Northland Health Services Plan Project Management Guide Procedure and Templates Notes about this document at 29th April 2014. Coverage This guide covers getting an NHSP Project approved (stage 1) and subsequent project phases, processes and templates (stage 2). Stage 1: Covers in detail Starting up a Project phase using the following documents: Project Brief Project Initiation Document Stage 2: NHSP projects that have had both their Project Brief and Project Initiation Document approved then complete the following mandatory documents over the life of a project: Project Status Report Risk and Issue Register Completion Report The guide also provides further documentation which is not a requirement, but is extremely useful when forming, managing and delivering a project. Experience shows that the use of templates and standard processes greatly increases the successful outcome of a project. These templates are provided in the NHSP Office folder within the NHSP folder on M drive. Usage of the document While the guide has been developed as part of the NHSP implementation process, it has drawn upon material from various sources and is freely available for anyone in the Northland health sector to use. The NHSP staff would be interested to hear of anyone’s experience with using the guide. Contact details Liane Penney NHSP Portfolio Manager Northland DHB M: 021 863258 Liane.Penney@northlanddhb.org.nz Jamie Leaf NHSP Project Manager Northland DHB M: 021 2214024 Jamie.Leaf@northlanddhb.org.nz Stephen Jackson Health Planner Northland DHB 09 4700000 ext 3309 stephen.jackson@northlanddhb.org.nz Version Date Summary of changes V3 13/01/14 Kathy De Luc’s details removed; 6.1 stakeholder matrix included in communications plan V4 26/03/14 Liane Penney’s details added. V5 29/04/14 Updated to reflect NHSP structural changes V6 08/05/14 Peer review feedback included Contents 1 About this guide .................................................................................................................... 4 2 Storing Project Documentation on the NHSP Computer Drive ............................................ 5 Stage 1 - Getting an NHSP Project Approved ................................................................................ 6 3 The flowchart ........................................................................................................................ 6 4 Planning a Project................................................................................................................. 8 Stage 2 – Project Documentation .................................................................................................. 10 5 Mandatory Reports ............................................................................................................. 10 6 5.1 Project Status Report ................................................................................................... 10 5.2 Sponsor Status Report ................................................................................................. 10 5.3 Project Risk & Issues Register ..................................................................................... 11 5.4 Project Completion Report ........................................................................................... 11 Additional Project Templates .............................................................................................. 12 6.1 Communications Plan................................................................................................... 12 6.2 Project Schedule .......................................................................................................... 12 6.3 Project Costs ................................................................................................................ 13 6.4 Project Change ............................................................................................................. 13 6.5 Project Escalation ......................................................................................................... 13 6.6 Project Meetings ........................................................................................................... 13 Appendix 1: Copy of criteria from Service Priority Assessment Tool (SPAT) ........................... 14 1 About this guide The long-term goal is to introduce consistent project management documentation and processes for all projects. However, the first phase of implementation is to introduce project management documentation and processes to those projects that would have previously had either minimal or no project management documentation. Note: If your project is managed by and already using any of the following project management documentation: Health Alliance IT projects Projects under the management of the Strategic Projects Office - NDHB NDHB Quality and Improvement Directorate - IHI Model for Improvement methodology ……...You do not need to use the documentation templates contained within this guide. This guide has been developed as part of the Programme and Project framework for the implementation of the Northland Health Services Plan (NHSP). Stage 1 – Getting an NHSP Project Approved. This section provides templates for a Project Brief and Project Initiation Document along with a flow chart describing the process to get an NHSP project approved. Stage 2 – Project Documentation. This section provides an explanation on completing a Project Status Report; Risk and Issue Register and Completion Report. These 3 documents are mandatory when managing an NHSP Project. It also provides further project documentation which is not a requirement, but is extremely useful when managing and delivering a project. Assistance is available from Liane, Stephen or Jamie (contact details are inside the front cover). 