Project Name Mobile Breast Cancer Screening Vehicle Project
Mission/ Purpose The project consists on setting up a mobile breast cancer screening vehicle. With this project, the city of Wilmington will have its first mobile breast cancer screening vehicle. This vehicle will allow the city to offer a more comprehensive health service for men and women who are at risk of suffering from breast cancer. This fits perfectly with the city’s objective, which is to articulate a comprehensive medical service that allows for a focalized, effective, and efficient program to prevent and treat breast cancer in Wilmington.
Scope of Work This project will create a mobile screening service that allows for a more effective screening of breast cancer in Wilmington. The project offers a mobile screening service for breast cancer; the idea is to use the mobile screening vehicle to service all of the women and men in Wilmington that might be at risk of having breast cancer (particularly all women and men aged 40 and above). The work on the project needs to focus on procuring a vehicle that is adequately equipped for treating patients and running diagnostics (through a mammogram), as well as the specialized equipment for screening (namely the digital mammography unit and the work station). As well, it is fundamental to provide adequate training for the staff that will work on the mobile screening vehicle. These are the three high level deliverables for the project.
Objectives The project is specifically designed to meet one main objective: offering a high quality mobile breast cancer screening service for men and women in the city of Wilmington.
Business Need Provide avenue to assist individuals in Wilmington who lack the ability or funding to obtain proper cancer screening.
Market Feasibility:
Breast cancer is a growing concern in the United States for both men and women.
Breast cancer research has shown that regular clinical breast exams and mammograms can detect breast cancer at an earlier stage, resulting in improved chances for survival. Excluding skin cancers, breast cancer was the most frequently diagnosed cancer among females in Delaware and the U.S. The demographics are:
• 2002-06, the state of Delaware had a total of 585 female breast cancer deaths, 352 were from Wilmington – New Castle County. New Castle had the largest population and smallest area, 438 square miles and is primarily rural. (Delaware’s Division of Public Health, Cancer Incidence and Mortality in Delaware, May 2010)
• 2002-06, 2,961 new cases of breast cancer were diagnosed in Delaware, accounting for 27.7 percent of all new cancer cases diagnosed among females.
• 2002-06, breast cancer was the second leading cause of cancer death among females.
• Breast cancer accounted for 14.2 percent of all new cancer cases diagnosed among females.
Historically, female breast cancer mortality rates have been higher for Delaware than the U.S. (Wilmington QuickFacts from the US Census Bureau, 2010).
Project Team C has been asked to design and build an on-road, mobile breast cancer screening laboratory to facilitate the men and women living in areas of Wilmington, Delaware (New Castle County) that are far from mammogram services.
Many residents of rural communities tend to have limited resources and may not have transportation to obtain needed medical services. This mobile screening laboratory would address that need and offer other benefits.
Organizational Feasibility:
The benefits of the mobile cancer screening laboratory outweigh the risks associated with this project. Some of the benefits include:
• Use of expensive equipment across multiple sites
• Professional staff will be more effective making services available to many
• Identify locations where new fixed clinical sites are needed
• Mobile units can be multi-purposed
The skills needed to operate the equipment and mobile screening vehicle already exist within the City of Wilmington at the local hospital and clinics where breast cancer screenings currently occur. This is an asset to Wilmington in that there should not be need to hire additional staffing. Employee schedule modifications will allow rotational and cross training on equipment and the mobile unit.
Technical Feasibility:
The local hospital in Wilmington employs technicians who currently utilize state of the art equipment for breast cancer screening. These same employees can be trained on the new equipment that will be retrofitted in the mobile screening vehicle.
Financial Feasibility:
The City of Delaware has provided a limited budget of $3.5 million for the full project implementation. We estimate total project costs to be $2,325,500. Although there is a delta of $1,174,500, we believe these funds should remain with the project after completion to allow for additional expansion in the future.
Project Manager & Stakeholders Nathaniel Gardner was brought on to manage this project; the procurement of the vehicle and its furbishing in order to make it a mobile screening unit for breast cancer will be handled by his team. The major stakeholders in this project are: the city of Wilmington; the city’s Public Health Department (including its director, Dr. Jose Alveras). As well, the contractors that will be contacted to get the vehicle and the equipment (Armor Mobile Systems and General Electric), as they will provide the required equipment to set up the mobile screening unit. Finally, the city’s target population of women and men aged 40 and above, as they are the ones that demand the service, and will ultimately benefit from it.
