Sheet 1: Project Charter

	
	
	
	
	
	
	

		
         Project Charter
		
	

		
	

		


		
Department of Medicine
		
	

		


		
	

		
Project Name
		


		
	

		
Executive Sponsor/ Title
		


		
	

		
Oversight Committee Chair/Title 
		


		
	

		
Project Manager/Title
		


		
	

		
Mission (Academic, Clinical, Research)
		


		
	

		
Start Date
		


		
	

		
Target Completion Date
		


		
	

		
Project Definition
		
	

		
Problem Statement                     
		
What is the problem?
		


		
	

		
Mission Statement/ Project Description
		
What is the improvement goal? Briefly describe the project.
		


		
	

		
Strategic Objective Alignment
		
What Strategic Objective(s) does it support?
		


		
	

		
Project Scope                           
		
What business area(s) are you seeking to impact? Which areas are out of scope?
		


		
	

		
Key Deliverables
		
List the top 3-4 targeted deliverables.
		
1
		
	

		
2
		
	

		
3
		
	

		
4
		
	

		
Process Impacted                      
		
List the process(es)  where the opportunity exists
		


		
	

		
Key Process/Outcome Metrics      
		
What will be your measures of success?
		


		
	

		
Business Case
		
	

		


		
	

		
	

		
	

		
Resource Requirements
		
	

		
Project Team                            
		
Who will you need to be a part of your project team?
		


		
	

		
	

		
	

		
Oversight Committee                
		
What committee will receive report outs and provide guidance for the project?
		


		
	

		
Scheduled Completion Dates 
		
Agree to key milestones for project management & completion
		
Action
		
Date Projected
		
	

		
Project Start
		


		
	

		
Define
		


		
	

		
Measure
		


		
	

		
Analyze
		


		
	

		
Improve
		


		
	

		
Control
		


		
	

		
Project Completion
		


		
	

		
Issues / Additional Support Required
		
What additional resources are needed or issues need to be considered?
		


		
	

		
Stakeholder Approval
		
	

		
Approved By
		
       Signature
		
Date
		
	

		
Executive Sponsor
		


		


		
	

		
Oversight Committee Chair
		


		


		
	

		
Project Manager
		


		


		
	

		
Performance Services (verify performance stats if applicable)
		


		


		
	

		
Finance (verify financial stats if applicable)
		


		


		

 




Sheet 2: Stakeholder Register

	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
[Insert Name of Project Here] Stakeholder Register and Communication Plan
		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Department of Medicine
		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
[Insert date here]
		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Stakeholder Name & Title
		


		
Stakeholder Contact Information
		


		
Stakeholder Project Role                                           (e.g., lead, member, consultant)
		


		
Stakeholder Project Responsibilities
		


		
Stakeholder's Current  Interest Level in Project                           (High, Med., Low)
		


		
What Stakeholder Stands to Gain from Project Process & Outcomes
		


		
Stakeholder's Needed  Interest Level in Project                                (High, Med., Low)
		


		
Plan for Communicating with Stakeholder                             (frequency & type of communication, e.g., monthly email, phone call or presentation)