29th April 2014 NHSP Project Management Guide Page 4 2 Storing Project Documentation on the NHSP Computer Drive Once the Project Initiation Document has been approved by the NHSP Oversight Group and the Project Sponsor, the project can be initiated. The NHSP Office will send you a link to a project folder on M drive-NHSP which will contain all the templates you will require to manage your project. Storing the latest version of your project management documentation and reports on the M drive will facilitate easy access and visibility for those working on the project with you. Using the M drive is a short term solution; we will transition to Sharepoint once the new version is available. The NHSP Office will provide as standard the following people access to your project folder on M drive-NHSP. Project Manager – read and write Project Sponsor – read and write Project Steering Group – read and write Liane, Stephen and Jamie from the NHSP Office – read and write If you require these access arrangements to be amended please contact Stephen or Jamie. Note: It is possible to give access to M drive to individual members of a project who belong to organisations outside of the NDHB. Please contact Liane, Stephen or Jamie for more information. 29th April 2014 NHSP Project Management Guide Page 5 Stage 1 - Getting an NHSP Project Approved 3 The flowchart The following flowchart provides a guide to the process of getting an NHSP project initiated and funded (that is, it does not deal with any subsequent phases beyond getting your project approved). It identifies the potential sources of projects and describes the process of approval for an NHSP project. The following abbreviations have been used in the flowchart: OG Oversight Group PID Project Initiation Document SIF Strategic Investment Fund PG Prioritisation Group The prioritisation proposal form must be completed for any project that requires funding from the Strategic Investment Fund. The Service Priority Assessment tool will be used to assess the relative merits of projects competing for the fund. The criteria provide a useful checklist of factors that should be considered in any project’s development, these can be located in Appendix 1 of this document. 29th April 2014 NHSP Project Management Guide Page 6 NHSP Project Initiation and Funding Prioritisation Flowchart Project concept is developed as part of the NHSP planning process. Project concept is developed outside NHSP planning process. NHSP Sponsor and NHSP Portfolio Manager agree the project does not fit within NHSP. Project Brief written and submitted to NHSP Sponsor for approval. NHSP Sponsor & NHSP Portfolio Manager agree the project may fit within NHSP. NHSP Sponsor presents Project Brief to NHSPOG for approval Project is logged with the NHSP Office. Project is logged with the NHSP Office. Project approved for development of a PID and completion of SIF Prioritisation Proposal if SI Funding required. No further NHSP action Project not recommended to proceed as an NHSP Project. NHSPOG notified of decision to decline project. SIF allocation required. No SIF allocation required. No further NHSP action NHSPOG decline SIF allocation. Either: No further NHSP action or Recommendation to resubmit to next SIF round. NHSPOG decline the project. PID and SIF Prioritisation Proposal submitted to SIF PG for assessment and recommendation made to NHSPOG. PID submitted to NHSPOG for approval. NHSPOG approve the project and SIF allocation in full or with conditions. NHSPOG approve the Project in full or with conditions. Project launches Project launches No further NHSP action COLOUR KEY: 29th April 2014 NHSP Sponsor decision point NHSP Project Management Guide SIF PG decision point Page 7 NHSPOG decision point 4 Planning a Project 4.1 The Project Brief The purpose of the Project Brief is to provide a high-level description of a proposed project before it has started. It needs to be solid and informative enough to enable the approval decision to be made but, because it is essentially a screening tool, it is not meant to take much time to assemble. It should be the product of concise but thorough discussions between people who know about or will be involved in the project – that is, key stakeholders. A project concept can be developed as part of the NHSP planning process, or outside the NHSP planning process. If the intention is that the project will form one of the projects within the NHSP then the Project Brief should be sent to the NHSP Office at: jamie.leaf@northlanddhb.org.nz. Once the Project Sponsor has approved the Project Brief, a full Project Initiation Document will need to be developed. Following is the link to the Project Brief template; NHSP Project Brief Template Note: completion of this document is mandatory for all NHSP Projects. 4.2 The Project Initiation Document The purpose of the Project Initiation Document is to provide a comprehensive plan of a proposed project before it has started. It needs to show that the relevant key success factors for managing projects have been considered including stakeholder analysis, communications plan, identification of risks and issues etc. If a project falls under the NHSP, then the Project Initiation Document must be completed and sent to jamie.leaf@northlanddhb.org.nz Once a Project Initiation Document has been approved by the relevant Project Sponsor and the NHSP Oversight Group, the NHSP Office will set up a new folder under the shared computer drive M:\NHSP and send the link to the Project Manager. This will contain all the templates associated with managing a project that is referred to in Stage 2. If the project requires funding from the Strategic Investment Fund then the Service Prioritisation Assessment Tool (SPAT) Proposal Form will need to be completed. The Project Initiation Document will accompany the SPAT Proposal Form when seeking funding from the Prioritisation Advisory Group. (see Appendix 1 of this document). Following is the link to the Project Initiation Document template; 29th April 2014 NHSP Project Initiation Document NHSP Project Management Guide Page 8 Note: completion of this document is mandatory for all NHSP Projects. 