PMI College of Scheduling‘’PMI’ is a registered trade and service

mark of the Project Management institute, Inc.

April 10, 2023

Using EVPM Techniques in Theatre Management of

WIES (DRG’s) and Healthcare Projects

CS – 02

Raphael M Dua & Kathryn JamesMicro Planning International

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

2April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

Casemix has been established as a valuable tool for improving and managing Australia’s health care system, since 1988 when it became part of the National Health Care Services agenda as part of the 1988 Medicare Agreements. Increasingly, it is being used for output measurement; resource allocation (ie., funding, paying, and charging); quality improvement; comparative analyses; and the monitoring of trends over time.

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

3April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

•Casemix is driven both externally and internally

•DRG (Diagnostic Related Groups) will categorise the case

•WIES (Weighted Inlier Equivalent Separation)Value is determined by DRG

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

4April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

5April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

For example,  •0.19 WIES is allocated to a same day chemotherapy patient •30.02 WIES is allocated to a liver transplant patient staying 40 days•7.51 WIES is allocated to a liver transplant patient dying after 3 days. 

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

6April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

Cost WeightsCost weights are developed each year based upon the costs of treating individual patients in Victorian public hospitals. Hospitals report the costs of over half a million patients annually. In addition to new cost weights, Department of Human Services (DHS) often makes changes to the WIES in response to industry concerns. Consequently, casemix funding in Victoria has evolved considerably from the relatively simple model introduced in 1993-1994.

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

7April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

Standard RatesHospitals/Health Services are funded at standard rates per WIES. Metropolitan hospitals receive $2350 per WIES while country hospitals receive slightly more in recognition of the higher fixed costs of running small rural hospitals.

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

8April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

How was this was managed

and measured?

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

9April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

Previous Management Methodology !

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

10April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

The results were well received by Management

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

11April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

In other words there was little or no Forecasting or Performance Measurement on a concurrent basis, resulting in Crisis Management, more than one financial quarter after the event.

Basically because no framework existed to plan healthcare services within Government budget.

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

12April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

Research showed that a better way of managing could be implemented to maximise •Work Force Planning•Theatre Utilisation•Government Funding •Bed Availability•Casemix Throughput

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

13April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

And to Minimise•Waiting Lists•Changeover time between procedures•Costs

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

14April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

The research showed that Project Management techniques could deliver the framework without the need to develop expensive software and solutions.

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

15April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

For WIES (DRG) performance measurement to work certain systems must exist. They are:

·         A time based plan, ie a schedule·         A work breakdown structure • A definition of Resources required·         A WIES collection system ·         An objective method of assessing progress ·         A WIES Calculator

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

16April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

Given the above needs we chose

• Traditional Critical Path Networks

•Earned Value Performance Measurement •Work Force Planning (Resources)

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

17April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

EVPM is a Planning tool

EVPM measures performance against plan

producing variances and variance trends

EVPM is an earned value system

EVPM is an integrated cost and schedule control system

EVPM is not an accounting or record keeping system

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

18April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

EVPM is not a method for technical performance measurement but is a means for measuring technical progress against schedule through the achievement of technical milestones

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

19April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

Title: Theatre List AllocationTime Now: 3-Jul-00:00:00

ALLTHEATRES +Latrobe Regional Hospital Theatres 1 to 4

3-Jul-00:08:00 30-Nov-00:17:00

THEATRE1 +Theatre 1 Sessions

3-Jul-00:08:00 30-Nov-00:16:30

THEATRE11O/C Ortho

3-Jul-00:08:00 29-Nov-00:12:00

THEATRE12Ortho

4-Jul-00:08:00 30-Nov-00:16:30

THEATRE13Vic Eye

12-Jul-00:12:30 8-Nov-00:16:30

THEATRE2 +Theatre 2 Sessions

3-Jul-00:08:30 30-Nov-00:17:00

THEATRE21GEN

3-Jul-00:08:30 30-Nov-00:17:00

THEATRE22Dental

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

20April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

Part of Theatre Critical Path Network

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

21April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

0.00

10000.00

20000.00

1-Aug-00 1-Nov-00 1-Feb-01 1-May-01

Title : Progressed WIES as 1st December 00

Time NowBudget Ceiling

Cost EstimateBudget CostActual Cost

Earned ValueRecoverable ValueChargeable Value

WIE

Results: WIEBudget at Completion (BAC) 15052.00Recoverable Budget Ceiling 15052.00Budget To Date (BCWS) 6309.47Earned Value (BCWP) 6309.47Recoverable Value 6309.47Actual Cost (ACWP) 6192.51Estimate to Complete (ETC) 8742.53Estimate at Completion (EAC) 14935.04Earned / Cost Variance (CV) 116.96Recoverable / Cost Variance 116.96Schedule Variance (SV) 0.00Variance At Completion (VAC) 116.96Total Recoverable Variance 116.96Total Budget Adjustment 0.00Cost Performance Index (CPI) % 101.89

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

22April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

23April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

A View of The Project

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

24April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

25April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

26April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

27April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

28April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

29April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

30April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

31April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

32April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

Benefits

Increased Management Visibility of WIES PerformanceProactive Management Through Early Identification of Problem areasAccurate Trend Analysis Projections and Variance AnalysisWIES Management (thus costs) at Meaningful LevelsCompliance With Casemix Requirements

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

33April 10, 2023

Using EVPM Techniques in Theatre Management of WIES (DRG’s)

and Healthcare Projects

From this to This

PMI College of Scheduling‘’PMI’ is a registered trade and service mark of the Project Management institute, Inc.

34April 10, 2023

Raphael M Dua & Kathryn JamesMicro Planning International

P O Box 640Collins Street West

Melbourne Victoria 8007+61 418 53 11 11rafd@mpi.com.au

Slide TitleCentury Gothic 32pt

Using EVPM Techniques in Theatre Management of WIES

(DRG’s) and Healthcare Projects