Alan Uren

Success Story of NL Ambulance Integration Plan

NL Ambulance Integration Plan: A Pull Planning Success Story

"I appreciated the oversight & guidance the most." - Tim Coolen

In the fall of 2023, Newfoundland and Labrador embarked on an ambitious journey to revolutionize its ambulance services. The NL Ambulance Integration Plan faced a formidable challenge: complete a complex, multi-faceted construction project by June 4, 2024 - a 'hard' deadline. Tim Coolen, hired as the Project Manager in March 2024 for project delivery as one of the subcontractors, recognized the need for advanced project management tools and expert guidance to meet this tight deadline. 

He turned to OverVue, an innovative project scheduling software and collaborative scheduling consultancy, to engage their pull planning consultants as a subcontractor and steer his project to success. 

The Challenge

The NL Ambulance Integration Plan faced several significant challenges:

  • Tight Deadline: With only 3 months from Coolen's appointment to the target launch date, every day was crucial.

  • Complex Stakeholder Landscape: The integration involved multiple existing ambulance services, each with its own processes, personnel, and equipment.

  • New Mobile Radio System Integration: Implementing an entirely new mobile radio system across the province added another layer of complexity to the design and construction phase.

  • Geographical Challenges: Newfoundland and Labrador's vast and varied terrain, including remote communities, complicated the integration process.

  • Regulatory Compliance: The project needed to adhere to strict healthcare regulations and standards.

  • Resource Management: Balancing the allocation of human resources, equipment, and finances across the entire province demanded sophisticated planning tools.

  • Public Scrutiny: As a high-profile public health initiative, the project was under constant scrutiny.

OverVue Implementation & Pull Planning Process


Recognizing the need for a robust project management solution, Coolen engaged pull planning consultants from OverVue Planning Systems (OPS) to guide him through the implementation of OverVue. This decision proved pivotal in managing the intricate details of the NL Ambulance Integration Plan. Key aspects of the OverVue implementation included:

Project Flow Diagram and Spatial Scheduling


OverVue's unique visualization tool allowed Coolen and the pull planning consultants to map out the entire integration process, providing a clear overview of task dependencies and project flow.

Pull Planning

This feature enabled the team to work from the June 4, 2024 deadline and create the schedule to the start point, ensuring every critical step was accounted for and optimally scheduled for the project’s completion.

Color-coded Deliverables


The use of color coding helped quickly identify different types of tasks and deliverables, enhancing the team's ability to manage complex, multi-faceted projects effectively.

Virtual Planning


Given the geographical challenges of Newfoundland and Labrador, OverVue's virtual planning capabilities were crucial in coordinating efforts across the province.

Resource Levelling


This feature was instrumental in optimizing the allocation of personnel, equipment, and finances across various project components and locations.

Dynamic Critical Path


OverVue's ability to continuously update the critical path each day was essential in a project with numerous interdependencies, potential bottlenecks, milestones & duration.

Possibility Planning


This feature proved critical in addressing major project risks, such as potential delays in contract negotiations with existing private ambulance services.

Tracking & Updating; Continuous Improvement


This feature became the cornerstone of Coolen's project management approach, allowing for real-time progress monitoring and timely adjustments to the project timeline.

The pull planning consultants worked closely with Coolen to ensure that these features were utilized effectively, tailoring the software to the specific needs of the NL Ambulance Integration Plan.

Project Execution

With the comprehensive plan in place, the project execution phase focused on implementing the plan while adhering to the tight timeline. The pull planning consultants continued to guide this phase, helping Coolen and his team navigate challenges as they arose. Key aspects of the execution included:

Stakeholder Engagement Strategy


Coolen used OverVue's visual tools to facilitate communication and alignment among diverse stakeholders, including contractors and supervisors.

Mobile Radio System Integration

The team carefully tracked the installation and testing of the new radio system across the province, ensuring seamless integration with the existing infrastructure.

Geographical Challenges and Solutions


The project team developed innovative solutions to address the unique geographical challenges, ensuring consistent service delivery across the province.

Resource Allocation Optimization


OverVue's resource leveling features were continuously used to optimize the distribution of personnel, equipment, and finances across Newfoundland and Labrador's challenging geography.

Regulatory Compliance Management


The team ensured all aspects of the integration met required healthcare standards and regulations, treating compliance as critical project control.

Public Communication Approach


Regular updates on project progress, facilitated by OverVue's clear visual representations, helped maintain public confidence in the initiative.

Training and Transition Planning


The team coordinated comprehensive training programs for staff on new systems and procedures, fostering teamwork and collaboration among the newly integrated workforce.

Throughout the execution phase, Coolen's weekly updates using dynamic tracking ensured the project remained on course, allowing for timely interventions when needed and maintaining momentum toward the June 4, 2024 deadline.

Pull Planning Consultant Sessions: Results and Benefits

The implementation of OverVue, guided by expert pull planning consultants, led to remarkable results for the NL Ambulance Integration Plan:

  • On-Time Delivery: Despite the complexity and scale of the project, the new integrated ambulance service was successfully launched on June 4, 2024, meeting the 'hard' deadline.

  • Seamless Integration: The careful planning and execution facilitated a smooth transition from multiple disparate services to a unified, province-wide system.

  • Successful Technology Implementation: The new mobile radio system was successfully integrated across the province, enhancing communication capabilities for the ambulance service.

  • Effective Resource Utilization: OverVue's resource management features ensured the optimal allocation of personnel, equipment, and finances throughout the project.

  • Stakeholder Satisfaction: Regular updates and transparent communication kept all stakeholders informed and engaged throughout the process.

  • Risk Mitigation: The comprehensive Possibility Planning for potential negotiation delays proved invaluable, allowing the team to navigate uncertainties without compromising the project timeline.

  • Improved Decision-Making: The visual nature of the Project Flow Diagram and real-time data updates enabled faster, more informed decision-making throughout the project lifecycle.

  • Enhanced Public Confidence: The successful, on-time launch of the integrated service boosted public confidence in the province's healthcare system.

  • Template for Future Projects: The success of this project using OverVue and pull planning consultants established a valuable template for managing large-scale public sector initiatives in the future.

Conclusion

The successful completion of the NL Ambulance Integration Plan stands as a testament to the power of combining skilled project management with advanced software capabilities and expert guidance. Tim Coolen's expertise, coupled with OverVue's robust features and the support of pull planning consultants, proved instrumental in navigating the complexities of this large-scale public health initiative.

This project demonstrates that even with immovable deadlines, geographical challenges, and intricate stakeholder landscapes, project success is achievable with the right tools and approach. The on-time launch of the integrated ambulance service not only improved healthcare delivery in Newfoundland and Labrador, but pull planning also set a new standard for managing complex public sector projects.

As governments and organizations continue to tackle ambitious transformation initiatives, the NL Ambulance Integration Plan serves as an inspiring example of what's possible when innovation meets dedication. The combination of advanced scheduling consultant services, pull planning expertise, and powerful software tools like OverVue can transform even the most challenging projects into successes.

More on this project can be found from this CBC news article:

N.L. makes move toward integrated ambulance service for whole province

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