4.3 Non-NHSP Projects The Project Brief and Project Initiation Document templates have been developed for NHSP projects, but because their terminology is generic they can be used for projects which sit outside the NHSP Programmes. If non-NHSP project managers wish to use the templates referred to above, please contact either Liane, Stephen or Jamie and we will forward them to you. 4.4 Information about all Projects Regardless of whether a project is part of the NHSP or not the NHSP Office will want copies of all Project Briefs. They require these to understand what projects are about, the demands they place on project management resources and how projects collectively address identified priorities. All Project Briefs and Project Initiation Documents (as required) should be sent to jamie.leaf@northlanddhb.org.nz 29th April 2014 NHSP Project Management Guide Page 9 Stage 2 – Project Documentation 5 Mandatory Reports 5.1 Project Status Report The purpose of a project status report is to provide a snapshot of a project at any given point in time. The status report should be used as a primary means of communicating to all stakeholders, providing an overview of the project summary, key risks & issues, key milestones, and budget overview (if applicable). The frequency of the status report should be discussed and agreed to with your Project Sponsor. The principle audience for these reports will be the Project Steering Group. NHSP Project Status Report Template Note: completion of this report is mandatory for all NHSP Projects. 5.2 Sponsor Status Report The purpose of a Sponsor Status Report is to provide a snapshot of all projects that contribute toward the Sponsor’s NHSP Headline Actions. It provides an executive summary and dashboard update on the status of each project. The Sponsor Status Report should be completed by all NHSP Headline Action Sponsors (or delegates) and sent to the NHSP Office. The NHSP Manager will collate and distribute all reports for tabling at each NHSP Oversight Group Meeting. NHSP Sponsor Status Report Note: completion of this report is mandatory for all NHSP Headline Action Sponsors. 29th April 2014 NHSP Project Management Guide Page 10 5.3 Project Risk & Issues Register A Risk Register provides a record of identified risks relating to the project, including their status and a mitigation plan. It is used to capture and maintain information on all of the identified risks so they can be managed in a controlled way. The Risk & Issues Register should be updated regularly as new risks will emerge during the lifecycle of the project, existing risks and issues will also need to be managed and updated. An issue is a realised risk (a risk that has occurred) or an event that has happened. The Risks & Issues Register is a live document and should be updated regularly to reflect the current status. Project Risk and Issue Register Template Note: completion of this report is mandatory for all NHSP Projects. 5.4 Project Completion Report The purpose of closing a project provides a point in time when the acceptance for the project’s product or service is confirmed and recognition that the Project Initiation documentation objectives have been achieved. A project completion report is completed primarily to ensure there is a clear handover of remaining responsibilities in the Business As Usual (BAU) environment. It provides a record of how the project performed against the original scope, and of any outstanding tasks, issues and risks that are outstanding at the time of handover. It allows any lessons learnt to be recorded for future projects and is accompanied by formal approval to close the project by the Project Sponsor. Any open risks, issues and outstanding tasks should be captured and prepared for handover and management in the BAU environment. Closing a project should also be used at any point during the project should it be necessary to prematurely close the project. NHSP Project Completion Report Note: completion of this report is mandatory for all NHSP Projects. 29th April 2014 NHSP Project Management Guide Page 11 6 Additional Project Templates Following you will find further templates and processes that will assist in managing a project. These are based on best practice project management techniques. You will find an explanation of each template, including the purpose and the associated process. Assistance on which templates to use is available from Liane, Stephen or Jamie. The templates below are not a requirement, they are made available to support and assist you in managing a project successfully. If your project is complex or one which runs over a long period of time we would recommend you utilise some of these templates. 6.1 Communications Plan The Communications Plan is a guide to communicating with project stakeholders, both internal and external to the organisation. It provides an explanation on how information will be disseminated and outlines strategies for communication with the identified groups. NHSP Communications Plan Template 6.2 Project Schedule A project schedule illustrates the project activities and defines when each activity will be carried out. It shows the feasibility of the project achieving its objectives. Scheduling can be done manually or by using a computer based planning tool. Following are two templates that will assist you in producing and displaying your project schedule. A simple project checklist / action register can provide you with a list of the main project tasks, who will be delivering each task, and the expected delivery dates. NHSP Project Action Register A Gantt Chart is a graphical representation of the duration of tasks against the progression of time. It allows you to assess how long a project will take, layout in order which tasks need to be carried out and see what should be achieved at a certain point in time. The following Gantt Chart template is available for your use. 29th April 2014 Gantt Chart Template NHSP Project Management Guide Page 12 6.3 Project Costs Not all NHSP Projects will be allocated a project budget. If your project has not been allocated a budget there will not be any NHSP budget tracking requirements. If the project has been allocated an NHSP project budget a cost code will be allocated to the project for all associated costs to be tracked against. Please contact the NHSP Office who will assist. 