Care Continuum


Trauma Care Continuum (TCC)

Continuous quality improvement objectives

Québec studies have shown that primary and secondary accident prevention measures, which are the first components of the TSC, have had a significant impact on lowering the death toll from road mishaps. Moreover, the mortality rate for victims of severe traumas who received TSC care decreased from 51.8% in 1992 to 8.6% in 2002.

The Trauma Services Continuum Team of the Institut national d’excellence en santé et en services sociaux (INESSS), according to its mandate under the Act and together with the Ministère de la Santé et des Services sociaux, determines indicators to maintain and improve the performance of all TSC components and ensures that this objective is met.

To document and evaluate the degree to which performance indicators for every component are achieved on an ongoing basis, a computerized assessment tool has been developed. This tool is hosted on a website that includes a secure section accessible only to partners of the trauma, health and social services network. That section contains the indicators and levels of achievement for each objective. A general section, to which the general public has access, provides information on trauma care and services and TSC members.

The main objectives of the website are to improve the effectiveness and efficiency of the Trauma Services Continuum by:

  • promoting continuous improvement of the services provided;
  • providing the means to monitor the activities of all 14 TSC components and service integration interfaces in real time;
  • evaluating the performance of all 14 TSC components based on recognized and approved indicators and standards;
  • acting as a vector of standardization and uniformity in the TSC.

The website has two sections:

  • an informative section providing relevant general information on traumatology (on line since December 13, 2005);
  • a transactional section presenting the indicators for evaluating the performance of all 14 TSC components (on line since February 23, 2006). 
Pre-collision Collision Post-collision