Fillable Printable CHS Site Validation - Project Charter
Fillable Printable CHS Site Validation - Project Charter
CHS Site Validation - Project Charter
Project Charter
Site Validation
Children’s Hospital of Saskatchewan
April 22, 2010
Project Charter
Page 2
1 PROJECT CHARTER PURPOSE
Before moving forward with detailed design of the Children’s Hospital of
Saskatchewan (CHS), it is important to validate the site selection based on the
identified criteria. Site validation will include a feasibility analysis of both the
relative costs and benefits of the following options:
1. Saskatoon City Hospital - Children’s Hospital of Saskatchewan Renovation
o Using the existing Saskatoon Cit y Hospital (SCH) building with
required renovati ons for maternal and children services and
required collocations.
2. Saskatoon City Hospital - Children’s Hospital of Saskatchewan New
Construction
o Constructing new space to accommodate maternal and children
services at SCH and required collocations to be accommodated in
existing space.
3. Saskatoon City Hospital - Children’s Hospital of Saskatchewan and Adult
Tertiary/Quaternary, Trauma and Subspecialties.
o Constructing new space to accommodate maternal and
children’s services (CHS Functional Program) at Saskatoon City
Hospital. The option must also accommodate adult
tertiary/quaternary, trauma and subspeci alties at SCH. The option
must also demonstrate how the site will accommodate projected
2021 service needs of the Inpatient Acute –
Tertiary/Quaternary/Trauma/Mat Child and sub-specialties.
4. Royal University Hospital - Children’s Hospital of Saskatchewan and Adult
Tertiary/Quaternary, Trauma and Subspecialties.
o Constructing new space to accommodate maternal and
children’s services (CHS Functional Program) at Royal University
Hospital (RUH). The option must also accommodate adult
tertiary/quaternary, trauma and subspecialties at RUH. The option
must also demonstrate how the site will accommodate projected
2021 service needs of the Inpatient Acute –
Tertiary/Quaternary/Trauma/Mat Child and sub-specialties.
The role of SPH is not expected to change as a result of this process. The project
capital construction budget is capped at $200 million.
Project Charter
Page 3
2 EXECUTIVE SUMMARY
In 2004, the Saskatoon Health Region (SHR) began ev aluating clinical service
alignment in order to determine efficient location of clinical services amongst
the 3 acute care buildings in Saskatoon. As part of this process, RUH Master
Planning process was also undertaken and part of t his was the decision to place
the Maternal and Children’s hospital within a hospital on the RUH site.
In March 2009 an official announcement was made by the Ministry of Health
regarding the Maternal and Children’s Hospital. Since the announcement and
the unveiling of the planned site for the Children’s Hospital of Saskatchewan,
questions have been raised that have called for the site decision of RUH to be
reviewed. In addition, significant time has passed since this decision and
therefore it is relevant to review the criteria and evidence utilized in the original
decision, considering the current context. In response to this, it was decided that
a formal site validation be performed.
3 PROJECT INFLUENCERS
3.1 Project Constraints
Time is the primary proj ec t cons tr a int - the proj ec t is l imi te d to three
months.
o internal resource allocation
o cost of external resources
SHR capital planning and project management staff will heavily prioritize
this project, perhaps deferring other activities.
3.2 Project Background and Context
SHR has received approval to construct a maternal children hospital
within a hospital in Saskatoon.
The project’s capital construction budget, capped at $200 million,
represents the largest capital investment in health care in the history of
Saskatchewan.
The existing functional program from December 7, 2007 (25,000 gsm)
specifies that the facility contain maternal and children programs to serv e
the Saskatoon Health Region as well as specialized children’s services for
the Province of Saskatchewan. T h e functional program also encompasses
both adult and pediatric emergency servi ces .
Project Charter
Page 4
The proposed hospital is named the Children’s Hospital of Saskatchewan
(CHS).
The CHS is expected to open in 2015.
SHR and the Ministry’s shared vision for this project i s an easi ly identifiable
hospital within a hospital that supports patient and family-centered care.
The goal for the new buil ding is to enable more functional spatial
relationships; enhance employee morale; improve access and cli n ical
care for maternal and children services; incorporate Lean principles in
design and operations; and promote environmentally-sustainable design.
SHR approved a service alignment model in 2007 and many service
alignment consolidations are now complete.
There is a significant relationship between maternal children services and
adult sub-specialt y servi ces in Saskatoon Healt h Region, given the limited
number of specialist practitioners, many of whom provi de both adult and
pediatric care.
SHR is developing its master space plan as follows: RUH (2009); SPH (2010 –
in progress); and SCH (2011).
SHR is a multi-site academic health sciences centre with a mission to
improve health through excellence and innovation in service, education
and research.
RUH is located on leased lands of the University of Saskatchewan (U of S),
and any construction on that site must conform to the Meewasin Valley
Authority river bank development process and be approved by the U of S
Board of Governors.