6.4 Project Change If there is an addition or alteration to the agreed upon deliverables for the project, the change would normally be formally logged and approved. Without the change being captured and managed there is no way of controlling the scope of the project and the risk of ‘project creep’ increases. If there are any changes anticipated on your project, at any time, please contact the NHSP Office who will assist you through this process. NHSP Change Control Template NHSP Change Control Register 6.5 Project Escalation During the course of a project at times it is necessary to escalate issues to the next level of management, if an issue is unable to be resolved at a project management level. As the project manager, if you at any time encounter an issue that you are unable to resolve or effectively manage please escalate this to your Project Sponsor. 6.6 Project Meetings A Terms of Reference (TOR) establishes the intent of a meeting, documenting responsibilities and wrapping governance around the meeting. Producing a meeting agenda outlines the topics to be discussed in a meeting, providing direction and allowing participants to prepare for the meeting. Meeting minutes provide common documented record of the meeting, ensuring information is captured including action items and who is responsible for their delivery. NHSP Agenda Template NHSP Meeting Minutes Template NHSP Project Terms of Reference Template 29th April 2014 NHSP Project Management Guide Page 13 Appendix 1: Copy of criteria from Service Priority Assessment Tool (SPAT) The full SPAT proposal and guide can be found here and must be completed for any project requiring funding from NDHB’s Strategic Investment Fund, and the SPAT criteria will be used to assess the relative merits of projects competing for the fund. However the criteria provide a useful checklist of factors that should be considered in any project’s development, so they have been reproduced here. Population Health Criteria Reducing inequities – Maori All else being equal, a proposal that is targeted to and delivered by Maori is given a higher score. A mainstream service that serves many Maori patients or clients but doesn’t specifically target the service to their needs will not score as highly. Reducing inequities – other vulnerable populations All else being equal, a proposal that is targeted to other vulnerable groups and delivered by the other vulnerable group is given a higher score. A mainstream service that serves many other vulnerable patients or clients but doesn’t specifically target the service to their needs will not score as highly. Volume The number of users or patients expected to benefit from the proposal annually. A service which benefits more people is given a higher score. Early intervention Likelihood the proposal will promote a wellness model and achieve ‘upstream’ changes. These might be: Primary prevention e.g. in the context of rheumatic fever: throat swabbing to avoid/detect disease Secondary prevention e.g. in the context of rheumatic fever: penicillin injections to prevent recurrences Tertiary prevention e.g. in the context of rheumatic fever: heart valve replacements, lifestyle changes. Benefit/ individuals and groups This assesses health benefits or outcomes identified in the proposal accrued by individuals and their family and carers due to the intervention. Benefits should be quantified if possible including evidence of quantifiable benefits. Effects on health service demand Proposals should identify any effects on demand on other health services. A proposal which impacts on other health services positively is given a higher score. Intersectoral Collaboration Patient Experience Requirements (address any or all as appropriate) The proposal should identify any collaboration with services provided in other sectors (non-health). A proposal which demonstrates collaboration with other sectors to achieve better outcomes is given a higher score. Service design How the proposed initiative will improve: integration models of care scope of practice clinical pathways. Acceptability to stakeholders Demonstrates, at this initial stage, acceptability to (not just engagement with) stakeholders, including consumers, providers and other agencies (health and intersectoral). Evidence of effectiveness All else being equal, a proposal for a service with strong evidence of effectiveness will be given a higher score. Access – geographical A proposal that improves geographical access (that is, provide services closer to home) is given a higher score. Access – cost for patient/ user A proposal that reduces costs to the patient or user is given a higher score. Access – timeliness A proposal which makes interventions more timely is given a higher score. 29th April 2014 NHSP Project Management Guide Page 14 Cost & productivity Cultural safety A proposal which demonstrates cultural safety in the provision of services is given a higher score. Timing of benefit A proposal identifying that health benefits or outcomes will occur more quickly will receive a higher score. Quality, safety improvements A proposal which achieves significant quality and/or safety improvements is given a higher score. Cost savings Interventions with larger cost savings or offsets are scored higher than those with low cost savings or offsets. Timing of cost savings A proposal whose savings occur more quickly will receive a higher score. Cost/ person Lower-cost interventions are scored more highly than costly interventions. Efficiency, productivity A proposal that identifies larger cost efficiencies or productivity gains will score more highly. Project Initiation Document A Project Initiation Document must accompany the proposal. This criteria assesses how complete and robust it is. It is either considered adequate or inadequate. Other critical criteria Other factors that have not been captured in the standard set of criteria above, but are considered by the SIF PG to be critical in judging the merits of the proposal. The SIF PG will describe these. 29th April 2014 NHSP Project Management Guide Page 15