PROJECT QUALITY MANAGEMENT PLAN This plan will guide you through the production of a Quality Management Plan that communicates the stakeholders, project team and third parties the importance of vaccine procurement, quality and services involved. This plan ensures that we prepare a detailed and well thought out approach to quality management of the entire project. It clearly indicates the quality requirements and boundaries of acceptance for all parameters and shows how to measure quality assurance and control to guarantee our project’s success. Project Title: Distribution of Covid-19 Vaccine Version: 1.0 Project Description: The procurement, storage, distribution and administration of Date: 05-03-2021 the Covid-19 vaccine in the province of Ontario Project Sponsor: Government of Ontario Plan: Quality Management Organization: Covid-19 Contact no.: Contact tel: +1 4168865011 Vaccine Distribution Task email: Author: Nikita Rajda email: Force Nikita.rajda15@gmail.com CIRCULATED TO: - Justin Trudeau, Prime Minister, Government of Canada - Doug Ford, Government of Ontario - Christine Elliot, Minister of Health - Peter Bethlenfalvy, Ontario Ministry of Finance - Stephen Lecce, Ontario Ministry of Education - Harjit Sajjan, Ontario Ministry of Defense External Contractors - Sudharshan Nandakumar - Reem Hassan - George - Pothan Chakravarthy Nikita Rajda QUALITY MANAGEMENT PLAN APPROVAL Printed Name & Job Title Project Role Doug Ford, Premier of Ontario Project Sponsor Sudharshan Nandakumar Project Manager Signature Date Approved Reem Hassan George Pothan Chakravarthy Nikita Rajda INTRODUCTION: Describes the purpose of the quality management plan to define how quality will be managed within the project lifecycle. Its a im is to make sure that all the stakeholders, members of the project team and third parties are familiar with the process and procedures that plan the management of quality ensuring proper controls are in place and quality can be assured. The purpose of this document is to effectively describe the necessary information required to effectively manage quality in the Covid19 vaccine deployment project. This Quality Management Plan defines the acceptable level of quality and describes how the project will ensure in its deliverables and work processes. It serves as a reference for all related project members to identify their roles and responsibilities and to address quality related project processes. The intended audience is the project team and any related stakeholders involved in the successful implementation of execution of the Covid19 vaccine in the population of the province of Ontario. 4.5.2. QUALITY MANAGEMENT APPROACH: This section of the plan describes how quality will be managed during the lifetime of the project. It describes quality from the aspects of ‘product’ and ‘process’ so that time wasting, higher costs, rework and wastage are kept to a minimum or eradicated completely. This approach must be agreed and approved by all stakeholders. To enable smooth facilitation of this project, the foremost important thing is that the timeline of this project is maintained to achieve maximum effectiveness. For this to be possible, all the stakeholders involved in the project need to work collaboratively. Product Quality: The vaccine quality will be determined by the approval of the Covid19 vaccine by Health Canada, which will be then procured buy us from the Government of Ontario. Its quality will then be maintained by the timely delivery of vaccines, proper storage and handling and administration of the vaccines as per the defined guidelines In addition to that, timely delivery of vaccines for the two dosages is necessary to achieve its effectiveness. Process Quality: This will be defined by the timely procurement and delivery of vaccines at the vaccination provider site, proper storage and handling and administration of the vaccines as per the defined guidelines. It will focus on all the parameters involved in achieving the project deliverables, right from the preparation of the database to monitoring of the vaccinated patients and administering of the second dosage of the vaccine. Healthcare workers are required to be adequately trained and proper safety measures are expected to be followed to maintain the sanctity of the process. All the stakeholders involved are expected to adhere to the guidelines and the process requirements and deliverables meted out to them. 4.5.3. QUALITY STANDARDS: this section of the plan is concerned with defining and documenting the quality standards required for the project. This is communicated to all members of the quality and the project team. Project Requirements: Product Quality: The chain begins from procurement of the COVID-19 vaccine from the government of Ontario manufacturing plant, includes delivery to and storage at the COVID-19 vaccination provider site, and ends with administration of COVID-19 vaccine to a person as per the defined guidelines. Vaccination providers are expected to submit the storage and safety equipment requirement within the defined timeline and the external contractors are expected to adhere to their respective timelines to facilitate Jurisdictions and vaccination providers are responsible for maintaining vaccine quality from the time a shipment arrives at a vaccination provider site until the dose is administered. Process Quality: The process quality will be maintained by following the guidelines for each step involved for the respective stakeholders and proper documentation of each stage. The vaccines are to be stored, handled, distributed, and administered as per the guidelines for each step. In order to maintain the efficacy of the vaccine, it is imperative that a second dose is administered within the prescribed timeframe and is of the same manufacturer. The process steps to achieve this are to be followed. QUALITY ASSURANCE: an essential part of quality management is the process of auditing and measuring the quality of the work package. This is for both