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Monief Eid BSc, Lean Six Sigma Black Belt, PROSCI, C A P, ITIL V3 Foundation and Prince2 Certified

National PACS Program Director

The National BIG Picture: Tele-medical Imaging, The Vision for Patient Services (modified based on non-disclosing

information about MOH)

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MOH PACS Project Management

Will have PMBOOK methodology for ensuring the project has a structured set of guiding documents to assist the teams in planning Project Charter with Governance Structure Project Defined Scope of Work Project Plan including Timeline, Milestones and Resources Project Assumptions Project Risks and Mitigation Plan Project Communication Plan Project Budget Project Issues lists

PACS Program and Project Management Methodology

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MOH PACS Project Management

Initiating

Develop Project Charter

Identify Goals and Objectives

Develop Strategies and Plans

Research Previous Experience

Develop Project Charter

Develop Preliminary Project Scope Statement

Conduct Planning Workshop

Document Project Costs and Benefits

Develop High Level Work Breakdown Structure

Conduct Peer Review

Prepare Preliminary Project Scope Statement

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MOH PACS Project Management

Planning Set Up Project Environment

Prepare Facilities

Set Up Project Standards and Procedures

Set Up Project Management Tools

Set Up Project Book

Define Scope

Document Scope Management Plan

Specify Deliverables and Acceptance Criteria

Define Scope

Document Assumptions

Develop Project Schedule

Build Work Breakdown Structure

Develop Resource Plans

Prepare Project Estimates

Define Dependencies and Develop Project Schedule

Document Assumptions

Develop Risk Plans

Document Risk Management Plan

Identify Risks

Analyze Risks

Document Risk Management Plans

Plan for Quality

Document Quality Management Plan

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MOH PACS Project Management

Organize Project Resources

Develop Organization Structure

Develop Staffing Plan

Develop Procurement Plans

Determine Procurement Requirements

Define Subcontractor Scope

Identify Potential Subcontractors

Identify Subcontract Type

Document Subcontractor Management Plan

Develop Financial Plan

Prepare Financial Plan

Document Assumptions

Develop Project Support Plans

Document Communications Management Plan

Document Configuration Management Plan

Document Data Management Plan

Develop Project Management Plan

Document Project Management Plan

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MOH PACS Project Management

Executing

Acquire Project Team

Obtain Resources

Conduct Team Orientation

Assign Responsibilities

Direct and Manage Project Execution

Manage Data Items

Manage Configuration Items

Manage Process Data

Provide General Office Support

Administer Project Security Processes

Manage Team Performance

Provide Team Training

Recognize Success

Assure Quality

Participate in Walk-throughs and Reviews

Conduct Inspections and Audits

Conduct Project Reviews

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MOH PACS Project Management

Facilitate Continuous Improvement

Manage Project Communication

Review Progress

Contracting with Subcontractors

Issue Requisition Documents

Evaluate Responses

Negotiate Subcontractor Contract

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MOH PACS Project Management

Monitoring and Controlling

Monitor and Control Project Work

Authorize Work

Manage Action Items

Manage Project Records

Integrated Change Control

Manage Scope

Manage Requirements

Control Decisions

Control Changes

Scope Verification

Manage Project Acceptance

Schedule Control

Track Status

Maintain Project Schedule

Maintain Work Plans

Manage Finances

Monitor Cost/Schedule Variance

Control Costs

Maintain Financial Plan

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MOH PACS Project Management

Perform Quality Control

Control Quality

Participate in Testing

Measure Quality Levels

Manage Project Team

Manage Communications

Meet With Team

Monitor Team Morale

Conduct Team Performance Reviews

Produce Performance Reports

Report Weekly Status

Report Monthly Status

Manage Stakeholders

Monitor Satisfaction

Resolve Issues

Risk Monitoring and Control

Manage Risks

Contract Administration

Manage Subcontractor Contract

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MOH PACS Project Management

Closing

Close Project

Assess Satisfaction

Summarize Project Results and Lessons Learned

Review and Recognize Team Performance

Close Out the Project Records

Review and Reconcile Financial Performance

Contract Closure

Close Contract

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MOH PACS Project Management

• Analyze existing workflows and technology • Define solution and success criteria • Develop standards of work • Define technology standards • Phased planning for enterprise program • Create service level agreements and support protocols • Develop knowledge transfer content • Engage governance committee • Create communication methodologies • Engage clinical and technology champions • Package implementation processes

