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
“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
27 h 29
Montreal University Institute of Mental Health
26 h 50
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
23 h 57
Lakeshore General Hospital (Pointe-Claire)
23 h 53
23 h 48
Montreal University Hospital Center (CHUM)
22 h 49
Honoré-Mercier Hospital (Saint-Hyacinthe)
20 h 36
20 h 20
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
18 h 19
Douglas Mental Health University Institute
18 h 18
Lachine Hospital (MUHC)
17 h 50
Pierre-Le Gardeur Hospital
17 h 46
17 h 38
* 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