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?Yes

Is the project on track to achieve the objectives within the approved budget?Yes

Project Overall Health

Comments

Green

The overall project health rating for this reporting period is Green. Project current status and key accomplishments: • Organization Change Management (OCM): - Pharmacy Modernization Project intranet site deployed providing detailed information and a user guide to end users about the project and its various components and systems. - Training plan for RxWorks Support Team developed. - Development of pharmacy-specific training materials in progress. • RxWorks: - RxWorks enterprise production and test servers’ deployment completed. • MedSelect: - MedSelect test scenario creation (enterprise) completed. - Fire Marshall permits issued for DSH-C, DSH-M, DSH-P, and DSH-A. • DSH-C MedSelect (Deployment completed): - 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 completed. Date of deployment to all the units TBD. - MedSelect deployment, training for the MedSelect version 9.1.2, and as-is and to-be workflows are completed. - Planning hospital-wide deployment of MedSelect v 9.1.3 Upgrade is in progress. RxWorks (Deployment in progress): - Planning for RxWorks implementation completed. - RxWorks implementation is pending the rollout of MedSelect v 9.1.3. Centrack (Deployment completed): - Centrack deployment completed. • DSH-M MedSelect (Deployment not started): - Construction works started in August 2025 and planned to be completed by the end of January 2026. - MedSelect deployment planning is in progress. Installation will be sequenced with the construction works. - New MedSelect Policy Created. RxWorks (Deployment completed): - RxWorks was successfully deployed and go-live was on August 26, 2025. - RxWorks training was conducted throughout the month of August. - The Verify & Spooler machine was installed, and the necessary end-user training was conducted. - Integration of the existing FastPak machines with RxWorks completed. • DSH-A MedSelect (Deployment not started): - Planning efforts for the MedSelect Cabinet implementation at DSH-A initiated. - All of the MedSelect equipment deliveries have been completed. - Phase 1 of the construction works began in July 2025, and planning for the remaining construction works in Phase 1 and Phase 2 is in progress. - MedSelect v.9.1.2/Oracle Standard virtual server build completed. - MedSelect v.9.1.3/Oracle Enterprise virtual server build is In progress. • DSH-N - Construction drawings for DSH-N, required for the Fire Marshall permits are expected to be completed on October 15, and submission for review and Approval is anticipated in the Q2 FY 2025-26. • Centrack: - Centrack implementation follows successful MedSelect installation and configuration at each hospital site. • 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 for this reporting period is Green, as the project continues to include the pillars of proper project governance. • Structure: The project team, Executive Committee, vendor, and user community are established and follow established roles and responsibilities. • People: The right people with the right skills are in place and project, vendor and hospital resources are engaged. • Communication: Consistent information sharing is taking place. Key project information and status is documented and communicated through both push and pull mechanisms. • 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 Green	The Time Management health rating for this reporting period is Green. The implementation of RxWorks at DSH-C requires upgrading MedSelect from version 9.1.2 to 9.1.3. Since DSH-M does not currently have MedSelect in place, the RxWorks implementation at DSH-M can begin ahead of DSH-C, which will help keep the project on schedule. As a result, the Go Live date for RxWorks at DSH-C is now set for later in FY25/26. The project team at DSH, in collaboration with hospital and executive leadership, has agreed to this change in sequence, allowing RxWorks to be deployed at DSH-M before DSH-C. As a result, RxWorks was deployed at DSH-M on August 26, 2025. The overall project completion date remains unaffected.
Cost & Contract Management Green	The Cost & Contract Management health rating for this reporting period is Green. The project had experienced over 10% cost variance. To address this, the project submitted an SPR to the CDT that was approved on March 5, 2025, re-baselining the project cost.
Scope Management Green	The Scope Management health rating for this reporting period is Green. 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 for this reporting period is Green. • A full-time state project manager is serving the project and is supported by another project manager on an as-needed basis, along with several DSH team members supporting the overall project effort. • One vendor project manager, along with other technical staff, is supporting the project.
Quality Green	The Quality health rating for this reporting period is Green. To date, project quality, either due to the vendor product or state activities, has not created a major problem. However, the high number of MedSelect hardware issues that have arisen on newly installed equipment are closely monitored. • Quality Assurance planning activities are anticipated to be a collaborative effort with the vendor, pharmacists and nursing administrators related to quality for the Commercial Off-The-Shelf (COTS) Solution. • Stakeholders are participating in all walkthroughs and evaluation of the most effective equipment configuration for their environment. • 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 health rating for this reporting period is Green. • Stakeholders are provided with 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 issues 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 health rating for this reporting period is Green. As part of Transition Readiness, the team is currently working with the vendor on future workflows and RxWorks (inventory) demonstrations to ensure all organizational change management elements are documented, reviewed, and approved. Additionally, stakeholders are involved throughout the project, participating in all walkthroughs and evaluations of the equipment configurations to ensure they are effective for their specific environments.
Conditions For Approval Green	There are no Conditions for Approval.
Corrective Action Green	There are no Corrective Action Plan Items.

• Special Project Report 1 (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)