A project team is working for a client in the international banking sector, where frequent regulatory changes are common. On the current project, the team will verify compliance with a new
legal framework which aims to strengthen regulation, supervision, and risk management.
What should the project manager do first?
There are considerable differences in experience levels among project team members working on a project. Multiple stakeholders are requesting that deliverables
relevant to them be assigned to the most experienced team members, which is not feasible.
What should the project manager do?
Health Records Modernization at Hospital Case Study
A project manager led a health records modernization project at a hospital with a project budget of $US5 million and an 18-month timeline. The project involved multiple stakeholder groups including medical, administrative, and IT staff; board members; patients; insurance companies; external vendors; regulatory bodies; and union representatives.
Stakeholder management was complex and a major undertaking for the project manager, but it was critical to achieve a positive project outcome. When the project started, the project manager conducted stakeholder analysis, using the information to create both a power/interest and an influence/impact matrix. The analysis showed that while the hospital board members and regulatory bodies had high power but moderate interest, the medical staff (doctors and nurses) had both high influence and high impact on the project. Administrative staff showed high interest but lower power, while patients and insurance companies had moderate interest and varying levels of influence. Based on the analysis, the project manager created a stakeholder engagement strategy that documented expectations, communication preferences, and influence levels in a stakeholder register. The project manager also made a RACI (responsible, accountable, consulted, informed) chart to show roles and responsibilities; and created communication channels and frequency for each stakeholder group, an issue escalation system, and a feedback system for continuous stakeholder input.
To execute the modernization process of health records, the project manager realized that medical staff members would need to change their daily workflows. To facilitate change management for these stakeholders, the project manager created a clinical advisory committee, appointed department-specific “champions,” created focus groups for requirements gathering, started a training program, and developed key performance indicators (KPIs) to measure satisfaction.
During project execution, several challenges emerged. The doctors expressed concerns about the system’s impact on patient care, the nurses’ union raised workload concerns, the IT department faced resource constraints, the insurance companies requested additional features, and the administrative staff worried about data security. The project manager responded to these challenges by increasing the frequency of stakeholder meetings, implementing a change management program, creating a beta system for stakeholder testing, developing contingency plans for various stakeholder scenarios, and establishing an issue resolution process.
Despite these mitigation efforts, the medical staff required additional training, leading to a change request for a 2-month extension and a 10% budget increase. The board of directors approved this to help ensure high adoption and satisfaction rates among staff members. The project helped establish new good practices in future programs for stakeholder management in the organization’s project management office (PMO). The documented lessons learned became a reference for future projects of similar scope and complexity.
How should the project manager approach managing the regulatory bodies’ requirements for the health records associated with this project?
(Refer to the Health Records Modernization at Hospital Case Study exhibit.)
A new technology has been released into the market. The project sponsor realizes that incorporating this new technology into the project will significantly improve the
final deliverable. The project manager informs the project sponsor that the internal resources have no working experience with the technology and its related activities,
What should the project sponsor do?
In a project meeting, the development team reported a delay in a critical activity. The root cause of the delay was traced to a missing response from the legal department.
What should the project manager do?
A project manager is leading a team using agile practices. During a sprint, a stakeholder approaches a team member with a request for a minor functional change.
What should the team member do?
A project manager has compared the monthly actual costs with the planned costs and estimated the forecast to complete the remaining part of the project. The project
manager realizes that the project will require additional funding.
What should the project manager do first?
Asubject matter expert (SME) working for the client ' s company is coming up with new project requirements periodically. This causes confusion, time is wasted
rearranging the requirements. The project manager has learned that this SME is a new to the project.
What should the project manager do?
A project manager of a software company is working with a cross-functional team to deliver a product to an important client. While preparing the backlog items, it
becomes clear that the responsibility for an important component lies with another product division. This division has not been involved in the project concept phase.
What should the project manager do?
Akey stakeholder has been mostly silent until now. To optimize resources, the stakeholder wants to move one team member to another project but the project
manager does not agree.
What should the project manager do?
TESTED 18 Jul 2026