PROGGEX Case Studies


The Problem
A regional, community-based health care system launched a major initiative to implement an Electronic Medical Record (EMR) system that includes all aspects of clinical documentation to a network of eleven hospitals and its physician practices. This system-wide, multi-year EMR project utilizes Cerner Millennium® as the core clinical system.

The EMR project had a dedicated Program Management Office (PMO) but had recently lost their Lead Program Manager. A blended implementation methodology had been created based on Cerner and client methodologies to maximize the benefits of both and to optimize the implementation process. However, team members were not practicing the organizational agreed-upon methodology due to a lack of understanding of the process. Furthermore, a single master project plan did not exist nor a clear direction of roles and responsibilities. As a result, there was a lack of clear assignments, commitments to a delivery date, and inadequate documentation in some meetings, especially critical working sessions. Also, with no overall communication protocol for design/development decisions to be disseminated to the appropriate departments productivity was negatively impacted.

The Solution

The PROGGEX solution streamlined the blended methodology and tailored it to fit the enterprise culture and environment. Best practice improvements to the corporate methodology framework were also implemented and the EMR PMO was formally aligned with the corporate PMO.

Oversight was provided for re-engineering processes to improve clarity and coordination between solution and support groups, including enforcement of PMO processes and procedures. Moreover, team members were empowered to increase efficiency and improve workflow. This allowed the project team to embrace the process of clinical transformation with commitment and enthusiasm.

Additionally, PROGGEX consulted on the development of an overall master project plan. The new project management plan detailed a project governance structure, which also defined program communications, schedule management, reporting, quality assurance, project plan change control and organizational change management procedures. These solutions improved the strategic planning and implementation of the organization’s EMR initiative.