NSG/516AD v4 Project Charter Template NSG/516AD v4 Page 2 of 2 Project

NSG/516AD v4

Project Charter Template

NSG/516AD v4

Page 2 of 2

Project Charter Template

Purpose

The purpose of the project charter template is to describe the performance improvement rationale, goals, barriers, and anticipated resources to achieve the project goal.

This tool can help you:

Define the project.

Identify specific performance measures and targeted improvement goals.

Identify the necessary team members and stakeholders.

Identify the organizational forces that may promote or impede project success.

Instructions

Describe the project scope and provide a goal statement. Some questions that can be addressed in the scope include whether this is a pilot project or will be implemented throughout the hospital. Which units will this project affect? What patient population will be included?

Document the case for change; list the key reasons for initiating the project, specifically stating the problem.

List the performance measures and baseline performance data. Set a performance goal for each measure.

List the project milestones that will guide your team in keeping on track. Milestones are major points in a project lifecycle. Some milestones for improvement projects could be the development of a tool or policy or completion of staff training on a new procedure.

Consider factors that are potential barriers to success, such as resistance to change, resource limitations, or time constraints.

List the individuals or groups who will be affected by these strategies, including stakeholders.

If you are working with a team, choose team members based on stakeholder analysis.

List any additional resources that will be needed to complete the project.

Project Charter

Project:

Organization:

Student name:

Project Plan

Project description/scope. Explain the project. Is it a pilot unit or a house-wide project? Does it serve a specific patient population? Are certain service lines being included?

Case for change (potential ROI). Describe the business reason(s) for initiating the project, specifically stating the business problem.

Performance measures

Performance measures description

Baseline

Goal

Performance milestones

Milestone description

Evaluation date

Potential barriers to success. List reasons the project may not succeed.

Assemble Team and Resources

Stakeholders. List the individuals or groups who will be affected by these strategies.

Team members. Consider including representatives from stakeholder groups noted above.

Additional resources needed

This material was reprinted and reformatted with permission from the U.S. Department of Health and Human Service’s Agency for Healthcare Research and Quality, www.ahrq.gov.

This material was reprinted and reformatted with permission from the U.S. Department of Health and Human Service’s Agency for Healthcare Research and Quality, www.ahrq.gov.