The article you just read was brought to you by a few thousand dedicated readers. Will you join them?

Thanks for coming by The Tyee and reading one of many original articles we’ll post today. Our team works hard to publish in-depth stories on topics that matter on a daily basis. Our motto is: No junk. Just good journalism.

Just as we care about the quality of our reporting, we care about making our stories accessible to all who want to read them and provide a pleasant reading experience. No intrusive ads to distract you. No paywall locking you out of an article you want to read. No clickbait to trick you into reading a sensational article.

There’s a reason why our site is unique and why we don’t have to rely on those tactics — our Tyee Builders program. Tyee Builders are readers who chip in a bit of money each month (or one-time) to our editorial budget. This amazing program allows us to pay our writers fairly, keep our focus on quality over quantity of articles, and provide a pleasant reading experience for those who visit our site.

In the past year, we’ve been able to double our staff team and boost our reporting. We invest all of the revenue we receive into producing more and better journalism. We want to keep growing, but we need your support to do it.

Fewer than 1 in 100 of our average monthly readers are signed up to Tyee Builders. If we reach 1% of our readers signing up to be Tyee Builders, we could continue to grow and do even more.

If you appreciate what The Tyee publishes and want to help us do more, please sign up to be a Tyee Builder today. You pick the amount, and you can cancel any time.

Support our growing independent newsroom and join Tyee Builders today.
Before you click away, we have something to ask you…

Do you value independent journalism that focuses on the issues that matter? Do you think Canada needs more in-depth, fact-based reporting? So do we. If you’d like to be part of the solution, we’d love it if you joined us in working on it.

The Tyee is an independent, paywall-free, reader-funded publication. While many other newsrooms are getting smaller or shutting down altogether, we’re bucking the trend and growing, while still keeping our articles free and open for everyone to read.

The reason why we’re able to grow and do more, and focus on quality reporting, is because our readers support us in doing that. Over 5,000 Tyee readers chip in to fund our newsroom on a monthly basis, and that supports our rockstar team of dedicated journalists.

Join a community of people who are helping to build a better journalism ecosystem. You pick the amount you’d like to contribute on a monthly basis, and you can cancel any time.

Help us make Canadian media better by joining Tyee Builders today.
We value: Our readers.
Our independence. Our region.
The power of real journalism.
We're reader supported.
Get our newsletter free.
Help pay for our reporting.

High-Cost BC Health Record Project Loses Lead Contractor

FOI records show tension between stakeholders.

By Bob Mackin 15 Apr 2015 |

North Vancouver-based journalist Bob Mackin is a frequent contributor to The Tyee. Find his previous Tyee articles here.

Likening it to a failed marriage, Health Minister Terry Lake confirmed April 14 that IBM is no longer leading the development of an $842 million patient records tracking system for three B.C. health authorities.

NDP Health Critic Judy Darcy dropped the bombshell in question period Tuesday, quoting a leaked March 23 memo that said: "The health organizations and IBM have agreed to end the current contract."

IBM was the prime contractor with Leidos, University of Pittsburgh Medical Center and Deloitte, working on the Clinical and Systems Transformation project -- billed as a seamless, real-time patient health records management system for Vancouver Coastal Health, Providence Health Care and Provincial Health Services Authority.

"I don't know of any computer system anywhere that hasn't been a challenge to unveil. The fact is that IBM and the CST project team decided to part ways," Lake said in reply to Darcy.

"This marriage didn't work out, but the children are beautiful," Lake added. "In fact, those children will grow to become a great clinical assistance transformation project."

Outside the legislature, Lake called the record-tracking venture "one of the largest health care projects" in B.C. history. He told reporters it was an "amicable" split with IBM, which had been paid between $70 and $72 million so far. The ministry's communications office later told The Tyee IBM would not be receiving a contract buyout. Lake said the project is nine to 20 months behind schedule. The first rollout phase was delayed from 2015 to 2016 and completion is expected in 2019, instead of 2018.

What do we know about this near-billion dollar project? Records obtained under Freedom of Information law show 117 full-time equivalents are working on it. An August 2014 status update to the Vancouver Coastal Health board described the project as: "Ambitious, challenging, high cost, lots of uncertainty, project (sic) of this type tend to be high risk. Huge upside benefit potential!"

Entries were censored under the headline "Current Snap Shot," except for one line: "Could impact safety and potential adverse patient outcomes."

The documents show some tension between stakeholders. A September 2014 project orientation presentation said: "In a change of this magnitude there will be losses and gains as we progress boldly to improve the system as a whole. These losses represent a change management challenge.

"Our physicians are skeptical and lack confidence in the project. While this is not at all unusual at this stage, it is a concern and needs to be addressed with improved engagement."

The first of 10 rollout phases was to begin early this fall at St. Mary's Hospital and continue later this fall at BC Women's Hospital, BC Children's Hospital, Sunny Hill Health Centre, BC Mental Health & Substance Use Services and Forensic Psychiatric Services. Vancouver General Hospital was supposed to be in the ninth rollout phase.

Sound familiar?

The health records project is the latest in the B.C. government's recent history of database troubles.

In a March report, auditor general Carol Bellringer slammed the government for its handling of the crash-prone and poorly secured integrated case management system, a seven-year, $182 million social services database project.

In 2011, the government discontinued the often-malfunctioning $100 million BCeSIS kindergarten to Grade 12 student records tracking system. In mid-April 2014, ICBC admitted a $110 million billing error that affected 590,000 policy holders, who had been overcharged or undercharged because incorrect vehicle descriptions were moved to a new system that cost $8.9 million.  [Tyee]

Read more: Health, BC Politics

Share this article

The Tyee is supported by readers like you

Join us and grow independent media in Canada

Facts matter. Get The Tyee's in-depth journalism delivered to your inbox for free


The Barometer

Tyee Poll: Are You Preparing for the Next Climate Disaster?

Take this week's poll