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 Phase 3: Implementation 2016 – 2018  BC Cancer Agency  BC Children’s Hospital  BC Mental Health & Substance Use Services  BC Women’s Hospital  Bella Coola General Hospital  Brock Fahrni Pavilion  Dogwood Lodge  Evergreen Extended Care  Forensic Psychiatric Services  George Pearson Centre  GF Strong Rehabilitation Centre  Hilltop House  Holy Family Hospital  HOpe Centre  Lions Gate Hospital  Mount Saint Joseph Hospital  Minoru Residence  North Shore Hospice  Olive Devaud Residence  Powell River General Hospital  R.W. Large Memorial Hospital (Bella Bella)  Richmond Hospital  Richmond Lions Manor  Sechelt Hospital – includes Shorncliffe Intermediate Care Facility and Totem Lodge  Squamish General Hospital  St. John’s Hospice  St. Paul’s Hospital  St. Vincent’s Langara  Sumac Place  Sunny Hill Health Centre  UBC Hospital  Vancouver General Hospital  Youville Residence At this stage it is still too early to set specific go-live dates. These dates will be determined closer to the end of design and build. We will provide updates when we have more information. CST will be implemented at the following sites: