What's included?

What systems, areas and processes will be included in the work of the CST project?

Is CST taking place province-wide?

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 healthcare 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.
While the CST project is not being implemented province-wide at this time, a shared record across VCH, PHSA & PHC will increase the quality and consistency of patient information that can be shared.

What is in scope for oncology?

Oncology scope for the Clinical & Systems Transformation project includes the implementation of technology to support cancer screening, cancer registry, ambulatory cancer care (pediatrics and adults) and inpatient cancer care (pediatrics and adults).

The following is the detailed scope for oncology:

  • BC Cancer Agency (regional cancer centres, satellite cancer centres and community oncology networks) 
  • Adult Bone Marrow Transplant Program 
  • Pediatric Oncology Program

What is HIMSS Level 5?

The priority for CST is to achieve HIMSS Level 5 capabilities for acute inpatient and outpatient departments across VCH, PHSA and PHC. HIMSS is the Healthcare Information Management and Systems Society and HIMSS Level 5 is a level on their "EMR Adoption Model".

HIMSS is a global standard for integrated health information systems. The higher the level, the more integrated the system is, meaning that you’re using technology to enable good, safe practice.

At HIMSS Level 5, a clinical information system is capable of:

  • storing medical information centrally
  • automating flow sheets
  • sharing digital medical images
  • alerting users to possible problems (e.g., drug-to-drug interactions, allergies)
  • allowing care providers to enter orders into a computerized system (CPOE)
  • making standard clinical protocols available automatically, and
  • closed loop medication management

Please read What is the clinical information system that CST will implement? for more information.

What is the plan for mobile devices, such as tablets?

Our goal is to provide the right device at the right time. A variety of mobile devices have been evaluated for use with the new clinical information system, and are pending clinical sign-off. Mobile devices reviewed include workstations on wheels (WOWs) and medication carts.

We are working to ensure that lessons learned from other sites are incorporated into the CST device selection process. Research has demonstrated that our new clinical information system is best suited to the 22” monitor display available through a WOW.

Workflow reviews will be completed to ensure selected devices suit the requirements at each site and for each specialty, whether that is a WOW or a tablet.

When will patients be able to access their information?

While the creation of a patient portal is not in scope for the CST project, the development of a shared patient record across VCH, PHSA and PHC increases the quality and consistency of patient information available. This provides the foundation needed for the development of a patient portal in the future. 
Our patients currently have the option to access transcribed reports (from Children’s & Women’s, Sunny Hill Health Care Centre & BC Cancer Agency sites only) such as consults, discharge summaries and operative reports, as well as a limited number of outpatient lab reports, through "My eHealth", an online portal powered by Excelleris. We are currently investigating opportunities to expand the reports available to our patients through Excelleris as a result of CST.