1. What would be the Project Inputs and Outputs for this paper?

2. What would be the Work Breakdown Structure of this paper?

3. How to complete the Project Budget?

Project Management Plan

Galen College of Nursing

NSG 6220: Strategic Management in Healthcare Organizations

February 18, 2024

Preparing and Coordinating Plans

Execution of project planning will provide all stakeholders with detailed information that assists the project team in understanding exactly each person's responsibility and the desired outcome of the project. First, define the team's goals, what the group hopes to achieve, and the purpose behind the intended project. The leader, or project manager, over the project will break down the goals of the project into outcomes that are measurable. For this particular project, our group will assess ways to cluster patient care in order to decrease a patient's length of stay within the hospital and also improve patient outcomes. Next, using current scholarly research, team members will begin to evaluate ways in which clustered care can be achieved. It is essential for all members of the team to determine who will be responsible for which parts, having all members informed of all information upfront, and also to be organized. Once this is done, the team members will need to evaluate potential risk associated with the project. Next, the team will need to develop training materials for staff and schedule time for meetings to evaluate the success of the project and make adjustments. Finally, the team members need to work closely with the training manager to schedule employee education through modules and/or in-person training.

Project Inputs and Outputs

Project Scope

Below will outline the scope of work for clustering the care of patients to reduce noise and improve patient satisfaction and outcomes.

Scope of Work:

1. Determine the types of care that should and can be clustered
2. Determine the standards of care protocols
3. Determine and develop a way to measure these outcomes
4. Delegate staff who can aid in the committee planning and implementation of this plan
5. Plan committee meetings to explain and share the measurable outcomes for goal-setting
6. Plan for the go-live date with a hospital protocol within six to nine months from the first committee meeting.

Exclusions:

1. The planning for other projects the unit wants to implement
2. Research on other topics not related to the current project topic
3. Implementation of other projects not related to the current project topic
4. Surveys on other topics that are not related to the current project topic

Work Breakdown Structure

Task	Sequence	Dependencies	Responsible	Resources

Project Budget

Resource	Time Needed	Cost per Unit of Time	Total Cost

Project Schedule (Summer)

Project: Clustering Care for Patients to Decrease Noise Levels		Start Date	End Date
		03/01/2024	12/31/2024
Planning/Organizing		03/01/2024	05/31/2024
Research/Brainstorming		03/01/2024	05/31/2024
Initial Policy to Staff		06/01/2024	07/31/2024
Surveys from Staff		08/01/2024	08/16/2024
Modifications to Policy		08/19/2024	09/30/2024
Policy to Families		10/01/2024	11/15/2024
Surveys from Families		11/18/2024	11/30/2024
Final Modification to Policy		12/01/2024	12/31/2024
Project Complete		12/31/2024	12/31/2024

Stakeholder Management Plan

Stakeholder involvement is a crucial part of implementing this project into practice. All stakeholders involved should feel like they are engaged in all forms of planning and carrying out the plan. A major key to success for the project would be communication amongst all parties to ensure they are achieving their individual goals and the team is achieving its goals for the project's implementation. There will be bi-weekly meetings that each stakeholder should attend either in person or via Webex/Zoom to share what they are working on and where they are assisting with the planning and implementation of the project. Once the project has been shared with staff, there will be monthly staff meetings to determine what is and is not working for staff on the success of clustered care needs.

	Project Role	Responsibilities	Required skills	Reporting relationships	Staffing management plan
Chief Nursing Officer	Establish patient care standards, integrate new plans and policies	Oversee the leadership responsibilities of all staff involved	Trustworthy, respectful, and promote an environment of teamwork	Ensure standards of care are being upheld for the plan's success	Assist in ensuring collaboration amongst staff and if there is conflict, aid in the resolution
Performance Improvement Officer	Setting goals	Review the progress of the goals and make the necessary changes as needed	Good communicator, and strategic planner	Making the necessary changes as needed	Ensure staff have precise data to represent the changes put into place and have other ideas in place if the first plan (s) do not succeed
Project Manager	Ensure all stakeholders fully understand the project	Ensure the success of this team project	Provide needed support at all levels, open and honest with all members of the team	Explaining expectations to the stakeholders for the project	Ensure stakeholders are meeting the project goals when set and if not, making adjustment when needed
Staff Member	Complete the tasks set forth by leadership	Taking the plans and ideas set forth and putting them into place	Be receptive to new ideas and change, willing to be a team member and work with others	Bring feedback to the team on what is and is not working	Become champions in the implementation process
Families	Be involved in all aspects of the care plan	Be willing to listen and learn about project	Work with the care team and have strong communication	Give feedback with a level of comfort in learning	No real involvement

Communication Plan

Stakeholder	Information Needs	Communication Approach

Risk and Issue Management Plan

Identifying project risks is imperative to aid in the success of the project outcome. While each project has risks, the cause of risks varies depending on the complexity or type of project. Identifying the risks will allow the Project Manager to prepare the team for potential weaknesses, threats, and unexpected events that may disrupt the project at any stage. Anticipating these risks will allow the team to be proactive in mitigation versus reactive, potentially causing project delay or failure. Identified risks for clustering patient care within the ICU include ineffective communication, continuity of patient care, and push back from staff. Effective communication is non-negotiable regarding project success; this must range from the CNO to family members. Expectations must be clearly stated to all stakeholders, including the overall project goal and implementation strategies to promote project success. Not only is verbal communication essential within this project, but also the patient's chart. Documentation within the patient's chart must be definitive, reflecting what care was performed, when it was completed, and the outcome; this information will help with qualitative data upon project completion. Additionally, another identified risk is the continuity of patient care. As a Project Manager, one must ensure that all staff involved in direct patient care are aware of expectations and standards going forth with the implementation of the project. For example, Nurse A is excited about this project to increase patient outcomes and goes above and beyond to ensure care is clustered to promote sleep hygiene. At the same time, Nurse B is resistant to change and does not cluster care, therefore not promoting sleep hygiene, ultimately contributing to ICU delirium. Lastly, while not only specific to clustering care within the ICU to improve noise reduction, resistance to change within healthcare workers is a common challenge to overcome. Effective strategies to implement in anticipation of resistance include communicating the vision of the project as well as benefits from implementation, including and empowering staff members throughout the process, providing support to staff during implementation stages, and celebrating the progress as well as improved patient outcomes. Although risks are inevitable, project success is still achievable despite the challenges that may arise.

Evaluation and Project Ownership Handoff Plan

Reflection and Application of Knowledge

Putting together the project management plan assisted in developing an understanding that not only does it decrease stress and steps for the staff when care is clustered, but it also improves the quality of care for the patient (Maidl-Putz et al., 2014). For this project, patients are not continuously disturbed during their stay and less stress is exhibited, especially during night shift. Due to the implementation of clustered care, causing a decrease in the disruptions to patients, their length of stay may decrease and also their overall health may improve. With this decrease in the length of stay, patients are benefited due to short recovery times and also they are not seeing a hospital bill as high.

Establishing the project management plan required the utilization of the geographical, physical, and the nursing practice environment. With this establishment, it allowed for more communication amongst stakeholders to carry out the plan of clustering care. Establishing the plan in forms of tables and precise bullet points allowed for easy visualization amongst all stakeholders. Going forward in practice, the implementation of these tables and precise bullet points will allow for anyone reading the display to visually picture the plan in a clear and precise way.

References

Maidl-Putz, C., McAndrew, N. S., & Leske, J. S. (2014). Noise in the icu.Nursing Critical Care,9(5), 29-35. https://doi.org/10.1097/01.ccn.0000453470.88327.2f