Health Care Exchange Project Pt. 2

“No matter how good the team or how efficient the methodology, if we’re not solving the right problem, the project fails.” - Woody Williams

In my previous article I started talking about the New York Times article From the Start, Signs of Trouble at Health Portal. See previous article for the disclaimers that hold here as well.

In Part Two, I want to talk about the parts of the article that, to me, describe a major failure in project leadership. Not to be confused with executive leadership. In this case, the described failures in those responsible for the actual project leadership.

"Failure to plan is a planning to fail". It's a cliche for a reason. Starting a development project without a plan, or with an obviously flawed plan, is a massive waste of time and money. From the article:

"Dr. Donald M. Berwick, the administrator of the federal Centers for Medicare and Medicaid Services in 2010 and 2011 'The staff was heroic and dedicated, but we did not have enough money, and we all knew that,'"

From the beginning, we have a serious issue. The project wasn't funded.  The only way this works is if you have a plan to scale back what you can't pay for. The quotes in the previous article regarding executive leadership make this an impossibility, however.

 "Some people intimately involved in the project seriously doubted that the (Medicare and Medicaid) agency had the in-house capability to handle such a mammoth technical task of software engineering while simultaneously supervising 55 contractors."

"The political people in the administration do not understand how far behind they are." 

Well, now we have some insight into some of the executive leadership issues. Project management is supposed to be responsible for insuring that the correct groups are responsible for units of work and are responsible for reporting progress. It very much sounds to me like the project management team fell flat here. This is by no means unique to ACA, nor even to government development projects. I've seen, far too often, project managers who think their job ends with the kickoff meeting. Or who only schedule meetings and do little else. A good sign of a sinking project is negligent project management. Worse is project management that is unfamiliar with what the role entails.

"A round-the-clock effort is under way, with the government leaning more heavily on the major contractors"

"Worried about their reputations, contractors are now publicly distancing themselves from the troubled parts of the federally run project."

"Senior executives at Oracle, a subcontractor based in California that provided identity management software used in the registration process that has frustrated so many users, defended the company’s work. 'Our software is running properly,' said Deborah Hellinger, Oracle’s vice president for corporate communications."

How often have you seen this story play out? Lack of planning and poor leadership lead to "crunch times". As a result, development staff is required to work late. Demands raise past what is reasonable and soar up to the ceiling of what is possible. The result?  Discontent and CYA. The quotes above tell me that the contractors have already given up on the project and its leadership. Worse yet, the "blame game" has gotten into full swing. Blame doesn't happen when the project staff sees the project as salvageable. Blame only happens when the project is seen as a loss and people only want to salvage their careers. In a very real way, the blame game prevents problems from getting fixed.

Project management problems are a warning sign that is difficult to see. Oftentimes, poor project leadership isn't obvious until the project is well under way. At that point, recovering the project can be problematic. Tasks have already been assigned inappropriately, Reporting is either far behind or nonexistent. And at the worst, although I didn't see any evidence of this in the article, poor project management often involved a lack of clear project goals. This last is, in my opinion, the worst way project management can fail. If a project without clear end goals is allowed to continue, failure is the only possible result.