the initial project requirements and the resulting products or services produced. This section of the manag ement plan defines the operational and quality standards plus the metrics to be used during the project to everyone involved. Reporting formats and contents will be defined here to monitor standards of work packages and the interval between assessments of work will be stated Product Quality: The product quality is to be assured by following the vaccine storage, handling and administration guidelines as per the respective manufacturers. Vaccinated patients are supposed to be closely monitored for a period of 7 days from the date of vaccination for an adverse event, which may or may not be caused by the vaccine. They are to be reported as per the guidelines set up by the Vaccine Adverse Event Reporting System. The patients infected with the Covid19 virus after vaccination are to be mapped in the same database to determine the efficacy of the vaccine. The vaccination database is to be uploaded to the central server within 24 hours throughout the three phases of the vaccination. Process Quality: The health workers are to be provided with proper safety equipment in order to avoid an outbreak. Also, power backups should be available with the healthcare partners responsible for vaccine administration to avoid spoilage of the vaccine. Proper process logs are to be maintained. QUALITY CONTROL: is vital to a successful project and this section outlines the monitoring process that will be used during its lifespan. It a lso describes how these results will be documented so that an assessment of performance can be done and adjustments made where necessary. Quality control applies to the ‘products’ of the project only it is not applicable to the processes. Sr. No. Deliverable 1 Approval, Selection and Awarding of Vaccine Supply Contract 2 Public Health Preparedness Planning Assessmen t Interval Weekly Bi-Weekly Metric 98% Target Timelin e Performance Standards 6 weeks Approach the vaccine manufacturers, receive approval from Health Canada and execute the vaccine contracts as per phases and establish a timeline. 4 weeks This outbreak requires collaboration between multiple internal and external partners. A proper strategic approach is requried with documentation. Taking in account the urgency of the project, the capability assessment and the finalization of the partners based on the scale should be completed in a month. 3 4 COVID-19 Organizational Structure and Partner Involvement Phased Approach to COVID19 Vaccination Bi-Weekly 99% Bi-weekly 36 weeks Establish the requirements, float the RFQs and receive quotes from atleast three external contractors for each of the outsourced service. Pandemic vaccination planning is a combined state, territorial, tribal, and local responsibility that requires close collaboration between public health, external agencies, and community partners. 40 Weeks Since the manufacturers have a limited vaccine production capcity, the vaccines will be received in three phases. Defined delivery timelines need to be met and the logistics and distribution partners need to be prepared accodingly. 5 Identification of Critical Populations Bi-Weekly 99% 4 weeks 6 COVID-19 Vaccination Provider Recruitment and Enrollment Weekly 98% 4 weeks This will involve assessment of the high risk population of Ontario, who needs to be administered the vaccine first as per Health Canada guidelines. The complete database and administration planning should be complete in a span of 4 weeks. All the data should be uploaded in a central repository, which will serve as a guideline to all the healthcare providers for planning. Assess the region wise requiremnet, availability and capability of healthcare partners. Float partnership advisories and enroll them accordingly. 7 8 9 10 Understanding a Jurisdiction’s COVID-19 Vaccine Administration Capacity COVID-19 Vaccine Allocation, Ordering, Distribution, and Inventory Management COVID-19 Vaccine Storage and Handling COVID-19 Vaccine Administration Documentation and Reporting Weekly Daily Bi-weekly Weekly 98% 99% 99% 99% 4 weeks Assess the region wide facility and personnel requirements to administer the phased dosage of the vaccines. Provde the missing infrastructure for the storage and handling to the respective jurisidictions 36 Weeks Distribute the vaccine as per the designated region wise priority based on the risk asessment. Prepare a database and follow the guidelines. Partner with external suppliers to facilitate the distribution of vaccines and for storage of vaccines. A daily report is to be submitted. 36 Weeks The individual regions are required to submit the missing equipments required to follow the vaccine storage protocols along with the details of the healthcare partners. A database of estimated healhcare workers in the vaccination effort is to be submitted, based on which a safety kit will be provided for each one of them for the number of days they are scheduled to administer the vaccine. 36 Weeks Recruitment of healthcare workers as per the density of vaccine administration. All healthcare workers should be trained for the vaccine administration and precautions prior to the supply of vaccines as per the distribution plan 11 COVID-19 Vaccination Second-Dose Reminders 12 COVID-19 Requirements for Immunization Information Systems or Other External Systems 13 COVID-19 Vaccination Program Communication Weekly Weekly 98% 99.50% 98% 44 Weeks A vaccine recipient’s second dose must be from the same manufacturer as their first dose and should be administered as per the most recent dosage timeline. Failure to do so will result in a strict penalty. A basic vaccination record should be provided to each patient and should receive the reminder using the smartphone app (if available) automated calls, emails and text messaging service. 36 Weeks Mandatory submission of duly filled digital forms with the complete details of the healthcare worker, citing the completion of the vaccine administration training program and training evaluation report. 