1 A joint initiative of VCH, PHSA, and PHC What is the Clinical & Systems Transformation project?

2 A joint initiative of VCH, PHSA, and PHC CST video: “If you could change one thing…”

3 A joint initiative of VCH, PHSA, and PHC Strategic Directions PHSA Key Directions 1. Improve quality outcomes and value for patients 2. Promoting healthier populations 3. Contributing to sustainable health care system

4 A joint initiative of VCH, PHSA, and PHC CST at a Glance (info-graphic)

5 A joint initiative of VCH, PHSA, and PHC

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7 Right patient Right treatment Right transitions Up to 24,000 Canadian adults die every year because of preventable adverse events in acute care hospitals – and those are just the incidents we can measure. We can do better. That’s why we are investing in a safer future today. Safety will always be our first priority. First, do no harm Reduce errors and adverse events

8 A joint initiative of VCH, PHSA, and PHC Best way, every day Improve quality and consistency of care Reduce variability in care pathways Reduce inconsistency in documentation Reduce uncertainty Patients expect and deserve to have the same experiences, wherever and whenever they need our services. We are designing safe, efficient care pathways that reflect the latest evidence and will reduce unnecessary variations in care across our facilities and healthcare organizations. We are supporting a culture of continuous learning and quality improvement. Our caregivers will make decisions based on reliable, consistent clinical information, and patients can have confidence they are being cared for the best way, every day.

9 A joint initiative of VCH, PHSA, and PHC Face time, not chase time Improve the healthcare experience for patients and care teams More time to plan More time to care More time to assess When care teams have the information they need at their fingertips, it means more time for patients. Transitions across health care settings will be smoother; everyone will be on the same page. Care teams won’t have to ask the same questions over and over or repeat tests. Attention can be paid to the right things without impacting our productivity. Patients and families can be confident that care teams know their story, and can be informed partners in their care. Instead of chasing charts, care teams can focus on what’s important: the patient.

10 A joint initiative of VCH, PHSA, and PHC Draw on data Make better information available to improve decision-making, research and proactive care Improve decision-making Improve access to clinical data Improve system performance Fuller, richer information will give us a clearer picture of how we’re doing and where we can improve. We can proactively manage patient populations based on aggregate data. Data from today will be used to anticipate the needs of at-risk populations today, and benefit the patients of tomorrow – across health disciplines and organizations.

11 A joint initiative of VCH, PHSA, and PHC Strengthen our core Improve information system reliability and sustainability One login One system One record A healthy body needs a strong spine. Our healthcare system needs a strong technical backbone. Right now, we use over 200 systems and programs. Logging in, logging out, forgetting passwords: all this takes time away from patient care. Many of our outdated systems will be replaced with one clinical information system, which will connect with other key systems. This will improve the stability of the systems our clinicians are using, enable us to enhance their functionality, and reduce costs over the long term. It will make it easier to deliver quality care and improve the overall reliability and sustainability of the systems we count on.

12 A joint initiative of VCH, PHSA, and PHC Reduce medication-related adverse events Reduce non-medication related adverse events First, do no harm Improve delivery of evidence-based care Best way, everyday Reduce time to therapy Reduce non-value added activities Improve information sharing and participation with patients and families at transitions of care and care planning Face time, not chase time Inform health system management and quality improvement with better and more accessible data Improve availability of high quality and readily accessible data for research Enable proactive care for at-risk individuals and populations Draw on data Improve reliability/stability of the technical environment Reduce clinical information system maintenance costs Strengthening our core CST Drivers and Goals How we will measure our success For questions and comments, please contact:Beth Snow Joyce Cheng Program Evaluation Lead Program Evaluation Business Analyst February 25, 2016 DriversGoals The intention of this document is to provide a “definition of success” for the CST project. It outlines the key goals that, if achieved, will signify that the CST project has been successful. The framework is not intended to outline all possible intended outcomes of the project. There are other intended outcomes (clinical, system, and organizational) that are expected to emerge as the environment for achieving the key goals is created. These other outcomes will be detailed in the CST logic model, which will map how CST expects to achieve these goals.

13 A joint initiative of VCH, PHSA, and PHC Jeremy Smith CST Oliver Grüter-Andrew, IMITS Dr. Alain Gagnon, PHSA Paul Brownrigg VCH Executive Director & Transformation Lead Chief Transformation Officer/Project Director Health Organization CST Leadership Dr. Nick Foster PHSA Chief Medical Information Officer Chief Medical Information Officer Yoel Robens-Paradise PHC Executive Sponsor Executive Sponsor Executive Sponsor Chief Information Officer Dr. Eric Grafstein VCH/PHC Donna Stanton VCH Barb Lawrie VCH Chief Clinical Information Officer, VCH Glen Copping VCH Chief Financial Officer Keith Dipboye CST Chief Clinical Information Officer Vicky Crompton PHSA Executive Director & Transformation Lead Grant McCullough PHC Corporate Director & Transformation Lead

14 A joint initiative of VCH, PHSA, and PHC 14 A joint initiative of VCH, PHSA, and PHC CST Governance Structure Project Board Steering Committee Project Management Office Data Decision Group Clinical Decision Group Technical Decision Group Provider Decision Group Implementation Group

15 A joint initiative of VCH, PHSA, and PHC CST Project Website – CSTProject.ca