PM Essence

Mapping of PM process groups, Knowledge Areas in a Medical Surgery

By Shikha Vaidh, PMP
Prev. issue - In our last edition (Jan 2013) we covered the initial part of this article which showed how the philosophy of project management can be successfully applied to a nontraditional area such as medical surgery.

Quick Recap: Unlike a pilot, there are no check lists during a surgery procedure, it is just the surgeon's experience and intuition that dictates how a procedure is performed.

As we understand, everything which has a start and an end and has a specific goal is said to be a project. So a surgery which happens for a specific goal can also be considered as a project.

It can be the operations for a Surgeon who is specialized in doing the surgeries as it may be his daily task, but still each surgery can be different for him with a unique start and an end.

Here we bring the remaining and conclusive section…

ExecutingThis is the time when actual execution of the plan happen to achieve the goal. “Project Charter actually gets signed here by the customer [i.e. Sponsor or the head of family, which authorizes the doctors to start with the surgery which documents that patient has agreed to go for the surgery and made familiar with the accompanying procedure]”

In this phase the Surgeon:
Prepares the patient as per the sequence of planned steps. Direct & Manage project execution. Arranges medicine including anesthesia, surgical tools, blood (usually done by the family/ friends)  Conduct procurements. Arranges the team who will conduct the surgery (The anesthetist, the nurse, the support staff) – Conduct Human Resource Management.
Monitoring and Controlling– While monitoring and control goes on during the surgery process as well, the critical time is when the patient comes out of the Operation Theatre till he / she gets discharged from the hospital. In this phase the two key activities that takes place are: Monitoring the health of the patient immediately after surgery. Verifying Scope, Monitor & Control project work.

Communicating and observing the improvements, monitoring & controlling the risks. Schedule post-surgery checkup plan. Report performance, Monitor & Control Risks. Controlling hospitilization cost, e.g. by discharging the patient in time, by giving post surgery do's and don't including prescription of medicines to be taken and schedule for statutory checkups.

Closing When the patient gets discharged from the hospital it is considered to be the closing phase of that particular project.

This includes: Getting the discharge papers and necessary documents. Close project or phase.

Compile all the reports for future reference – [i.e. this is the discharge summary which contains the information of the problem and its solution]. This can be referred by any doctor in future if he has to handle similar case – Document lessons learnt. Settlement of full and final bill (covered with or without insurance). Close procurements.