 600 million invested in improvement since
    1998

5
  • The modernisation process in the NHS is, to my
    knowledge, the largest concerted systematic
    improvement effort ever undertaken, anywhere, in
    any industry
  • Don Berwick, Institute of Healthcare
    Improvement,US A

6
Managing the change process
  • or hands off project management

7
What is project management?
  • A project can be defined as a sequence of
    unique, complex and connected activities having
    one goal or purpose and that must be completed by
    a specific time, within budget and according to
    specification (Wysocki 1995)
  • So project management can be defined as making
    the project happen (Burke 1996)

8
What have you done?
  • Think about a project that one or more of you has
    been involved in.
  • Identify 3 good things about how the project was
    run
  • and then 3 bad things

9
Feedback
  • Some examples of things that have helped projects
    to go well

10
Characteristics of a successful project
  • Strong team development - good relationships
  • Project aims defined and targets set
  • Early process mapping
  • Good communication

11
Feedback
  • Some examples of problems you have had with
    projects

12
Common project problems
  • Bad planning
  • Inadequate monitoring control
  • Moving goalposts
  • Poor communications
  • Disappearing staff
  • Lack of support

13
Essential elements
  • Leadership
  • Structure
  • Ownership
  • Planning and controls
  • Communication
  • Clear aim, objectives and success criteria
  • Regular reviews

14
Controlling your project
  • Agree reporting requirements
  • progress reporting
  • exception reporting
  • planned actions

can be used as a project record and reporting
system http//www.chdcollaborative.nhs.uk/
15
Projects in controlled environments (PRINCE2)
  • Controlled start
  • Controlled progress
  • Controlled close

16
Role of the project manager
  • Facilitates project team
  • Agrees objectives, targets and aims within team
  • Runs project meetings (internal and external)
  • Produces project plan
  • Reports project progress
  • Manages variations
  • Delivers project objectives, targets and aims

17
Suggested project steps
  • Establish Project Team
  • Agree Aims/Objectives
  • Identify Baseline Data
  • Agree Targets
  • Develop Project Plan
  • Establish Data Collection
  • Agree and Test Changes - PDSA
  • Monitor Project Progress
  • Implement Change
  • Sustain/spread

18
Gantt Chart
19
Excel Gantt Chart
20
Useful information
  • Microsoft Project
  • Visio
  • Timecalendar LE 1.6.3
  • Commercial Draw Packages
  • Gantt Chart Creation in Excel www.mhbs.soton.ac.u
    k/newgeneration/ipe/ganttintro.htm

21
Sustaining and spreading improvement
22
Sustainability and spread?
  • Sustainability means holding the gains and
    evolving as required, definitely not going back
  • Spread means that the learning which takes place
    in any part of the organisation is actively
    shared and acted upon by by all parts of the
    organisation.
  • Resulting in improvement knowledge that is
    generated anywhere in the system becoming common
    knowledge across the system leading to
    improvement action.

23
We have mastered the improvement project but we
are a long way away from the improvement
habitPaul Plsek 2002
24
SustainabilityWhat does the future hold?
Good
Performance
Idea!
Bad
Before
Later
Now
Time
25
Improvement Frustrations
  • The improvement evaporation effect (lack of
    sustainability)
  • The islands of improvement effect (lack of
    spread)

26
Approaches to spread
push
  • collective
  • individual
  • authority

pull
27
Spread v. Adoption
Source Fraser and Plsek, 2001
28
Throwing a Rock or a Bird?In order to adopt an
idea you need to be attracted
?
y x2 b
f ma
attractor
Source Paul Plsek, based on Richard Dawkins
29
Benefits of change
Infrastructure
Credible Benefits
Adaptable Process
Fit with Goals Culture
11 key factors that increase the likelihood of
sustainability and continuous improvement
Monitor Progress
Barriers Removed
Senior Leadership
Involved Trained
Clinical Leadership
Empowered Believe
30

The goal is to spread sustainable change
31
Learning points from this session
  • Improvement within the NHS is a massive project,
    and it needs a lot of input to succeed
  • Proper Prior Planning Prevents Poor Performance!
  • Spread and sustainability are major challenges
    and we need to keep up to date with the latest
    thinking
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