Conference Presentation
The following is a text version of the presentation given at the Conference on Timely Access To Health Care, held February 8-9, 2007 in Toronto, Ontario.
Improving Access to Specialized Services in Quebec: Assessment and Outlook
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Presentation Outline
Background: Supreme Court Decision
Quebec's response
- Institute a process ensuring access time
- Make institutions accountable for access to services
- Establish a new partnership with physicians
Imperatives
- Passage and coming into force of Bill 33
- Personalized follow-up on waiting patients and dates management
- Implementation of the central mechanism
- Designation of local and regional officials
Explanation of Access Mechanism
Segmentation of Wait Time
Single Priorities Grid and Form (Elective Surgery)
| Priority Level |
Access Time(Within) |
| Level 1 |
7 days (1 week) |
| Level 2 |
28 days (4 weeks) |
| Level 3 |
90 days (3 months) |
| Level 4 |
182 days (6 months) |
| Level 5 |
272 days (9 months) |
| Level 6 |
365 days (1 year) |
| Level 7 |
18 months |
- Need for surgery, signature and date (MD) + surgery requisition
- Patient's signature and date
- Receipt of request at at institution (date)
Working Groups
- Committee of Access Management: Access managers/physicians (local, regional and ministerial): every 2 weeks
- Committee of experts (once a month)
- Informatics committees (executive director, users, Canadian Classification of Interventions)
Wait List Information System
- Web-based
- Flexible, easy-to-use, progressive and intuitive
- Necessary for local management and for regional and national accountability
- Population information (data collection and reporting)
Conditions for Success Conditions for Success
- Gradual implementation, field by field, starting with surgery
- Clear process
- Clear responsibilities: hospital and physicians
- Role and collaboration of physicians
- Real wait list
- Close follow-up on patients
- Strong computer support
- Referral pathways ensured (second offer)
Conclusion
- Obligation to succeed to preserve the public health services system
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