Susan Greene and Associates - Strategies to Increase Access To Health Care

Susan Greene and Associates header image 3

Affordable Care Act Implementation & Project Management

The March 2010 enactment of the Affordable Care and Reconciliation Acts (ACA) has set the stage for an increase in the development of integrated delivery systems that are patient-centered and designed to reward physicians, hospitals, FQHCs, and other providers to improve care coordination and demonstrate quality improvement with greater transparency.  Much of the implementation of the ACA is occurring through state governments, particularly in setting up the health information exchange and the information technology infrastructure to allow for increased care coordination and information sharing.  SGA has served as a project manager for several of these state efforts, particularly with the agency responsible for Medicaid (Healthcare & Family Services)  and the IL Office of Health Information Technology.

In 2011, the State of Illinois engaged SGA to serve as the project manager for the program design of the Innovations Project with the goal of increasing care coordination efforts on behalf of Medicaid clients.  Earlier, SGA was the project manager for the design of and vendor procurement for the State’s Primary Care Case Management and Disease Management programs.  SGA assisted the IL Office of Information Technology with its IHIE application to obtain federal funding from the Office of National Coordinator Health Information Technology to create the IL Health Information Exchange.

SGA views the Project Manager as the individual or team that is responsible for everything that is required to make the project a success – whether directly or indirectly. It is not like a typical hierarchical line management role. The Project Manager is at the center of everything relating to the project. Controlling the contributions of seniors and peers is just as important as managing the work of the team.

As projects become larger and more complex, the effective management of them becomes proportionally more significant. For such projects, the consequences of decisions on how well the project is to be managed, with commitment to communication and coordination, will generally far outweigh the consequences of how well a specific technical role is performed. The tighter the schedule, the more this need is magnified.

  • The Project Manager needs to manage upwards – ensuring that the inverted hierarchy comprising the organization’s leadership and the project sponsors are doing all that is required to guarantee the success of the project.
  • The Project Manager is also the main focal point for liaison with other departments, agencies or projects and initiatives within the organization, taking into account the needs and contributions of other internal groups.
  • The Project Manager may also be involved in aspects requiring cooperation and coordination with external parties.
  • The Project Manager has responsibility for all project tasks and all deliverables.

Bear in mind that the Project Manager must achieve these deliverables without direct control over the participants. The Project Manager does not have power over the leadership nor the internal and external contributors. Even in the project team there may be loaned staff, part-timers and sub-contractors who will have their prime loyalties elsewhere.

A project is a temporary endeavor, having a defined beginning and end (usually constrained by date, but can be by funding or deliverable), undertaken to meet particular goals and objectives, usually to bring about beneficial change or added value. The temporary nature of projects stands in contrast to business as usual (or operations), which are repetitive, permanent or semi-permanent functional work to produce products or services. In practice, the management of these two systems is often found to be quite different, and as such requires the development of distinct technical skills and the adoption of separate management.

SGA has the experience and skills to provide Project Management services to your organization.

Our Clients:

Affordable Care Act Implementation:

Project Management:

,