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19th February 2026
Delivering Reform Without Compromising Care: A Fit-for-Purpose Project Management Office Approach for Aged Care Providers
Uncategorized
Why ‘Change Delivery’ Has Become a Critical Risk in Aged Care
Australia’s aged care sector is operating within a period of unprecedented reform, scrutiny, and operational complexity. Legislative change, funding reform, workforce shortages, digital transformation, and heightened expectations around quality and safety have fundamentally reshaped how change must be governed and delivered. In this environment, the capacity to implement reform effectively—without destabilising care delivery or overburdening the workforce—has become a defining challenge for providers.
Why a Fit-for-Purpose Project Management Office Is No Longer Optional
In this context, a Project Management Office (PMO) is no longer a discretionary or corporate support function. It is a critical governance and delivery capability that enables organisations to translate regulatory obligations and strategic priorities into coordinated, accountable action, while safeguarding resident care and strengthening workforce capacity. Without a fit-for-purpose PMO, providers are exposed to fragmented initiatives, competing priorities, limited board visibility, delivery fatigue, and heightened compliance risk.
Despite this growing need, many aged care organisations have struggled to realise the full value of PMO capability. Traditional, generic PMO models—often imported from commercial or infrastructure sectors—frequently fail to align with the realities of care environments. These approaches can unintentionally prioritise process over people, delivery speed over safety, and reporting over learning. The result is PMO structures that feel burdensome to frontline leaders and disconnected from clinical governance, rather than enabling, protective, and supportive.
Our PMO Services and Supports: Designed for the Realities of Aged Care
Our PMO services and support were established in direct response to this gap. Our approach is intentionally designed for the aged care context, recognising that reform must be delivered in ways that preserve continuity of care, respect workforce constraints, and strengthen—rather than compete with—clinical governance. Our point of difference lies not only in what we deliver, but in why and how our PMO services are shaped.
Our Approach: Scalable, Proportionate, and Capability-Building
Providers choose our PMO services and support because they are grounded in a deep, applied understanding of the regulatory, workforce, and operational pressures that define contemporary aged care delivery. Rather than imposing rigid or one-size-fits-all structures, we work alongside boards and executive teams to design PMO capability that aligns with organisational maturity, risk exposure, delivery pressure, and internal capacity. This ensures governance and delivery frameworks are proportionate, practical, and responsive to the lived realities of care settings.
A Tiered PMO Model Aligned to Organisational Need and Risk
Central to our approach is a tiered PMO model—Supportive, Controlling, and Directive—which can be deployed independently or progressively as organisational needs evolve. This structure recognises that providers require different levels of governance, assurance, and delivery leadership at different points in their reform journey.
Across all tiers, our emphasis is on enabling leaders and building sustainable internal capability—not creating consultancy dependency. Capability transfer, confidence building, and internal ownership are explicit objectives embedded within our PMO services and supports, supported by embedded project and program management practices where required.
Tiered Project Management Model
More Than Project Management: A Trusted Partner in Reform
Ultimately, providers engage with us because we offer more than project delivery support. We act as a trusted partner, bringing deep sector expertise and a human-centred approach to governance and delivery. We understand that effective reform in aged care is as much about people, care, and culture as it is about plans and milestones. In a reform landscape where delivery confidence is essential, our PMO services and support position the PMO not as an administrative overlay, but as a stabilising force that strengthens governance, protects care, and enables confident, sustainable change.
Get in Touch for Further Advice for Your Organisation
Britt O’Keefe
Specialist Consultant – Program and Portfolio DeliveryBritt brings deep experience in aged care, workforce reform, and regulated environments, with a pragmatic, people-centred and evidence-informed approach to delivery. She is a trusted partner to boards and executive teams, supporting organisations to deliver reform while building enduring internal capability. Aged care providers seeking practical PMO services and support, interim PMO leadership, or a pathway to stronger internal PMO and project capability are invited to contact Britt O’Keefe directly for a confidential conversation.
