1. Management Edge 360°
Pointing the way to improved performance
Establishing an Enterprise Governance Framework
for a Major Hospital System
Background: Hospitals and health systems face numerous challenges brought about by the Federal
Accountable Care Act (ACA) and other federal and state legislations. Our client, a Midwest-based
hospital system, created a well-articulated enterprise mission, vision, and cultural values to compete
in this new environment. In order to effectively implement their vision, our client sought the
following assistance:
• Establish an effective governance process for identifying, evaluating, and prioritizing
strategic investments
• Form an IT Steering Committee to optimize the organization’s technology investments
• Assess the organization’s high- and medium-level in-"ight projects
• Design an Enterprise Services Delivery (ESD) organization to manage the organization’s
investment selection and project delivery processes
ME 360 Solution: Management Edge 360° uses the following enterprise governance framework to
help organization assess their current capabilities and develop continuous improvement initiatives.
Our self-assessment tool evaluates the organization’s capabilities across 9 areas, comparing their
organization to our collection of industry best practices.
Strategic
Delivery Management
Program / Project Management methods
used to deliver strategic initiatives
Run & Maintain
Delivery Management
Project / Delivery Management methods
used to deliver tactical initiatives
Investment
Management
Enterprise Architecture Enterprise
Enterprise Program Management
!!!=!Level!1!(1.00!–!1.80)!!! !!!=!Level!2!(1.81!–!2.60)!!! !!!=!Level!1!(2.61!–!3.40)!!! !!!=!Level!1!(3.41!–!4.20)!!! !!!=!Level!1!(3.41!–!4.20)!!!
Management Edge 360° Enterprise Governance Framework
Delivery
Management
Business Relationship Management
Management
Strategic
Investment Management
Portfolio management techniques used to
select / prioritize strategic initiatives
Run & Maintain
Investment Management
Demand management techniques used to
select / prioritize service requests
Approved
Service
Requests
Measure
Value
Realization
Launch
Strategic
Initiatives
Strategic
Alignment
Service Portfolio
Management
Identify
Strategic
Initiatives
Establish
Service
Delivery
Budgets
Partner-Provider
Strategic Alignment
Business
Partner
Service
Strategy Provider

2. Management Edge 360°
Pointing the way to improved performance
Establishing an Enterprise Governance Framework
for a Major Hospital System (continued)
Accomplishments: Management Edge 360° delivered the following bene#ts during the course of
the engagement:
Strategic Investment Management: Developed a
Business'Value'/'Implementa6on'Risks'Scoring'
Bubble'Size'='Investment'(000)'
scoping model to help the organization balance
6#
business value and implementation risk in the selection
5#
1000#
of its strategic projects. Implemented the “line of sight
4#
3000# 2000# 5000#
concept” allowing project teams to re#ne large project
3#
estimates throughout the life cycle.
2000#
2#
2000#
1#
3000#
IT Steering Committee: Established the governance
0#
structure, roles, responsibilities, and process "ows for
identifying, approving, and prioritizing IT projects. This
is crucial to enabling the organization to optimize their
technology investments.
Project Health Assessment Scoring Models: Tailored
ME360’s project scoring model to evaluate 100+ active
projects. The organization will be able to use this
scoring model going forward to assess project
performance and receive early warning indicators of
potential issues.
Standard Project Management Templates: Created
standard templates for the basic project management
functions including the project charter, project
schedule, risk, issue, change management and status
reports. Instructor-based class with case studies
enforces the concepts.
Enterprise Services Delivery Organizational Design:
Created enterprise-, department-, and program-level
PMO structures and governance models for use on the
organization's business critical initiatives. These
templates enable the organization to “jump start” the
creation of governance models for new initiatives.
0# 0.5# 1# 1.5# 2# 2.5# 3# 3.5# 4# 4.5# 5#
Business'
Value'
(5'='Highest'
Value)'
Implementa6on'Risks'
(5'='Lowest'Risk)''
Strategic Investment Scoring Model
Management Edge 360 brought experienced
practitioners to this engagement and
developed high quality solutions suitable for
our organization. They were effective at
working across all levels of the organization
and were extremely "exible in working with us
during very dynamic and challenging times .
Executive Testimonial
Enterprise/Department PMO Functions
Vendor
Management
Financial
Management
PM Tool Setup and
Support
Solution
Architecture SDLC Methodology
Program PMO Organization
Proposal / PM
Methodology
PM Competency
Model/Training
Knowledge
Management
Program Manager
Program Control
Office
Architecture
Office
Project Teams Project Teams Project Teams Project Teams Project Teams
Conceptual Enterprise / Department /
Program Structure
Management Edge 360° – Your Trusted Partner
Management Edge 360 Inc. is owned and managed by Chuck Coletta, a 30+ year professional
specializing in providing practical solutions tailored to client needs. We are available at the contact
information below:
ccoletta@managementedge360.com | www.managementedge360.com | Cell: 630.750.2410