These are the key goals that, if achieved, will signify that the CST project has been successful. The CST Evaluation team worked with leaders across VCH, PHSA and PHC to develop this list, which does not include all intended outcomes of the project.

Drivers Goals Clinical/Operational Priorities
Patient safety first Reduce medication-related adverse events (see Medication administration)
  • Decreased order-related adverse medication events (transcription, drug-allergy, dose etc.)*
  • Decreased medication administration-related adverse events (wrong patient, wrong dose etc.)*
  • Increased completion of medication reconciliation at transitions in care, including medication history
Reduce non-medication-related adverse events
  • Decreased incidence of in-hospital falls with fracture
  • Decreased incidence of pressure ulcers
  • Decreased incidence of hospital-acquired pneumonia
  • Decreased incidence of hospital-acquired urinary tract infections
  • Decreased incidence of violence against care providers/patients
Best way, every day

Improve delivery of evidence-based care

  • Increased adherence to anti-microbial stewardship prescribing guidelines
  • Increased adherence to VTE prophylaxis guidelines
Face time, not chase time Reduce time to therapy
  • Early intervention for septic patients*
  • Early engagement of Rapid Response Teams*
Reduce non-value added activities
  • Reduced time spent managing patient charts:
    • searching for paper chart or accessing electronic chart
    • searching for patient information within the chart
    • processing, transcribing and clarifying orders
    • entering information into the chart
Improve information sharing and participation with patients and families at transitions of care and care planning
  • At transitions in care, key information to support immediate care is readily available and validated with patient and/or family
  • Advanced care planning information is accessible
Draw on data Inform health system management and quality improvement with better and more accessible data
  • Wait time management
Improve availability of high quality and readily accessible data for research
  • Enhance identification of research subjects
  • Decrease chart review time
Enable proactive care for at-risk individuals and populations
  • Cancer
  • Renal
  • Mental health & addictions
Strengthen our core Improve reliability/stability of the technical environment
  • Reduced downtimes (planned & unplanned)
  • Increased system performance
Reduce clinical information system maintenance costs
  • Reduced cost of licence & maintenance of redundant systems
  • Reduced cost of interface maintenance
*key priority areas for first version of the new clinical information system, which was launched at Lions Gate Hospital and Squamish General Hospital in 2018.