LU DBA Qualitative Dissertation
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MANAGING PROJECTS FOR MORE EFFICIENCY IN THE HEALTHCARE AND PAYMENT INDUSTRY: DETERMINATION OF KEY CHARACTERISTICS AND SKILLS OF SUCCESSFUL PROJECT MANAGERS by Dale I. Troutman _______________________ Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration ______________________ Liberty University, School of Business August 2019 Abstract The drive to reduce healthcare costs while maintaining or improving patient care quality is being pushed on medical care providers and healthcare payment organizations. Many of these organizations do not currently have the necessary expertise or processes needed to successfully implement the required changes to reduce costs while maintaining quality. Project management is a function that can be used to deliver projects to reduce costs in these healthcare related organizations. Knowledge of the key characteristics and skills of successful project managers can be used by managers of project managers and human resources individuals that hire project managers in their selection process and can also help project management practitioners to understand areas of focus in their continuous development on factors that lead to successful projects. Project success is defined as not only meeting the triple constraint of time, cost, and scope but delivering quality results that result in client and stakeholder satisfaction and happiness. Key competencies of project managers include leadership, management, organization, soft skills, emotional intelligence, technical skills, and product skills that are defined during this study. Key words: Project manager competencies, project success, project management skills, project management characteristics, healthcare project management MANAGING PROJECTS FOR MORE EFFICIENCY IN THE HEALTHCARE AND PAYMENT INDUSTRY: DETERMINATION OF KEY CHARACTERISTICS AND SKILLS OF SUCCESSFUL PROJECT MANAGERS by Dale I. Troutman Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Liberty University, School of Business August 2019 ___________________________________________________ Dr. Edward Moore – Dissertation Chair ___________________________________________________ Dr. David Duby – Dissertation Committee Member ___________________________________________________ Dr. Edward Moore – DBA Director _________________________________________________ Dr. Dave Brat – Dean of Business School Dedication I dedicate this work to my wife, Aimee Troutman, my best friend, and a constant supporter and encourager. I thank you for your prayers and sacrifice of time and share the completion of this effort with you. I also dedicate completion of this work to my daughters, Kaitlin and Katherine Troutman who have been encouraging, while exhibiting their own strong work ethic to excel in their studies to gain knowledge and to expand their horizons for success. I look forward to seeing how the Lord will use all of us to carry out his work through our lives. Acknowledgments In addition to my immediate family and constant support of Aimee, Kaitlin, and Katherine, I want to thank other family and friends that provided prayer support and encouragement throughout this process. I am also thankful and want to remember and honor my mother, Merle Troutman, who provided encouragement through my early years and instilled in me the value of obtaining education and pursuing excellence. To my father, Vance Troutman, I am thankful for him instilling in me a strong work effort. To my in-laws, Norma and Matthew Dunn, I am thankful for the encouragement and prayer support and being like a second set of parents to me as I walked through this journey. I also thank Dr. Gene Sullivan for his guidance and encouragement at the beginning of this pursuit and for setting the direction for the coursework and dissertation process and for Dr. Edward Moore for the ongoing guidance and support during this journey as my Dissertation Chair. I also acknowledge the sharing of knowledge and encouragement from my Cohort 3 colleagues that worked together as we supported each other throughout the coursework and a special thanks to Carol Davis for the many Wednesday night conversations of encouragement and perseverance and for lifting me up in prayer as we made the project management cognate journey together. Table of Contents List of Figures ................................................................................................................................ ix Section 1: Foundation of the Study ..................................................................................................1 Background of the Problem ................................................................................................ 1 Problem Statement .............................................................................................................. 3 Purpose Statement ............................................................................................................... 4 Nature of the Study ............................................................................................................. 5 Discussion of method. ............................................................................................. 5 Discussion of design. .............................................................................................. 6 Summary of the nature of the study ........................................................................ 7 Research Questions ............................................................................................................. 8 RQ1. ........................................................................................................................ 8 RQ2. ........................................................................................................................ 8 RQ3. ........................................................................................................................ 8 Conceptual Framework ....................................................................................................... 8 Leadership theories ................................................................................................. 9 Management theories ............................................................................................ 10 Organizational theories ......................................................................................... 11 Project management theories ................................................................................ 13 Discussion of relationships between concepts ...................................................... 14 Summary of the conceptual framework ................................................................ 14 Definition of Terms........................................................................................................... 15 Assumptions, Limitations, Delimitations ......................................................................... 15 Assumptions .......................................................................................................... 16 i Limitations ............................................................................................................ 16 Delimitations ......................................................................................................... 16 Significance of the Study .................................................................................................. 17 Reduction of gaps ................................................................................................. 17 Implications for Biblical integration ..................................................................... 17 Relationship to field of study ................................................................................ 18 Summary of the significance of the study............................................................. 19 A Review of the Professional and Academic Literature ................................................... 19 Healthcare management challenges. ..................................................................... 20 Escalating healthcare costs. ...................................................................... 20 Wasted costs.............................................................................................. 21 Changing payment methods ...................................................................... 22 Bundled payments. .................................................................................... 22 Value-based reimbursement...................................................................... 23 History of project management ............................................................................. 24 Early management of projects .................................................................. 24 Modern project management. ................................................................... 25 Overview of theories ............................................................................................. 27 Leadership theory...................................................................................... 27 Transactional and transformational leadership ......................................... 28 Task and people-oriented leadership ........................................................ 29 Situational leadership ...............................................................................