40 Weeks Follow the communcation plan and educate the population about the gravity of the situation and the safety of the vaccination process. Messaging should be as per the target audience defined in the communication plan. This is to be executed via an exernal agency, which will conduct surveys to quantify the impact of the communcation plan. A database of the deliverables and its effectiveness is to be submitted digitally. The communication plan needs to evolve as per the situation, with prior authorization from the responsible authorities. 14 15 16 Regulatory Considerations for COVID-19 Vaccination COVID-19 Vaccine Safety Monitoring External Contractor Services 100% Weekly Weekly 99% 99% 4 weeks The list of vaccines authorized for general use and for emergency use is to be strictly followed. Prior authorization needs to be taken before employing vaccines meant for emergency use. Failure to do so will result in a legal action. 44 Weeks Any adverse event whether minor or major is to be reported in the Vaccine Adverse Event Reporting System, even if it is unsure if the vaccine caused the event. Vaccinated patients are to be monitored for 14 days and should be provided immediate assistance in case of a medical complaint. 40 Weeks At all times, the contractor must establish a communication link to the government furnished systems in order to provide services rendered under this contract. If the failure occurs and it is determined to be the fault of the contractor, and the failure lasts more than 4 hours, the contractor will be penalized. Project Deliverable Assessment Interval Phase Approval, Selection and Awarding of 1 Weekly Vaccine Supply Contract Public Health Preparedness Planning 2 COVID-19 Organizational Structure and Bi-Weekly Partner Involvement 3 Phased Approach to COVID-19 Vaccination 4 Bi-weekly Identification of Critical Populations Weekly COVID-19 Vaccination Provider Recruitment and Enrollment 5 Understanding a Jurisdiction’s COVID19 Vaccine Administration Capacity 6 7: COVID-19 Vaccine Allocation, Weekly Ordering, Distribution, and Inventory Weekly Management 8: COVID-19 Vaccine Storage and Handling 9: COVID-19 Vaccine Administration Documentation and Reporting 10: COVID-19 Vaccination SecondDose Reminders 11: COVID-19 Requirements for Immunization Information Systems or Other External Systems 12: COVID-19 Vaccination Program Communication 13: Regulatory Considerations for COVID-19 Vaccination 14: COVID-19 Vaccine Safety Monitoring 15 External Contractor Services Measurement/ Metric 98% Target Timeline 6 weeks 99 % 4 weeks 99% 36 weeks 99% 99% 3 weeks 4 weeks 4 weeks 4 weeks 36 Weeks 95% Performance Standards Approach the vaccine manufacturers, carry out the FDA approval and execute the vaccine contracts as per phases and establish a timeline. Establish the requirements, float the RFQs and receive quotes from atleast three external contractors. At all times, the contractor must establish a communication link to the government furnished systems in order to provide services rendered under this contract. If the failure occurs and it is determined to be the fault of the contractor, and the failure lasts more than 4 hours, the contractor will be penalized. 95% Weekly 95% 36 Weeks Weekly 36 Weeks Bi-Weekly 4 Weeks Bi-Weekly 36 Weeks Weekly Weekly Daily 98% 4 Weeks 99% 99% 44 Weeks 98% 40 Weeks Recruitment of healthcare workers as per the density of vaccine administration. All healthcare workers should be trained for the vaccine administration and precautions prior to the supply of vaccines as per the distribution plan Mandatory submission of duly filled digital forms with the complete details of the healthcare worker, citing the completion of the vaccine administration training program and training evaluation report. Project Phase Product Description Assessment Interval Physical Requirements Performance Standards QUALITY CONTROL MEASUREMENTS: this section defines how the quality logs should be used and they provide the documentation for the quality control (Appendix D) and quality assurance (Appendix C) measures. It states what action must be taken if standards of performance do not meet requirements and the reporting format and meetings that will be conducted as part of this process. It outlines how these logs feed in their data to the project status meetings. APPENDIX A – VERSION HISTORY This appendix records the version history of this plan. For each new and approved version the reasoning behind its creation a re described below Version Number 1.0 Name of Implementation Author Nikita Deben Rajda Date Revised 08th March 2020 Approved by Date Approved Reasoning behind new version First Version APPENDIX B – GLOSSARY OF PROJECT TERMS Each project uses standard acronyms and develops their own for the ease of communication. It is important to record them in this plan to ensure clarity of description and terminology is consistent in every communication. Acronym / Term Standard or Project Definition PMO Project Management Office CRB Contract Review Board APPENDIX C - QUALITY ASSURANCE LOG This appendix shows a sample quality assurance log that can be used as part of quality control measures. It feeds into the re gular project status meetings. Date Task Required Value Process Measured Actual Value Acceptance Level Recommendation / Action Date Resolved APPENDIX D – QUALITY CONTROL LOG This appendix shows a sample quality control log that can be used as part of quality control measures. It feeds into the regu lar project status meetings. Date Product Required Value Process Measured Actual Value Acceptance Level Recommendation / Action Date Resolved APPENDIX E – DOCUMENTATION REFERENCES Any professionally managed project has extensive documentation the purpose of this appendix is to record which documents (plus the version used, if applicable) have been used in the production of and conjunction with of the communications management plan. Reference / Version Document Author