How do you determine the level of flexibility? How much do the stakeholders have input on that level? We have many issues by trying to narrow from the broad approach to the detailed oriented execution, internal and external factor, and environment, sometimes induce unforeseeable problems. During that period, project flexibility becomes of great importance. In this case, how do project managers deconflict the priorities? Projects operate in dynamic environments and face many mutual exclusive constraints...". How does this occur in healthcare?