The Institut national d’excellence en santé et en services sociaux (INESSS)
As previously mentioned, in June 2010, the Act respecting the Institut national d’excellence en santé et en services sociaux was assented to by the National Assembly. The Act resulted in the merger between the Conseil du médicament and AETMIS. The mandate of the Trauma Services Continuum Assessment Team was redefined by the Act to be more precise. The Team’s current mandate is to:
- Continue, update and complete the work that had been mandated to the Société de l’assurance automobile du Québec (SAAQ) until 2009 and to AETMIS thereafter. This work aims to strengthen the trauma network and monitor the assessment functions of 14 Trauma Services Continuum (TSC) components to continuously improve the quality of care available to trauma victims.
- After monitoring:
- Identify new evidence in traumatology;
- Gather evidence and develop clinical protocols and best-practice guides that are, if necessary, based on new studies;
- Recommend the guides to be adopted, and work in conjunction with the Ministère de la Santé et des Services sociaux to disseminate and implement the guides;
- Determine the criteria for implementing and evaluating results through the use of a matrix, quality indicators, and balanced scorecards;
- Make the necessary recommendations to the various stakeholders and, together with the Direction of General Medical and Prehospital Services, ensure the follow-up of these recommendations;
- Develop assessment procedures, performance indicators, and a model to disseminate information;
- Promote scientific assessment;
- Ensure the collaboration with experts and partners in the development of the guides;
- Update the guides and recommendations, following a determined timeline, and disseminate them to the appropriate health professionals.
- Take part in various committees required to fulfill its mandate.
- Submit to the Minister within the established deadlines the recommendations developed in the course of the Team’s mandate, recommendations which may concern the organization of services, facility designations or any other matter deemed necessary to improve the quality of care given to trauma victims.
- Operate a website on the continuous improvement of quality of care offered to trauma victims, and keep the site up-to-date following scientifically recognized standards of practice.
Ministère de la Santé et des Services sociaux (MSSS)
The mission of the Ministère de la Santé et des Services Sociaux (MSSS) is to maintain, improve and restore the health and welfare of Quebecers by providing integrated and quality health care and social services. It is therefore responsible for organizing and dispensing health care and social services at the government level. It bears sole responsibility for the entire trauma care and services program. It must also report on its management.
Responsibilities of the MSSS to the Trauma Services Continuum (TSC):
- It establishes policies to develop and strengthen the Trauma Services Continuum;
- It supports research on improving services provided to trauma victims;
- It implements and chairs a joint MSSS-INESSS committee, which is in charge of resolving any issues that arise and enhancing the TSC;
- It chairs the various committees that report to it and coordinates their work;
- In conjunction with INESSS, it coordinates dissemination and implementation of the best-practice guides recommended by INESSS;
- It ensures INESSS’s recommendations applicable to all TSC stakeholders (MSSS units, regional agencies and facilities) are implemented;
Société de l’assurance automobile du Québec (SAAQ)
The mission of the SAAQ is to protect and insure individuals against risks related to use of the highway system. It operates within an integrated management framework that covers prevention, inspection, compensation and rehabilitation. As trustee, the SAAQ is also responsible for managing the Fonds d’assurance automobile du Québec, which is reserved for compensation of highway accident victims.
- The SAAQ’s contribution to trauma care and services:
- It implements advertising campaigns to promote highway accident prevention;
- Tough service agreements with health care and social service institutions, it ensures that accident victims receive rehabilitation and supports incentives to enable victims to participate in society.
- It supports research development to improve the organization of services provided by the Trauma Services Continuum.