MILESTONES
Milestones
MILESTONES OWNERS START DATE END DATE
1 Potential Location Site for Mobile Vehicle Nathaniel Gardner 07/16/2012 07/21/2012
2 Meeting with City Officials/Dr. Jose Alveras Nathaniel Gardner 07/22/2012 07/24/2012
3 Approval of Permits for Mobile Vehicle Alecian Berryhill/Lydia Boynton/Jill Bussard 07/24/2012 08/13/2012
4 Preparation for Ordering Vehicle Alecian Berryhill/Monica Morgan/Nathaniel Gardner/Jill Bussard 08/14/2012 10/15/2012
5 Deliverance of Fully Equipped Vehicle Monica Morgan 10/16/2012 10/16/2012
6 Testing of Vehicle Monica Morgan/Nathaniel Gardner 10/17/2012 10/20/2012
7 Inventory Monica Morgan 10/21/2012 11/5/2012
8 Deliverance of Mammography Mobile Screening Unit Monica Morgan/Nathaniel Gardner 11/16/2012 11/16/2012
9 Equipment Installation Monica Morgan 11/17/2012 11/21/2012
10 Testing of Mammography Screening Unit Monica Morgan/Nathaniel Gardner 11/27/2012 11/30/2012
11 Approval Nathaniel Gardner/Lydia Boynton/Jill Bussard 12/01/2012 12/02/2012
Hiring/Training of Physicians and Staff Nathaniel Gardner 12/03/2012 12/10/2012
Advertisement Team 12/10/2012 12/15/2012M
Operation of Mobile Screening Vehicle Team 12/16/2012
Budget
INITIAL BUDGET ESTIMATES
Armor Mobile Premier Series Mammography Vehicle Two Exam Rooms; Waiting Area; Bathroom; Dressing Room; Wall-Mounted Flat Screen Televisions (2); Kitchenette Area; Storage Room for x-rays $500,000
GE’s Senographe* (Digital Screening Mammograms) Mobile Mammography unit and workstation $600,000
Staff/Employees 2 Physicians @ $100,000 $200,000
2 Mammography Certified Technologists @ $70,000 $140,000
2 Nurses @ $75,000 $150,000
1 MRI Technician $65,000
1 Radiologist $70,000
1 Operator for Mobile Vehicle $60,000
Advertising Direct Mail $15,000
Radio $35,000
Bill Board/Signage $80,000
Television $35,000
Social Media (Facebook, Twitter, YouTube) $35,000
Licenses Permit for location of Mobile Vehicle $20,000
Legal Licenses $20,000
Equipment Installation $10,000
Training Staff $35,000
Insurances:
Vehicle $20,000
Equipment Digital Computer Aided Detection (CAD) $50,000
2 x-Ray Machines @ $25,000 (X Ray Supplier) $50,000
Malpractice $100,000
Repairs and Maintenance $10,000
Back-up Generator $25,000
Data UPS Battery Back-up $500
Total Budget $2,325,500
USER ACCEPTANCE CRITERIA
User Acceptance Criteria/Quality Overall Expectations
The unit should be selected and equipped in a way that guarantees that it will meet the city’s desired service standards. It should be a viable project, meaning that the assigned budget should not be exceeded at any point in time, and that the screening service offered is effective and accurate. Finally, the plan should address all legal issues, as well as all stakeholders involved.
Quality Training
It is important that all staff members get the appropriate training so that they can carry out their responsibilities in screening patients without putting those patients at risk (by offering an inadequate service that might yield dissatisfaction or inaccurate results after the screening tests are finalized).
Major Risks
Major risks for this project include the following:
No major risks (other than extended delays on deliverance of either the equipment or the vehicle) are to be expected given that the vehicle is built in a way to guarantee stability and continued power so that it can operate on-site or off-site (due to its diesel generator). As well, the equipment is state of the art and should guarantee a high quality service without any risk for patients.
KEY STAKEHOLDERS:
Project Manager Authority Level The project’s highest authority will be the Public Health Director, Dr. Jose Alveras. Nathaniel Gardner will be in charge of the project; all team members will answer directly to him (and he will answer directly to Dr. Alveras). Furthermore, he will freely make use of the project’s budget and decide how best to destine the limited resources that the city has issued. Alecian Berryhill), the project team leader will be next in line (she will be in charge of the project, making sure that all team members are working efficiently in order to meet deadlines on high level deliverables.
Project Core Team: • Lydia Boynton: Legal & License Manager (in charge of procuring all licenses and permits)
• Monica Morgan: Unit Manager (in charge of managing the actual mobile unit)
• Nathaniel Gardner: Project Manager (in charge of making sure all deliverables are completed)
• Alecian Berryhill: Project Team Leader (in charge of ensuring each team member is working efficiently to meet project deadlines)
• Jill Bussard: Schedule Manager/Risk Analyst (in charge of managing project schedule and risk identification, analysis, and response plan)
Subject Matter Experts (SME) (Include company & channel designations if applicable) Director of Marketing Radiologists
Legal Manager X Ray Supplier
General Manager Physicians
Nurses Technologist
APPROVALS
Type Name Signature Date
Project Manager Approval:
Nathaniel Gardner 07/22/2012
Customer/Sponsor Approval:
Dr. Jose Alveras 07/22/2012
REFERENCES
Reference MOBILE UNITS FOR HEALTHCARE. Entire Content © 1996-2011 LIFELINE MOBILE, INC. Retrieved from http://www.lifelinemobile.com/
Signed off by:
Nathaniel Gardner, MBA
Alecian Berryhill, MBA
Lydia Boynton, MBA
Jill Bussard, MBA
Monica Morgan, MBA
