Forces of Change

Session Descriptions

Project Activation Management System (PAMS) Strategic Execution of Project Management in Health Insurance Plans

David A. Shore, PhD, Associate Dean and Director, Forces of Change Program, Founding Director, Project Management in Health Care Certificate Program, Harvard School of Public Health

Now more than ever, new projects and new initiatives need to be completed on time, on budget, and to “spec.” In the early stages, projects fail due to poor project selection and definition as well as lack of alignment among key stakeholders. Nothing is more frustrating than working hard and expending valuable resources only to have your project canceled, fail, or to hear, this isn’t what we wanted. This familiar fate can be avoided through effective project management.

This session introduces the first stage of Dr. Shore’s Project Activation Management System. Participants will learn the first phase in a step-by-step process for moving new ideas forward from project identification and development through to project vetting and approval. This process results in a dramatically higher likelihood of successfully achieving the project management metrics that matter most. This session will emphasize tools, tips, and techniques. Participants will actively engage in the material through discussion around a case study on project management.



Roadmap for Health Care Reform Implementation

What’s next for health insurance plans? What are the operational changes and opportunities that you need to be considering? What are the regulatory changes that will affect the health insurance benefits you provide? What questions do you need to be considering in your strategic planning? You’ll be able to better navigate through the changing environment by participating AHIP’s “Roadmap to Health Care Reform Implementation” workshop at Institute 2010.



Translating evidence into Practice: A Practical Approach to Value-Based Insurance Design (VBID)

Value-based insurance design (VBID) continues to be heralded as one of the leading efforts to reduce costs and improve the nation’s health care system. Researchers, health insurance plans, and employers at the forefront of this effort will share their insights into designing and managing successful programs. You’ll learn about the challenges of driving behavior change and measuring outcomes that matter to the consumer and employer.



Developing a Quality Initiative (Case Study)

Vinod K. Sahney, PhD, Adjunct Professor, Health Policy and Management, Harvard University and Senior Fellow, Institute for Health Care Improvement

The objective of this session is to discuss organizational transformation in the context of a major initiative to focus on quality and patient safety improvement within a health care organization. In this class, we will discuss how health care insurance organizations can play an active role in partnering with health care providers to deliver improved quality of care to their members.

Case to be discussed:
- Sahney, Vinod K., "Mountain Medical Center", October 2002

Supplemental Readings:
- Zhan, Chinliu and Marlene R. Miller, "Excess Length of Stay. Charges and Mortality Attributable to Medical Injuries during Hospitalization." Journal of American Medical Association, October 8, 2003, pp. 1868 – 1874.


Executing a Quality Strategy

Vinod K. Sahney, PhD, Adjunct Professor, Health Policy and Management, Harvard University and Senior Fellow, Institute for Health Care Improvement

The objective of this session is to discuss how an organization can executive a strategic plan to improve quality within a health care organization. In this class, we will discuss why transformation initiatives fail and what the role of leadership should be in ensuring that their organization can execute a successful quality improvement program.

Case to be discussed:
- Bohmer, Richard M.J. and Erika M. Furniss. "Virginia Mason Medical Center". Harvard Business School. September 7, 2006. Working Case. 9-606-044.

Supplemental Readings:
- Chakravorty, Satya. "Where Process-Improvement Projects Go Wrong." Wall Street Journal, Monday, January 25, 2010, pp. R6
- Spear, Steven and H. Kent Bowen. "Decoding the DNA of the Toyota Production System." Harvard Business Review, September – October 1999, pp. 97 – 106.


Improving Organizational Performance

Vinod K. Sahney, PhD, Adjunct Professor, Health Policy and Management, Harvard University and Senior Fellow, Institute for Health Care Improvement

The objective of this session is to discuss the importance of creating a culture of operational excellence in a health care organization. What role can insurance companies play in reducing the cost of health care?

Supplemental Readings:
- Coye, Molly Joel. "No Toyotas in Health Care: Why Medical Care Has Not Evolved to Meet the Patients' Needs" Health Affairs. Vol. 20, No. 6, pp. 44-58.
- Mechanic, Robert E. and Stuart H. Altman. "Payment Reform Options: Episode Payment Is a Good Place to Start." Health Affairs, January 27, 2009.


What Does Health Care Reform Mean for Health Care

David Cutler, PhD, Otto Eckstein Professor of Applied Economics at Harvard University

Health care reform as currently envisioned will be the most fundamental change in the structure and delivery of medicine in the past century. This session will highlight the ways that health reform will affect the various stakeholders in reform: insurers, hospitals, physicians’ office, and device and pharmaceutical companies, and how that will translate into overall costs and quality of medical care.

Participants in this session will develop a better understanding the significant aspects of health reform legislation and be provided the opportunity to examine the implications for system costs and quality, and the operation of different actors.



The Case For and Against the PMO (Case Study)

David A. Shore, PhD, Associate Dean and Director, Forces of Change Program, Founding Director, Project Management in Health Care Certificate Program, Harvard School of Public Health

This case highlights some of the factors that bear heavily on the effectiveness of a project management office (PMO). In this session, participants will examine the project management office process and develop an understanding of the design and structure of a PMO in a health care organization

Case to be discussed:
- McFarlan, F.W., M. Keil, and J. Huff, "The AtekPC Project Management Office," Harvard Business School, Case 9-308-049, (Oct. 11, 2007).