All Resources

CASCADES Quality Improvement
CASCADES
Evidence-based ready-to-use planning documents with project goal, scope, problem/opportunity statement, current state, root causeanalysis, change ideas, potential metrics, and strategies for embedding and spreading.
Project Charter

Food Infrastructures for Planetary Health
This playbook aims to support informed decision-making related to foodinfrastructures for planetary health throughout the planning, design, construction and ongoing operation of Canadian healthcare facilities.
Playbook

Navigating biomedical waste management policies for sustainability
This playbook focuses on strategies to work effectively with biomedical waste management policies in order to reduce the environmental impact of both the waste itself and the processes required to manage it.
Playbook

A Reusables First Approach to Healthcare Procurement
This playbook provides background information, an overview of reusable opportunities in healthcare, as well as implementation resources and suggested strategies to adopt reusables at care sites.
Playbook

Virtual Care Carbon Accounting
To help organizations measure and maximize these benefits, the CASCADES Virtual Care Carbon Accounting Tool (VCCAT) supports the estimation of travel-related carbon and financial impacts associated with virtual and in-person care. Combined with thoughtful implementation strategies, equitable access planning, and sustainable technology practices, virtual care can play a meaningful role in building a lower-carbon healthcare system
Playbook

Climate Conscious Inhaler Practices in Inpatient Care
The Playbook provides background information and resources to guide more environmentally sustainable inhaler practices in inpatient settings. The content of this playbook, including its associated resources, has been developed by the Critical Air Project (CAP) at the Royal Jubilee Hospital, part of Island Health in Victoria, British Columbia. The Critical Air Project, which has been led by Dr. Valeria Stoynova and Dr. Celia Culley, is a climate-conscious inhaler initiative aimed at decreasing Island Health’s inhaler-related carbon footprint through changes in health policy, operational changes and a widespread educational campaign. The project, which is ongoing, was initiated in April 2022 with support from CASCADES.
Playbook

Climate Conscious Inhaler Prescribing in Outpatient Care
The Playbook provides background information and resources to guide more environmentally sustainable inhaler prescribing in primary care settings. This playbook was initially developed through an initiative of the Sustainable Health System Community of Practice (CoP), with support from CASCADES.
Playbook

Pharmaceutical Waste Management
This playbook focuses on strategies to reduce, reuse and recycle pharmaceuticals and their associated physical waste to lessen their environmental impact. It is intended for Canadian healthcare professionals working with pharmaceutical products for human use, including pharmacists, pharmacy technicians, pharmacy assistants, nurses, physicians, educators, trainees and environmental services. It can also be a guide for legislators, waste management leads, and industry. Background information, resources, and considerations are included to provide guidance on more climate resilient and environmentally sustainable pharmaceutical waste management processes. The content of this playbook has been compiled from a range of subject matter experts, guidance documents, and resources.
Playbook

Climate Resilient, Low Carbon Sustainable Pharmacy Playbook
This Playbook is intended for Canadian pharmacy professionals including pharmacists, pharmacy technicians, pharmacy assistants, educators and trainees. The Playbook provides background information, resources and considerations to guide more climate resilient and environmentally sustainable pharmacy practice. These considerations have been compiled from a review of the literature, experiences from practicing pharmacy professionals and guidance from academics in the field.
Playbook

Medication Optimization for Sustainability in Inpatient Care
This playbook outlines strategies to address the environmental impacts of polypharmacy through medication optimization in inpatient care. This playbook is intended for Canadian healthcare providers working in inpatient healthcare settings that are providing patient care, contributing to institutional policies and initiatives, and/or supporting electronic medical record systems. Background information, resources, and considerations have been included to guide healthcare teams and institutions to implement medication optimization and reduce their environmental impact. The content has been compiled from a review of literature and guidelines, interviews with experienced healthcare professionals, and guidance from academics in the field.
Playbook