According to the data provided below what would 3 contingencies be for risks involved?

Below is my previous work for reference: Business Case Analysis of Behavioral Analysis Services Manpower Increase

Mental health diagnoses far surpass any other medical reason for hospitalizations among basic military trainees (BMTs). The Behavioral Analysis Services (BAS) at Lackland Air Force Base (AFB) sees BMTs only during specific hours of the work week. BMTs who report or have reported suicidal ideation become hospitalized either upon being seen at BAS or after hours when BAS is closed. Hospitalizations due to mental health reasons are normally within the first two weeks of training and almost always result in BMTs being separated from the Air Force with the diagnosis of adjustment disorder.

Is this a concern and how will it impact the organization?

According to (Lurie, 2016, pg. iii), "The Military Health System (MHS) is responsible for providing health support for the full range of military operations (the "medical readiness mission") and for providing a peacetime healthcare benefit for Uniformed Services members (both Active and Reserve), retirees, survivors, and family members". Inpatient mental health admissions for BMTs are costly to both the military treatment facility (MTF) and to the training units, with no benefit to either agency or to the trainee.The majority of BMTs present with severe adjustment disorder symptoms which are often initially stated as suicidal ideation and are related to the stress of training environment.

Once BMTs are hospitalized and realize they will be separated from the military, speculation and anecdotal evidence provided by BAS providers suggest BMTs no longer feel suicidal. BMTs are then diagnosed with adjustment disorder, suggesting their stress was much higher compared to the majority due to their environment and they could not adjust well. Alternatively, before hospitalizations occur, BMTs can be seen at the BAS clinic which allows them to receive a separation recommendation for appropriate severe symptoms without having to be admitted.

With a litany of industry insiders currently stationed or employed in the San Antonio medical heath system, the data will be easy to collect. The local treatment facilities that are used in concert with the BAS at Lackland Air Force Base are the Laurel Ridge Treatment Center (LRTC) and Brook Army Medical Center (BAMC). With BAMC being the Army counterpart Military Treatment Facility (MTF), the data is shared freely. The data to be collected will be done using the OODA loop model. The OODA loop (Observe, Orient, Decide, Act) is a four-step approach to decision-making that focuses on filtering available information, putting it in context and quickly making the most appropriate decision while also understanding that changes can be made as more data becomes available (Lewis, 2022, para 1).

Who will form the team and how much will it all cost?

The data will be collected by a team of five. The team will be referred to as Team Monkey Hyper Force Go (TMHFG). The team will consist of myself (PM), 1x AD psychologist, 1x contractor psychologist, 1x applied epidemiology intern and 1x administrative consultant from Laurel Ridge. The data that has been approved to review (HIPPA and Military Classification) will be for calendar years 2018 through 2019. Preliminary data analysis has showed that the expenses attributed to the 59th Medical Wing for trainee inpatient admissions in fiscal year (FY) 2018 were $2,601,352.50, and the total for FY 2019 was $2,709,323.28. The breakdown on MTS versus contracted facilities will shed more light on the exact costs. The total reviewed timeline will span 104 weeks.

The problem at hand and the way forward.

The BAS clinic does not have enough access to care in order to support the high volume of BMTs needing BAS services, caused by a psychologist manpower shortage. The lack of access to care often results in a BMT hospitalization.Once a BMT is admitted to an inpatient mental health unit, the costs incurred go up significantly and the majority are no longer able to continue training. According to (Adams, 2019, para 1), "The United States is facing a serious doctor shortage. As a retired militaryphysician employed bythe UNC health care system in North Carolina, we are constantly dealingwith the consequences of too few physicians.It has taken us one year to find a qualified doctor forour practice, although we are actively recruiting and paying tens of thousands of dollars in commissions to find one physician. I am considering retirement, but wewant a physician as well trained as I am to replace me. The military still produces similar providers, but there are already too few of us to go around".

Project Proposal Form

Date: 10/25/2022

Proposal #01

Sponsor: L. Taylor-Eliou

Project classification: Manpower Analysis

Strategic

Infrastructure X

Compliance

What business problem does the project solve?

Reduces transition time for separating service members (Behavioral Health Related).

Reduces cost of facilitating transitioning soldiers through offsite civilian contracted agencies.

How does this project align with our organization strategy?

The final product will enable the 59th Medical Wing Commander to make a well-informed argument for increased manpower allocations to the Defense Health Agency.

What are the major deliverables of the project?

Validate the return on investment of adding psychologists and support staff manning to the BAS clinic.

What is the impact of not doing this project?

Once a BMT is admitted to an inpatient mental health unit, the costs incurred go up significantly and the majority are no longer able to continue training.

What are the three major risks for this project?

Costs do not support the goal.

Outpatient Clinics may rescind current agreement.

Current manning may be exposed as to costly resulting in additional reductions.

How will we measure success?

The projected budget would show a decrease in expenses for outpatient services.

DHA/MGMA standards will be closer to being met.

Will this project require internal resources?

Yes X

No

Available?

Yes X

No

What is the estimated cost of the project?

$289,274.00

How long will this project take?

104 Weeks

Oversight action:

Accept X

Return

Signature: Larry J. Taylor-Eliou

Date: 10/26/2022

The significant reduction in personnel to handle the BMTs has forced the MTFs to outsource to contractors. While they are doing a wonderful job it is ultimately costing the military more money and slowing the service received by patients. The study will substantiate the hypothesis that the addition of the proposed two physicians will be a cost savings and aid in better healthcare delivery.

Scope Statement

(BAS Manpower Increase)

(10/25/2022 - 10-21-2024)

Project Budget:

2x psychologist authorizations 289,274.00

Project Objective:

The objective of this project is to validate the return on investment of adding psychologists and support staff manning to the BAS clinic, in order to recapture leakage and minimize hospitalizations.

