The document discusses the importance of iterative process groups in project management according to the Project Management Institute (PMI). It explains that projects involve five process groups: initiating, planning, executing, monitoring and controlling, and closing. Failing to iterate these processes can negatively impact healthcare improvement projects. The paper demonstrates how a healthcare IT project incorporated doctors' advice into plans through repeated consultation cycles to arrive at the desired results. Iterating the project management process groups helped optimize procedures and maintain balance in the project.