[영문]The world of healthcare professionals is in a constant state of transition, requiring different processes for the organization, and for completing projects and programs. Projects that manage transition are complex undertakings prone to cost and time overruns. An enterprise project management model is proposed to address the people, process and technology dimensions. It includes the five-step PMI project process, vocabulary, processes, soft skills, stakeholder expectation management, portfolio management and talent diversity. Differences in project deliverables and organizational results are discussed, along with a technique to analyze gaps from the current to the new state, which then defines the projects and programs for an organizational initiative. The role and responsibilities of an executive decision team are defined.