The project

General information about the CST project.

What is CST?

CST stands for Clinical & Systems Transformation. It’s a multi-year project designed to improve the safety, quality and consistency of patient care across Vancouver Coastal Health, the Provincial Health Services Authority and Providence Health Care.

A foundation of the project is the implementation of a new, shared clinical information system, based on the Cerner platform. The new system will act as a single electronic record of patient care, replacing a number of existing, outdated systems and providing significantly more clinical functionality to support clinicians at the point of care.

Is Clinical & Systems Transformation (CST) about bringing new technology to health care?

CST is enabled by technology but driven by clinical goals. Implementing new technology, including a shared clinical information system, will make it easier to achieve improvements in patient care.

The terms "CST" and "Cerner" are often used interchangeably. How is CST different from Cerner?

CST is a broad clinical project, which includes several technical elements. These elements include bar-coded medication administration; front-end speech recognition; and a new, shared clinical information system, which is based on Cerner software. Here’s some more detail:

CST is a clinical transformation which is enabled by a system transformation. That means we are transforming and standardizing the way clinical work is done. These new ways of delivering patient care will be supported by a new, shared clinical information system across VCH, PHSA and PHC.

Cerner is the company that develops the clinical information system on which much of the transformation is based. Cerner software is being configured  so that it works the way our clinicians need it to.

How will CST benefit patients?
Benefits for patients will include safer medication management, more consistent care, faster access to lab results and medication therapies, less time spent repeating information during consults or undergoing duplicate tests, and knowing that care teams will have access to the information they need to provide the best possible care. 
What's the history of the CST project?

In 2008, the Ministry of Health established a strategic priority requiring all Health Authorities to rationalize and standardize their clinical information systems to one of two core clinical platforms: Cerner or MediTech. This is part of ongoing efforts to continually improve integration and communication within the BC health-care system.

VCH, PHSA and PHC chose Cerner, which has a history of successful implementations across North America. Northern Health and Vancouver Island Health Authority also use the Cerner clinical information system, while Fraser Health and Interior Health use MediTech.