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©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 1 Presented by Rachel Foerster, Principal Rachel Foerster & Associates, Ltd. Beach Park, IL 60099 www.rfa-edi.com RFA Project Plan Development Methodology™ A Framework for Developing a HIPAA Compliance Project Plan October 30 - November 1, 2002 The Waterfront Marriott Baltimore, MD 2 ©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa-edi.com) Only 1 in 5 EDI or eCommerce Projects Succeed l Common characteristics of successful projects: Up front assessment & analysis Well-thought-out business strategy A focused project plan Effective management of the project plan An understanding of the various technologies to be exploited
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Page 1: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 1

Presented by Rachel Foerster, PrincipalRachel Foerster & Associates, Ltd.

Beach Park, IL 60099www.rfa-edi.com

RFA Project Plan Development Methodology™A Framework for Developing a HIPAA Compliance Project Plan

October 30 - November 1, 2002The Waterfront Marriott

Baltimore, MD

2©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Only 1 in 5 EDI or eCommerceProjects Succeed

l Common characteristics of successful projects:

– Up front assessment & analysis

– Well-thought-out business strategy

– A focused project plan

– Effective management of the project plan

– An understanding of the various technologies to be exploited

Page 2: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 2

3©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Learning Objectives

l How to link business goals to the EDI/EC technology strategy

l Understand the key activities required for project plan development

l Identify the key elements of a project plan

l Identify project plan development challenges

l Learn some pitfalls in developing your HIPAA Compliance Project Plan

l Understand major phases of a HIPAA project plan

4©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Mission

Strategic GoalsHow do we go about providing that

value to our customers?

Who are our customers and what do they

value

What must we do to provide value

to those customers?

Cost

Four Measurable Dimensions

Speed Quality

Business Processes

Service

RFA Strategic Planning Model TM

Page 3: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 3

5©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Creating an EDI Technology Strategy

Your internal current capabilities

Current industry electronic commerce environment

Market analysis customers, suppliers, and competitors

Principal trends in your industry

Success stories in electronic commerce all industries

Inputs: Research & Analysis

Gap Analysis

Goals of the EDI Strategy

EDI Strategy & Multi-Year Plan

Tactical Plans & Budgets

6©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Classical Project Planning Model

Project Objective

Assessment

Major Activities

Tasks Tasks Tasks Tasks Tasks

StrategiesStrategies

Page 4: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 4

7©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Typical Project Plan Development Model

lFunding ParameterslIndustry Environment

lStrategies/TacticslRegulatory Environment

Drives

18-36 Months12-18 Months6-12 Months0-6 Months

lR&D Program Design

lDelivery Projects Identification

lStrategy Monitoring & Update

lDelivery Capacity Planning

lSupplier Management

lTactical Program Design

lBenefit Estimations

lSponsor Recruitment

lArchitecture Design

lApplication Design

lProcurement Planning

lPrototyping

lDetailed Project Planning & Management

lProject Delivery

lQuick Hit Initiatives

Strategy for•Processes

•Organization•Technology

•Trading Partners/Business Associates

Detailed Plans & Budgets Estimated Plans & Budgets

8©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Typical Project Plan Development Model

Enable

3-36 Months1-12 Months3-6 Weeks1-4 Weeks

lSystem & Program Development

lUnit Testing

lSystem Testing

lSystem Acceptance

lConversion

lProject Delivery

lPrototyping

lDetailed Architecture Development

lDetailed Program Design

lBenefit Estimations

lSupplier Management

lConceptual Architecture Development

lConceptual Application Design

lPreliminary Capacity Planning

lProcurement Planning

lDetailed Project Planning

lIdentify Quick Hit Initiatives

lSponsor Recruitment

•Implementation•Deployment

Detailed Plans & Budgets

Project ManagementResources

Activities & MilestonesRequirements

Page 5: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 5

9©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Recommended Project Management Process

Implement

Tactical Plan

Deploy

Strategy

Analyze & Plan

Project Management

10©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Project Management

Resources

MilestonesActivity Decomposition

Requirements

Key Project Plan Elements

Page 6: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 6

11©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Project Plan Development Challenges

l Requirements analysis

l Avoiding “scope creep”

l Identifying desired milestones

l Determining deliverables

l Managing the project – Resource management– Documentation– Reporting– Acceptance criteria

12©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Requirements Analysis

l Setting categories– Business– Operational– System

l Functionall Technicall Performance

l Expressions of needs– Writing behavioral requirements . . . what the system and

people must do

Page 7: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 7

13©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Requirements Analysis Pitfall

l Determining the

– Must have

– Optional

– Nice to have

14©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Project Plan Elements

Determine Goal

Manage the

Project

Establish Reporting

Procedures

Identify Resources

Estimate Timing

Set Priorities

Define Deliverables

Identify Activities

Set Milestones

Execute the Plan

Page 8: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 8

15©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Determining the Project Goal

l What is the purpose of the project?

– Another scope challenge

Determine Goal

16©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Identify Project Activities

l What to do

l Decompose into tasks

l Determine Dependencies/Predecessors

Identify Activities

Page 9: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 9

17©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Set Project Milestones

l Key decision points

– Checkpoints

l Order/sequence the activities

– Determine desired dates

Set Milestones

18©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Project Deliverables

l The “thing(s)” to be delivered

l Criteria– How to know if the “thing” is

completel Functionality

– Provides basic capability desired

l Performancel Acceptance

– Quality– Performance– Functionality

l Efficient and effective

l Responsibility

– Who will declare the “thing” is complete?

l Authority

– Who will accept the “thing”?

