January 27, 2023

Westside People

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Christian Dube has released 50 Priorities for Reforming the Health Network

Rapid access to a medical clinic, more surgeries, less bureaucracy: An ambitious plan with 50 priorities is in operation to reform the uncle who has become Quebec’s healthcare network by 2025. “Cubs deserve a better health care system,” Health Minister Christian Dube said Tuesday. Despite the scale of the challenge before him, the minister promised that “the suspects will be confused.” ⁇ Newspaper Here are 15 key elements of the progress promised by the government.

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The patient will make a comment

If the government intends to hold health network managers more accountable for system failures; Patients will also be asked to contribute.

Minister Dube pointed out that the next front-line access counter would also be “a place where you can even give an estimate of the service you have just received”. To be most effective, the network must measure customer satisfaction.

Better maintenance environments

Living environments “on a human scale” will be at the center of construction in the years to come, such as government-promised nursing homes.

We would like to remove several chambers (two, three or even four patients) to minimize the spread of infections, especially in CHSLDs.

Photo by QMI Agency, Joel Lemme

Command Centers

One model that the government intends to implement on a large scale is the command center employed by the Jewish General Hospital in Montreal.

It is made up of key people in mental health, rehabilitation or home support who work together to ensure that a person discharged from the hospital continues to receive appropriate services. Its purpose is to reduce stress in emergencies. Twenty-five hospitals in the Montreal area have begun implementing the system. Dubey pointed out.

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Patient-based funding

A major change is taking place in the way care is managed: finances will follow the patient. The principle is that the patient can choose more of the place where he will receive his care and the required budget will be followed. This view defeats the idea that a hospital should respect a pre-determined budget without taking into account the actual needs. However, this change will happen in small steps.

A professional prescription for paramedics

After many years, paramedics have the right to create a professional order. Often with emergency calls, leading specialists can determine whether or not to take the patient to the hospital. This change can reduce the pressure on the network by sending only emergency cases. We also promise to review the performance of the pre-hospital system.

Edible foods

The government ensures that food is at the heart of the upcoming changes in all activities aimed at improving the quality of life of seniors in CHSLDs. Cold or unpleasant foods that have been reduced for years by residents and their loved ones will be a thing of the past. The government promises “decisive action” and recalls forcing Quebec’s tourism and hospitality to improve food concessions.

A model to follow

Verdun CLSC in Montreal is the only medical team in Quebec to provide home immunization. The government intends to get the impetus to expand them across the province.

“It already exists, but unfortunately, it is not used everywhere,” lamented Christian Dube. When only one nurse goes home and finds that the patient’s health is deteriorating or needs to be medicated, he or she should refer the patient’s case to the hospital.

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However, the prophylactic medical team at CLSC de Verdun allows 12 physicians to follow 1,100 patients and avoid painful stays in the emergency room.

Overtime is not mandatory

Minister Dube reiterated the government’s commitment to ending the compulsory overtime (TSO) rejected by nurses, an election promise that the CAQ could not fulfill. Although he acknowledged that the TSO was inevitable at times, he promised that it should become the exception, not the administrative system. The government has also said that the use of TSO will be monitored and measured to determine where it represents an issue. However, there is no deadline.

Compare with the best

The period for which data is kept confidential is over, Minister Dube argued. Quebec compares data from its health network with the Canadian Institute for Health Information (CIHI) and other independent organizations and its performance in other provinces. Previously, Quebec was always excluded from comparisons, especially by CIHI.

Network computerization

The government wants to encourage initiatives such as the Click Sande website, which has been proven to be very effective in treating vaccine appointments. We want to allow patients direct access to their file (Digital Health Record) so that experts can consult additional data. Cyber ​​security should also be a priority. But Minister Dube did not promise that the fax machine would end by 2025.

  • Listen to Richard Martineau’s interview with Monsef Derraji on QUB Radio:

Front Line Access Desk (GAP)

Cubs who do not have a family doctor can visit the emergency room within 36 to 72 hours. Already installed on Bas-Saint-Laurent, GAP will be used in all regions. By the end of the summer, 50% of orphans should have access to it. All FMGs will be connected to the system by the end of April. Patients can be treated by a health professional other than a doctor.

4000 more beds

Minister Dube wants to provide about 4,000 extra hospital beds to the health network. “We watched [pendant la pandémie] How important are the beds, ”he stressed. Currently, the beds are closed due to staff shortage and he wants to get the first 2,000 beds by hiring more staff. The other 2,000 beds will come from new constructions or extensions such as Vaudreuil-Soulanges.

Private reinforcement

Without giving a precise goal, the government will rely on the private sector to catch delays in operations.

Last year, 87,000 surgeries were performed by private clinics at no cost to patients, or 14% of surgeries performed annually in the province. With the epidemic, 160,000 people are waiting, about 20,000 of them for more than a year. Christian Dubey seeks the help of the private sector to reduce this list.

For example, during the vaccination campaign against COVID-19, it also seeks to increase the role of pharmacists in accelerating access to care.

Decentralization of administration

The government aims for a “radical change of governance” to decentralize management, thus empowering managers closer to the sector. “The department is very involved in the day-to-day administration of operations,” it says. An example: Local managers are assigned to each CHSLD to facilitate decision making and strengthen accountability.

Towards mixed pay

General practitioners will no longer have only fees for service, but will be partially standard (title). This method of payment takes into account the overall clients of the profession and further encourages physicians to see vulnerable patients. The change is expected to take place in the spring of 2023, once the new employment contract is signed.