Here are the 25 worst emergencies in Quebec

The Quebec government has drawn up a blacklist of the 25 worst emergencies that have one year to reduce their waiting time thanks to a precise plan for de-congestion and close follow-ups, has learned The newspaper.

“People have to learn to work differently,” believes Dr. Élyse Berger, national medical director of prehospital at the Ministry of Health and Social Services (MSSS).

Despite several reforms in recent years, waiting times in several emergencies in Quebec are stagnating.

A list of the 25 worst hospitals has been drawn up by the MSSS, according to different access criteria and treatment times.

The vast majority of hospitals are located in the greater Montreal area. Already, 17 establishments have been visited by the MSSS team. Further evaluations and follow-ups will take place this summer and fall.

Each hospital is assessed on the basis of around a hundred criteria relating to the emergency, but also surgery and hospitalizations. The objective is to relieve congestion at each establishment thanks to a personalized plan.

Currently, several emergencies have an average length of stay on a stretcher of more than 20 hours, far from the target of 12 hours. Within a year, the MSSS will require a 25% improvement in certain indicators. Several follow-ups will be done during the year.



Dr. Lucie Opatrny, Assistant Deputy Minister MSSS



SCREENSHOT

Dr. Lucie Opatrny, Assistant Deputy Minister MSSS

“It takes interim goals. We have to agree to find a bold but doable goal, ”says Dr. Lucie Opatrny, Assistant Deputy Minister of Health.

Doctors will also have performance reports to compare their effectiveness. A new approach well received by the Association of specialists in emergency medicine of Quebec.

“We have to regulate ourselves internally,” says Dr. Gilbert Boucher, president. They are cultures of improvement. The goal is not to be negative, but to standardize practices. ”

Even if some employees are skeptical about the potential results according to the MSSS, we are assured that the objectives are achievable.

“Our approach is collaborative and solution-oriented,” adds Dr. Opatrny. People have a lot to do. But we can’t ignore [la situation]. Otherwise, the 100% occupancy today will be 140% in September. ”

There is no budgetary envelope dedicated to the decluttering project, but sums can be released if necessary, says the MSSS.

  • The Coalition Avenir Québec’s electoral promise to see a doctor in 90 minutes in the emergency room in 2018 has not been reached in several places

These 25 hospitals are closely monitored by the STAT team (Support, Transformation, Access, Field) of the Ministry of Health and Social Services to improve waiting times in the emergency room.

Santa Cabrini Hospital

27 h 52 *

Suroît Hospital (Salaberry-de-Valleyfield)

27 h 50

Albert-Prévost Pavilion

27 h 29

Montreal University Institute of Mental Health

26 h 50

Saint-Jérôme Hospital

25 h 28

Le Royer Hospital (Baie-Comeau)

24 h 37

Anna-Laberge Hospital Center (Châteauguay)

24 h 36

Royal Victoria Hospital (MUHC)

24 h 22

Maisonneuve-Rosemont Hospital

23 h 57

Lakeshore General Hospital (Pointe-Claire)

23 h 53

Notre-Dame Hospital

23 h 48

Montreal University Hospital Center (CHUM)

22 h 49

Honoré-Mercier Hospital (Saint-Hyacinthe)

20 h 36

Hull hospital

20 h 20

Gatineau Hospital

20 h 04

Charles-LeMoyne Hospital (Longueuil)

19 h 37

Saint-François d’Assise Hospital (CHUQ)

18 h 46

L’Enfant-Jésus Hospital (CHUQ)

18 h 37

Pierre Boucher Hospital (Longueuil)

18 h 26

Saint-Eustache Hospital

18 h 19

Douglas Mental Health University Institute

18 h 18

Lachine Hospital (MUHC)

17 h 50

Pierre-Le Gardeur Hospital

17 h 46

Granby Hospital

17 h 38

LaSalle Hospital

16 h

* average length of stay on a stretcher in the emergency room in 2020-2021, data from the MSSS

Example of measured performance indicators

Referral of patients to clinics

Time slots with sufficient availability

Customer assessment upon arrival at the emergency room

Mechanisms to limit return to emergency

Prioritization of leave

Response time to the specialist consultation

Alternatives to the stretcher (ex: geriatric chairs)

Percentage of admissions same day of surgery

Number of patients treated by doctor

Management of overtime

Physician performance report

Source : MSSS

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