London Laboratory Services Group
A Joint Venture of London Health Sciences Centre and St. Joseph's Health Care London
Electronic Project Charter Template
Date Submitted:
Lab Section:
Autopsy
Biochemical Genetics
Clinical Immunology
Core
Cytogenetics
Cytology
Endocrinology/MSS
Flow Cytometry
Laboratory Administration
LIS
Microbiology/Virology
Molecular Diagnostics
Molecular Pathology
Pathology Gross Room
Pathology SRA
Pathology Support
Pathology (Surgical)
POCT
Pulmonary Function
Results Distribution
Special Hematology
Specimen Receiving
Toxicology/Special Chemistry
Trace Elements
Transfusion Medicine
Transplant Immunology
Other
Project Name
:
Project Lead
:
Project Sponsor(s):
Project Team Members:
(Who will be involved in achieving the deliverables of this project?)
Does this project require LIS Technologist Support?
Yes
No
Does this project require Web Design Support?
Yes
No
Project Category:
Administrative
Education and Training
Equipment
Inventory
Lean
LIS
LLSG Wide Project Request
Reporting
Staffing
Space
Translational Research
Web
Other
Project Description
Purpose:
Rationale:
Scope
What are the project’s deliverables?
(
What product/services/result does the project intend to deliver
)
What will the project not deliver?
(Identifies what is not included in the project to protect against scope creep (uncontrolled changed that causes the team to do more work)
Estimated Start Date:
Year:
2011
2012
2013
2014
2015
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
Estimated Completion
Date:
Year:
2011
2012
2013
2014
2015
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
Stakeholders
(
Who will be impacted (either negatively or positively) by this project and how?)
Timeline
(Map out the project timeline with start and completion dates of major activities/milestones to be achieved)
Budget
(Estimate resources required - financial, human, equipment and/or materials
)
Risks
(Identify any uncertain event or condition that might affect your project and how you will handle that risk)
Communication Plan
(How will you communicate the project? With whom? When?
)
Assumptions
(Critical factors that the project depends on for success)
Constraints
(Potential factors that will impact delivery or make it difficult to manage the project (staffing, cost, scheduling, quality)
Submit to Administrative Leadership Forum:
Yes
No