Define Deliverables

Page 10: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 10

19©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Project Priorities

l Determine what activity/task is relatively more important than another

– Identify dependencies

Set Priorities

20©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Project Schedule & Timeline

l Activity/task duration

– How long to complete

lPerson hours?

lCalendar time?

Estimate Timing

Page 11: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 11

21©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Project Resources

l People, time, dollars

l People

– Identify

lSkills

lWhere to obtain

– Assign

lResponsibility

lAuthority

Identify Resources

22©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Project Reporting

l Frequency

l Method

l Reporting tools

l Content

– Accomplishments for time period

– Tasks for next time period

– Issues requiring management attention

Establish Reporting

Procedures

Page 12: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 12

23©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Project Management

l Select appropriate tools– Keep it simple

l Allocate resources– People, dollars to stay on schedule– People, schedule to stay on budget

l Manage expectations– Stakeholders

l Ownersl Workforce l Customersl Suppliersl Other business partners

Manage the

Project

24©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Execute the Plan

Page 13: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 13

25©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Conceptual Phases of a HIPAA Project Plan*

*Adapted from the Gartner Group HIPAA COMPARE Scale

Phase OneConduct

Education/Awareness

Phase TwoComplete Risk

Assessment & Gap Analysis

Phase ThreeConduct Cost/BenefitDetermine Strategy

Select Tools/Applications

Phase FourDevelop Policies &

ProceduresInstall Tools & Applications

Phase FiveConduct Testing

Verify 3rd Party Compliance

26©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Key Phase Activities

l Prepare and conduct organization-wide general education & awareness program

– HIPAA, law & regulations

lElectronic transactions

lCode sets

lPrivacy

lSecurity

Phase OneConduct

Education/Awareness

Page 14: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 14

27©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Key Phase Activities

l Conduct formal assessment of vulnerabilities

l Determine activities needed to achieve compliance with

– EDI

– Privacy

– Security

Phase TwoComplete Risk

Assessment & Gap Analysis

28©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Key Phase Activities

l Quantify tangible/intangible costs/benefits to realize compliance

l Develop compliance strategy

l Strategy should use HIPAA as an enabler for achieving overall operational and business benefits

Phase ThreeConduct Cost/BenefitDetermine Strategy

Select Tools/Applications

Page 15: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 15

29©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Key Phase Activities

l Complete compliance policies & procedures

l Communicate policies & procedures to workforce

l Complete selection of physical tools needed for– EDI– Security– Privacy Documentation Administration

l Determine systems remediation strategy– Upgrade– Replace

Phase FourDevelop Policies &

ProceduresInstall Tools & Applications

30©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Key Phase Activities

l Complete testing of all tools & systems

l Conduct audits

l Verify 3rd party compliance

l Develop on-going auditing & monitoring procedures

l Establish process to address & manage changing requirements

Phase FiveConduct Testing

Verify 3rd Party Compliance

Page 16: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 16

31©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

EDI Key Activities

Designate Management

SponsorInventory business partner

agreements & adjust as needed

Review & adjust business

processes, procedures &

workflow

Develop Implementation

Strategy

Identify Payers, Insurers, Health Plans, Business

Associates

Determine Financial Resources

Inventory Data Repositories &

Current Interfaces

Study HIPAA Igs Conduct data gap

analysis

Continuously test & adjust internal

& external interfaces

32©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Privacy Key Activities

Appoint Privacy OfficialEducate

workforce on policies & procedures

Validate policies & procedures

with key stakeholders

Establish documentation procedures for

requests & disclosures Review & adjust

business partner agreements

Develop privacy training for workforce

Ensure authorized use &

disclosure for TPO

Review & revise policies & procedures

Page 17: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 17

33©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Security Key Activities

Determine the Policy ScopeReview &

RevisePolicies

DistributePolicies

StakeholderPolicyReview

Draft InitialPolicies

Interview KeyEmployees

Conduct BusinessImpact Analysis

Obtain ExecutiveLevel Support

34©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

Pitfalls in developing your HIPAA Compliance Project Plan

l Determining the objective of your HIPAA “compliance” project– Project goal must be stated clearly such that it can be

measured – how will you know you achieved the objective?

l Identifying “how” at a high level you plan to achieve the project objective, e.g.– What resources to use (people, time, dollars)– Where you’ll get the resources– Funding constraints

l Initial assessment effort– Don’t need to dot every “i” or cross all “t’s”– Need to assess ONLY to a level “sufficient” to create detailed

project plan, to identify resources needed, to establish initialbudgeting requirements

Page 18: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 18

35©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

The Objective . . .

l To develop a detailed project plan that will be the roadmap to the end goal– A plan that

l is sufficiently specificl can be managed

l Remember . . . No plan is cast in concrete– Expect change– Anticipate the changes– Plan for change– Manage the change

36©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

=

Page 19: Only 1 in 5 EDI or eCommerce Projects Succeedelectronic commerce environment Market analysis customers, suppliers, and competitors Principal trends in your industry Success stories

©Copyright 1993-2002, Rachel Foerster & Associates, Ltd., Beach Park, IL 60099. All rights reserved. (www.rfa-edi.com) 19

37©2002 All rights reserved. Rachel Foerster & Associates, Ltd., Beach Park, IL (www.rfa -edi.com)

=HIPAA is HIPAA is NOT NOT

an IT Projectan IT Project


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