The project portfolio in the ICT area in the Norwegian western health region has since 2006 increased from an annual investment budget of 70 000 000 to 260 000 000 NOK today, and now includes about 50 projects. The Norwegian Western Health Region has decided to procure a project portfolio management tool (PPM tools). For further information on the background, purpose and scope refer to ‘Appendix F - Supplementary Information’.