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 is Green for this reporting period. 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. - MedSelect deployment, training for MedSelect version 9.1.2,and as-is and to-be workflows are completed. - MedSelect v 9.1.3/Oracle Enterprise/encryption build is installed on non-production environment. The presentation to DSH-C management was completed and approved. 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): - The contract with the selected vendor for the construction works is in progress. - Building 301 was determined to be a storage option instead of Conex boxes. - Planning for ARxIUM delivery equipment from Sacramento storage to Metro is in progress. Updated ARxIUM quote is submitted for approval. - MedSelect v 9.1.2/Oracle Enterprise/Encrypted server testing – End point encryption validation completed. - MedSelect AWS workstation deployment completed. - MedSelect v 9.1.3/Oracle Enterprise/encryption installation and configuration completed. - New MedSelect Policy Created. RxWorks (Deployment in progress): - Planning for RxWorks AWS deployment is in progress. - ARxIUM configuration of RxWorks Test server completed. - To be analysis completed, validation is in progress. • DSH-A MedSelect (Deployment not started): - Planning efforts for MedSelect Cabinet implementation at DSH-A initiated. - Full MedSelect equipment order submitted – estimate 6-9 months to fulfill. Estimated delivery in early July 2025. - Storage of MedSelect equipment – Planning in progress. - Contract for construction works with the selected vendor signed. Estimated construction work start 6/9/2025. - 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 Fire Marshall permit, is in progress and submission for review and approval is anticipated before end of Q4 FY 2024-25. • 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 is Green for this reporting period, 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 is Green for this reporting period: A 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, the DSH collaborated with the vendor to remediate and validate the identified defects. The aim was 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, the DGS has requested an amendment to the vendor agreement with the DSH to comply with the DGS regulations on price sharing. With this requirement, the targeted Go-Live shifted from November 2024 to Q4 FY 2024-25. The DSH and ARxIUM have finalized and signed off on the pricing amendment. The DGS has given approval to move forward with EDI implementation, allowing RxWorks implementation to proceed. The RxWorks implementation 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 could begin ahead of DSH-C and benefit the project to stay on schedule. With that, the DSH-C RxWorks Go Live date is moving to FY25/26. DSH’s project team, in collaboration with hospital & executive leadership, have arrived at alignment on the proposed sequence change of deploying RxWorks at DSH-M ahead of DSH-C. The overall project completion date would not be impacted.
Cost & Contract Management Green	The Cost & Contract Management health rating is Green for this reporting period: 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 is Green for this reporting period: 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: • 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 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, 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 is Green for this reporting period: • 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 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.

• 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)