Implementation Milestones

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Pilot Implementation Plan

MOH PACS Project Management

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Thank You ………. Q & A

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MOH PACS Training

Definition of Training and the Training Process

• Training is a process through which specific conditions are put in place to facilitate learning - usually focused on the practical knowledge of how to use a new tool, procedure, or process

• Conditions that support successful training for clinicians include: – The learning environment – The learners themselves (their needs, expectations, learning styles,

etc.) – The training objectives, content and teaching methods (approach) and

style – The trainers

• Training is a five step process that includes: 1. A needs analysis 2. Objectives and determination of content 3. Selection of teaching methods 4. Training delivery 5. Evaluation

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MOH PACS Training

Currently there is 80 Hospitals with more than 100 System administrators. And there will be more than 300 hospitals in the coming 5 years. For training program, We planned the trainings in different aspects: - International Certifications

- Targeting 100 sys. admin in 2014. - CPAS (May) - CPSA, CPIA (June) - CPAS,CPSA and CPIA “Group 2” (Sep-Nov)

- Training and Upgrading the current and future solutions

- Arabization workshop (done) - Diagnostics Monitors QA/QC - Cardiac Workshop - Monitors components - New versions features and options

- Soft Skills trainings

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PACS Training and Strategy Approach International Certificates

3 - 4 Days course in Class locally in Saudi Arabia at MOH e-health Lab: Online exams PARCA PACS Administrators Registry and Certification Association

CPAS Certified PACS Associate “clinical exam and technical exam” 25 in ME “7 from MOH-Saudi”, 880 Worldwide CPIA Certified PACS Interface Analyst 3 in ME, 101 Worldwide CPSA Certified PACS System Analyst 2 in ME, 125 Worldwide CPEMS Certified Professional EMR Specialist 1 Worldwide CHEA Certified Healthcare Enterprise Architect 1 worldwide

USA: On-Site Exam

CIIP Certified Imaging Informatics Professional 1 ME, 1024 worldwide

MOH PACS Training

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MOH PACS Training

From the 53 middle east certificates, more than 45 of them from Ministry of health

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MOH PACS Training

Zone 1 Zone 2 Zone 3 MOH

Training Academy Centre

PACS

users

PACS

users

PACS

users

Knowledge, skills & Materials

Knowledge Transferred

Technical Skills,

Soft Skills,

Change Management Skills,

Training Skills,

Communication Skills,

Deployment Skills,

PM Skills,

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MOH PACS Training Kolb's

learning styles

Reflective Observation

Watching

Concrete Experience

Feeling

Active Experimentation

Doing

Abstract Conceptualisation

Thinking

Processing Continuum

how we do things

Pe

rce

pti

on

Co

nti

nu

um

how

we

thin

k ab

out

thin

gs

Assimilating (think and watch)

AC/RO

Diverging (feel and watch)

CE/RO

Converging (think and do)

AC/AE

Accommodating (feel and do)

CE/AE

Fig.1 © concept David Kolb, adaptation and design Alan Chapman 2005-06, based on Kolb's learning styles, 1984

www.businessballs.com.

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MOH PACS Training

Admin. clerk

Page 1

The connection between process and competencies

Ccomplains

about chess

pain

View historical

health information

iEHR

Is patient

registered

Assess

phisical

patient

condition

Provides required

information

Counsel

patient on

quitting

smoking

Admits

patient to

the clinic

Takes inhaled

medication, stop

smoking

Enters key

informations

(name, birth, adress)

ADT

Heavy smoking,

bacterial resistance

to antibioticDoctors

Hospital

Patient

Patient Admin, clerk HospitalDoctor

1

2

3

45

76

8 9 10

11

1

3

13

2

4

5

11

12

8

9

10

Specifying

symptoms

Communicates

information

Comply to

treatment

Data entry

Registering

patients

Admitting patients

X-Rays recorded

in DI repository

Rx filled and

recorded in DIS

repository

Use iEHR viewer

to get health info

To counsel

patients

Exam Requests,

and e-RX

Family clinic: COPD, diagnosis and treatment

Com

pete

ncie

s

Register patient

Prescribes new

X-Rays, new

antibiotics

Hypothetical

diagnosis:

COPD

X-Rays performed,

film and written

report recorded

Rx filled

Yes

No

12

13

An example demonstrating the connection between clinical processes and required competencies that support a needs analysis

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MOH PACS Training

Phase 1 “Define”

- Detailed workflow design - Clinical usage scenarios (will drive system Configuration) - Integration and

deployment - Change Management - Leadership Development - Workforce Assessment - Learning Needs Analysis - Communication Plan -

Phase 2 “Deliver”

Phase 3 “Sustain”

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Thank You ………. Q & A