NURS 6441 Week 8: Project Execution and Control Part I

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NURS 6441 Week 8: Project Execution and Control Part I essay assignment

I am surrounded by people with good ideas. I need more people that implement them well.

—Will Weider, CIO, Ministry Health Care

The successful execution of a project requires continual control and monitoring to ensure that the project stays on schedule, on budget, and on specification. The ongoing collection, analysis, and reporting of project data is an essential project management tool for monitoring a project’s status throughout its execution; the information generated by this process can be used by the project team to determine appropriate actions to control the project by bringing its time, cost, and performance back in line with the project plan.

NURS 6441 Week 8: Project Execution and Control Part I essay assignment

This week, you consider how to monitor and control a project throughout its execution.

Learning Objectives

Students will:

  • Apply principles of execution and control to a health information technology project
  • Generate an MS Project plan

The actual implementation of a project occurs within the execution phase. During this phase, it is not uncommon for project managers to determine that projects have deviated from the original scope, time, or cost (the “triple constraint”), often due to unforeseen issues. When one element of this “triple constraint” changes, project managers must adjust the remaining two elements in order to satisfy project requirements. Maintaining this balance is one of the greatest challenges a project manager faces.

In this Discussion, you examine scenarios featuring issues that arise during the execution phase of a project. You analyze how you would modify the project in terms of scope, time, and cost in order to resolve the issues and fulfill project requirements. You also explain how you would communicate these modifications to key stakeholders.

Consider the following scenarios.

  1. You are the lead project manager tasked with implementing a hospital’s new patient identification and tracking system. The currently planned system is designed to function using only barcodes, but many key stakeholders have called for the system to also include the use of radio-frequency identification (RFID) features. In order to meet the demands of the stakeholders, your project scope expands to include RFID technology. How will you modify your budget and schedule to accommodate this increased scope?
  2. You are managing the development of a computerized physician order entry (CPOE) system in a hospital that caters to the suburban population of a major city. A much larger hospital that accommodates most of the city’s downtown residents has recently been severely damaged in a storm. As a result, the inner-city hospital is operating at a low level of capacity and diverts much of its patient flow to other hospitals. In order to help alleviate the strain caused by this new influx of patients, your hospital’s executives are requiring you to implement the CPOE system 2 weeks early. Your project team is currently composed of just enough individuals to complete the project on time using the originaltimeline. The planned CPOE system has many non-essential features that usually take two phases to implement. However, these features are currently planned to be incorporated during your single-phase CPOE implementation. How do you adjust the project’s scope and cost to meet the new schedule demands?
  3. You are managing the implementation of an electronic medical record system in a small physician’s office. Due to much lower-than-expected profits in the fourth quarter, you have had a substantial cut in the amount of funding available for your project. The scope of the medical record system is more extensive than the bare minimum required for a practice of this size. In addition, the implementation schedule is as condensed as possible to reduce downtime in the office. This condensed schedule requires the use of expensive, high-quality resources. How can you adjust your plan to compensate for the project’s reduced budget?

To prepare:

  • By Day 1 of this week, your Instructor will assign you to a specific scenario. Review this week’s Learning Resources on controlling the elements of the “triple constraint,” and consider how they apply to the scenario to which you were assigned.
  • Determine how you could modify the project in your assigned scenario in terms of scope, time, or cost in order to fulfill the project requirements.
  • Consider how you would communicate the modifications you identified to key stakeholders.

By Day 3

Post the number of your assigned scenario and a description of where and how you would adjust the plan in terms of budget, scope, and timeline. Explain how you would communicate modifications to key stakeholders. Provide rationale for your response.

By Day 6

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

  • Critique your colleagues’ modifications.
  • Suggest an alternative strategy for communicating the modifications to key stakeholders.
  • Validate your colleagues’ chosen modifications or communication strategies with your own experience or additional research.


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