Product Scope Description:

BAS Clinic staff hires (Increased staff).

Deliverables:

1. Recapture leakage.
2. Minimize hospitalizations.
3. Increase appointments for BMTs needing immediate service.

Milestones:

1. Review literature and previously collected data 11/25/2022.
2. Confirm costs of outpatient services VS Inpatient care provided 05/26/2023.
3. Confirm current costs associated with potential new hires 07/28/2023.
4. Asses need for administrative support staff to aid potential new hires 09/29/2023.
5. Final presentation to Medical Wing Commander 10/24/2024

Technical Requirements:

1. Potential employees must have a doctoral degree in psychology from a graduate program in psychology accredited by the American Psychological Association (APA).
2. Knowledge of and ability to apply a wide range of professional psychological treatments or assessment methods to a variety of patient populations.
3. Must be hired under Federal Wage System (FWS).
4. Support staff (of 2x psychologist) must not reduce the cost savings by more than 50%.
5. Data from the Train Health Surveillance's hospitalization registry must be available.
6. Financial data must be available directly from the M2 (Military Health System Management Analysis And Reporting Tool) database.
7. Data on all costs from current outpatient facilities (LTRC / BAMC) must be retrieved.
8. Must not be a current employee.

Limits And Exclusions

1. New hires must be accredited by the American Psychological Association (APA), the Psychological Clinical Science Accreditation System (PCSAS), or the Canadian Psychological Association (CPA) at the time the program was completed.
2. Partner agencies will be providing information that potentially costs them work and revenue.
3. Data collected from repositories not controlled by DoD may be incomplete.
4. Budget constraints and inability to compete with similar agencies may aid in a negative budgeting outcome.
5. TMHFG members can only request data from non-controlled assets.

Customer Review

TMHFG, LRTC, BAMC and WHASC.

Work Breakdown Structure

According to (Organ, 2022, para 1), "A work breakdown structure (WBS) is a project management tool that takes a step-by-step approach to complete large projects with several moving pieces. By breaking down the project into smaller components, a WBS can integrate scope, cost and deliverables into a single tool". This is very important to ensure that all members on the project team are on the same page with timelines and deliverables. With various moving parts, the potential to fall behind on a project because of uncertainties of team members responsibilities raises when the project is larger.

This project requires is to decern the costs of staffing two additional positions with the possibility of support staff. The PM must assemble a team that will have all the necessary access to systems required to gather necessary data as well as research ways to increase staff. The company first needs to consider revising the hiring process and should implement human resource planning. According to Doyle (2016, para 4), "Human resource planning is when a company settles on the number of employees they are looking to hire and the skillsets they require of these employees. The company must then compare their needs to the expected number of qualified candidates in the labor market".

Critical Path.

The critical path for this project would include the following steps: Review literature and previously collected data, confirm costs of outpatient services vs. inpatient care provided, confirm current costs associated with potential new hires, assess need for administrative support staff to aid potential new hires and finally presentation to Medical Wing Commander. The information needed in addition to the data used to construct the critical path would include budget information, data on all costs from current outpatient facilities, and data from the Train Health Surveillance's hospitalization registry.

BAS Manpower Increase

Critical Path

Evident issues and steps to avoid failure.

The issues evident in the critical path are the potential for budget constraints and the inability to compete with similar agencies. This has been a point of contention for many government agencies as they are aware that the civilian marketplace often offers more monetary compensation for desired employees. The quick answer for hiring shortages is often that the organization simply does not have the funding to complete the requested hires. According to (Schooley, 2022, para 3), "Look at your company's finances to see how much of your overall budget can go toward hiring. If you don't have any money for recruitment, you may need to reconsider your budget planning and evaluate other areas of your business where you can cut costs - or make money".

The steps that can be taken to avoid failure along the critical path include confirming costs and assessing the need for administrative support staff. Information on the budget, data on all expenditures from existing outpatient facilities, and data from the hospitalization register maintained by Train Health Surveillance are some examples of the types of data that are required in addition to the data that were used to design the critical path. The possibility for spending limits, as well as an inability to compete with other organizations of a similar kind, are the problems that are obvious in the critical path. Confirming the expenses and determining whether or not administrative support personnel are required are two of the measures that may be performed to reduce the risk of failure along the critical route. When you are making choices about your project, using a PERT chart may offer you with extra information such as the projected amount of time and money that is associated with each activity.

Would a PERT chart be helpful?

According to (Ciontea, 2021, para 1), "A PERT chart is a visual project management tool used to map out and track the tasks and timelines. The name PERT is an acronym for Project (or Program) Evaluation and Review Technique". The PERT chart details not only the name of each job but also the projected amount of time necessary to finish it as well as its dependencies. The chart is used to assist in determining a project's critical path, which is the order in which activities need to be finished in order to finish the project on time. This chart is used to help determine the critical route. The PERT chart is a useful tool for project managers because it enables them to examine the dependencies that exist between each job and locate the project's critical path. The chart also offers a method for estimating the amount of time and money required for each job.

The PERT chart is a useful tool for project managers because it enables them to examine the dependencies that exist between each job and locate the project's critical path. This will allow the Project Manager to view the necessary milestones for the critical path while maintaining visibility on the secondary items that need to happen in the background. The chart also offers a method for estimating the amount of time and money required for each job. This will help in determining how many personnel are needed to complete the tasks allowing no required team members to focus on additional areas at the same time. When it comes to deciding what to do with a project, having this knowledge is essential. The chart provides project managers with a tool that may assist them in avoiding possible difficulties and ensuring that the project is finished on time and without exceeding its budget.