1. Clinical & Systems Transformation Overview Date Name and Title of Presenter

2. 2 A joint initiative of VCH, PHSA, and PHC What is Clinical & Systems Transformation (CST)? CST is a project to improve patient care by making sure that our practices are evidence-based and consistent across clinical areas, and we are supported by smarter technology including an electronic health record. This will be a huge change in the way we deliver patient care, so dedicated education and support will be provided.

3. 3 A joint initiative of VCH, PHSA, and PHC Why Are We Doing This? Too many patients suffer from adverse events Too much variation and too many workarounds in patient care Too much time spent chasing paper charts and completing unnecessary paperwork Too many duplicate tests Too much time between an order being written and the patient receiving therapy Too many old, separate clinical information systems “Accurate information is critical to providing good quality and safe patient care.” Vicky Crompton, CST Executive Director and Transformation Lead, PHSA

4. 4 A joint initiative of VCH, PHSA, and PHC How Are We Doing This? Evidence-based clinical practices and order sets as standard Powerful new shared clinical information system Computerized provider order entry Closed loop medication management Electronic clinical documentation Clinical decision support CST spans across several areas of the continuum of care including: acute care inpatient and outpatient units, ambulatory care and residential care across VCH, PHSA and PHC.

5. 5 A joint initiative of VCH, PHSA, and PHC Overview Of Project Phases Phase 1: Strategy & Verification Phase 3: Implementation across VCH, PHSA, and PHC Phase 2: Enterprise-wide Design, Build & Integrate

6. 6 A joint initiative of VCH, PHSA, and PHC The diagram below represents the phased rollout of the new clinical practices and clinical information systems across VCH, PHSA and PHC. Phase 3: Implementation 2016 – 2018 Phased Rollout – Group 1 Sechelt Hospital (formerly St. Mary’s) – includes Shorncliffe Intermediate Care Facility and Totem Lodge Phased Rollout – Group 2 BC Women’s Hospital BC Children’s Hospital Sunny Hill Health Centre BC Mental Health & Substance Use Services Forensic Psychiatric Services Phased Rollout – Group 3 Lions Gate Hospital Evergreen Extended Care Bella Coola General Hospital R.W. Large Memorial Hospital (Bella Bella) Phased Rollout – Group 4 Powell River General Hospital Olive Devaud Residence Squamish General Hospital Hilltop House HOpe Centre North Shore Hospice Sumac Place Phased Rollout – Group 5 BC Cancer Agency Phased Rollout – Group 6 St. Paul’s Hospital Mount Saint Joseph Hospital Phased Rollout – Group 7 Holy Family Hospital Brock Fahrni Pavilion St. Vincent’s Langara Youville Residence St. John’s Hospice Phased Rollout – Group 8 UBC Hospital Richmond Hospital Dogwood Lodge Phased Rollout – Group 9 Vancouver General Hospital Phased Rollout – Group 10 GF Strong Rehabilitation Centre Richmond Lions Manor Minoru Residence George Pearson Centre