Key Questions

Is the project on track to satisfy the customer's business objectives?Yes

Is the project on track to achieve the objectives in the approved timeframe?No

Is the project on track to achieve the objectives within the approved budget?No

Project Overall Health

Comments

Green

The overall project health rating is green for this reporting period. Project current status and key accomplishments: • RxWorks: - RxWorks enterprise test and production servers made ready for ARxIUM configuration. - Planning for RxWorks implementation at DSH-C and DSH-M is in progress. • MedSelect: - Fire Marshall permits issued for DSH-C, DSH-M, DSH-P, and DSH-A. - MedSelect server upgrade (2012 to 2019) successfully completed. DSH-C - All 33 display terminals of MedSelect at DSH-C are in production. - MedSelect v 9.1.2 production deployment to units 1, 2, 5 & 8 are in progress. - MedSelect deployment, training for MedSelect version 9.1.2, and as-is and to-be workflows are completed. DSH-M - Construction Invitation for Bid (IFB) - release on hold pending SPR approval. - ARxIUM delivery equipment from Sacramento storage to Metro planning in progress. - MedSelect v 9.1.2/Oracle Enterprise/Encrypted server configuration is in progress. - MedSelect AWS workstation deployment completed. DSH-N - Construction drawings for DSH-N, required for Fire Marshall permit, is in progress and submission for review and approval is anticipated before end of Q2 FY 2024-25. • Centrack: - Centrack implementation follows MedSelect successful installation and configuration at each hospital site. - DSH-C Centrack deployment successfully completed. • Verify & Spooler: - The Verify & Spooler component implementation follows successful deployment of RxWorks at each hospital site. • Project Approval Lifecycle (PAL) - (1/2019 – 4/2022) - PAL Stage 4 was Approved in July 2021 and again re-validated in April 2022.

Focus Area/Rating	Comments
Governance Green	The Governance health rating is Green for this reporting period as the project continues to include the pillars of proper project governance: 1. Structure: the project team, executive committee, vendor, and user community are established and follow established roles and responsibilities. 2. People: the right people with the right skills are in place and project, vendor and hospital resources are engaged. 3. Communication: consistent information sharing is taking place. Key project information and status is being documented and communicated through both push and pull mechanisms. 4. Decision-making: roles and responsibilities are established through an approved Governance plan and project RACI and decisions are being logged. Note: An Executive Steering Committee is established and meeting regularly and a dedicated meeting for working risks and issues is regularly scheduled where risk and issue logs are documented and worked on in a consistent manner.
Time Management Yellow	The Time Management health rating is yellow for this reporting period. This is due to the delay brought upon by the infrastructure needs for the implementation of the MedSelect Cabinets at the five hospital locations. The project has submitted an SPR and is working in partnership with CDT, CaHHS, and DOF on the review and approval. An additional delay has occurred regarding the implementation of the RxWorks inventory management system. The reason for this postponement is that the vendor’s MedSelect software update was not made available until June. Through end user testing, blocker defects were identified requiring remediation by the vendor prior to progressing with the MedSelect Software update, which is a dependency for the RxWorks implementation. To address this delay, DSH is collaborating with the vendor to remediate and validate the identified defects. This aims to ensure all dependencies are resolved, enabling the RxWorks implementation, with an updated Go-Live target of November 2024. However, before the RxWorks Electronic Data Interchange (EDI) implementation can begin, DGS has requested an amendment to the vendor agreement with DSH to comply with DGS regulations on price sharing. With this requirement, the targeted Go-Live has shifted from November 2024 to Q3 FY 2024-25. The DSH is working with the vendor to finalize the pricing amendment by December 2024 to enable the RxWroks implementation.
Cost & Contract Management Yellow	The Cost & Contract Management health rating is yellow for this reporting period: The project has experienced a variance of greater than the 10% percent. The project has submitted an SPR that will re-baseline the project cost. The SPR is currently in review with the CDT and DOF.
Scope Management Green	The Scope Management health rating is green for this reporting period: There is a pending SPR due to a variance in cost and schedule of greater than 10%, however this change is not anticipated to affect the initial scope of the project. The Pharmacy Modernization project will improve patient care and pharmacy operations with the implementation of an enterprise-wide, automated solution for all five state hospitals. The elements of this project are: Inventory (medication) control, medication repackaging and dispensing, secure management of controlled medications, accurate patient billing information, pharmacy data integration across all five hospitals (Coalinga, Metropolitan, Atascadero, Napa, and Patton) and modifications to the existing application environment and architecture to support new hardware and software.
Resources Green	The Resources health rating is green for this reporting period: • Two state project managers are serving as the State Project Managers with several DSH team members supporting the overall project effort. • Two vendor project managers along with other technical staff are supporting the project.
Quality Green	The Quality health rating is green for this reporting period: To date, project quality either due to the vendor product or state activities has not created a major problem. However, recently a high number of MedSelect hardware issues that have arisen on newly installed equipment are closely monitored. • Quality Assurance planning activities were anticipated to be a collaborative effort with the vendor, pharmacists and nursing administrators related to quality for the COTS Solution. • Stakeholders are participating in all walkthroughs and evaluation of the most effective equipment configuration for their environment. • Bi-weekly meetings are held with the stakeholders to review what is working well and what areas need improvement during the implementation phases of the project. • Lessons Learned sessions are scheduled with the objective of applying Lessons Learned to the remaining hospital sites implementations.
Risk And Issues Green	The Risks and Issues rating is green for this reporting period: • Stakeholders are provided the ability to raise risks and issues during regularly scheduled project meetings. • Regularly scheduled meetings take place which are dedicated to addressing current risks and issues. • A comprehensive issue log is maintained, and action plans are expediently developed to address open issues. • A comprehensive risk log is maintained and includes risk response strategy, planning, and contingency planning. • A full summary of risks and issue related statistics is displayed in table format in the focus area details in the second half of this report.
Transition Readiness Green	The Transition Readiness rating is green for this reporting period: As a part of Transition Readiness, the team is currently working with the vendor on the future workflows and RxWorks (inventory) demos to ensure all organizational change management elements are documented, reviewed, and approved. In addition, stakeholders are involved throughout the project timeline in participating in all walkthroughs and evaluation of the most effective equipment configuration for their environment.
Conditions For Approval Green	There are no Conditions for Approval.
Corrective Action Green	There are no Corrective Action Plan Items.

• Stage 4 Project Readiness and Approval (pdf)
• Stage 4 Project Readiness and Approval (pdf)
• Stage 3 Part B Solution Development (pdf)
• Stage 3 Part A Solution Development (pdf)
• Stage 2 Alternative Analysis (pdf)
• Stage 1 Business Analysis (pdf)