Project Charter
Page 5
3.3 Criteria for Site Validation (see Appendix 5.7)
Criterion Score
Impact on safety and quality of patient care as determined by the approved collocaton
report
100
Improve the patient/family experience 40
Relative Capital costs 30
Incrementa l operat ing cost s 40
Impact and fit with other relevant capital plans (e.g. City of Saskatoon, University of
Saskatch ew an , Cancer Cen t er )
10
Impact on Teaching and Research 20
Implications for location an d r elocat ion of oth er clinical & clinical support services and staff 20
Impact on Service Alignment model and Saskatoon Health Region's ability to accommodate
future population changes and health care needs for the next ten years
20
Shortest time to occupancy 10
Infrastructure Consideration s an d Impacts 10
300
3.4 Project Risks
SHR is managing multiple priorities including implementation of Patient First
recommendations and budget planning in a financially constrained
environment.
The current organizational climate is disrupted by recent and pending
staff layoffs.
The tight timeline might compromise project quality.
3.5 Project Dependencies
Clear decision-making tools and process that leads to a transparent CHS
site decision/recomm endation
Prioritization by the Advisory Panel members to meet as required to fulfill
the mandate in the allotted time
Engagement of the preferred Prime Consultant in a timely fashion
Engagement of other consultants as required (e.g. Cost Consultant)
Project Charter
Page 6
4 APPROVALS
Approved by __________________________________
Project Lead – Craig Ayers
__________________________________
CHS Steering Committee – Jackie Mann
__________________________________
Executive Sponsor – Maura Davies
__________________________________
Advisory Panel Chair – Jim Rhode
Project Charter
Page 7
5 APPENDICES
5.1 REFERENCES & SUPPORTING DETAILS
5.2 Approved Budget
CHS Project Manager (ZW Group) – per contract
Prime Consultant – per contract
Cost Consultant contract
SHR support – Capital Planning, Finance, Planning, Policy and
Performance (Project Management Office) and others as required.
Honoraria for patient/family participants
5.3 Milestones
Milestone Target Date Deliverable
First Advisory Panel
Meeting
March 2010 Finalize membership and
hold first meeting
Approve Evaluation
Criteria
March 2010 Develop evaluation criteria,
definitions and scoring
Finalize Scope of Work of
the Advisory Panel
March 2010 Scope Statement
Finalize
Recommendations
June 2010 Prepare and present final
recommendations to CHS
Steering Committee
Project Charter
Page 8
5.4 Project Organization Structure
The project will be governed by the Children’s Hospital of Saskatchewan
Steering Committee and sponsored by CEO Maura Davies.
Structure
Decision-making
The panel will be expected to put forward a recommendation to the CHS
Steering Committee. The recommendation will be made by consensus. If
consensus cannot be reached, the majority will rule but differing opinions
will be noted. For all recommendations, quorum must be obtained.
Saskatoon Regional Health
Authority
Senior Leadership Team
CEO Maura Davies
Children’s Hospital of
Saskatchewan
Steering Committee
Advisory Panel
Service Alignment
Steering Committee
Support to the Advisory
Panel
Project Charter
Page 9
Guiding Principles
panel members are committed to maintain and improve patient and
family centered care
recommendations will be unbiased and remain true to the criteria
developed
all planning will be consistent wit the Regional vision, mission, values, and
goals
recommendations will be based on best available evidence
Project Charter
Page 10
5.5 Project Teams
Project Team Role
Project Team
Member(s) Responsibilities
Advisory Panel 3 public members:
Dave Dutchak;
Cheryl McCallum;
Rena DeCoursey
(Maternal Child
Family Advisory
Council)
2 representatives
from SHR Medical
St aff: Dr R Weiler; Dr.
L Givelichian
2 representatives
from SHR staff; Janet
Harding; BettyLou
Agnew
2 members of the
Saskatoon Regional
Health Authority: Jim
Rhode; Mike Stensrud
Representative from
the Ministry of Health:
Louise Greenberg
Representative from
the University of
Saskatchewan:
Richard Florizone
SHR President and
CEO: Maura Davies
Project Management
Firm for the CHS –
Principal from ZW
Group Louis
Guilbeault
Works in a close,
collaborative manner
to ensure project
success. Makes
recommendations to
the CHS Steering
Committee. Examines
the impact of the
options on patient care
and the patient/family
experience, capital
and operating costs,
and operational
efficienci es from
multiple perspectives.
Project Charter
Page 11
Prime Architect for
the CHS Karl
Sonnenberg
Support to the
Advisory Panel
Children’s Hospital of
Saskatchewan
Steering Committee
Chair: Jackie Mann
Provides guidance and
support for the Advisory
Panel and the project.
Determines required
tasks, resource
requirements, cost,
schedule and
communication.
Reviews and makes
recommendations
regarding the Expert
Panel
recommendations.
Executive Sponsor Maura Davies,
President and CEO
Highest individual
authority for the
project. Represents the
project at the
Children’s Hospital of
Saskatchewan Steering
Committee.
Champions the project,
gains commitment of
peers and maintains
ongoing links with key
stakeholders. Clears
roadblocks and gathers
support at the
executive level.
Project Lead Craig Ayers, Director,
Capital Planning
Manages project by
applying knowledge,
skills, tools and
techniques to meet
project purpose and
scope. Coordinates the
