Assessing patient pathways to improve integrated, people-centred care: the Quebec MSSS experience
Notice bibliographique
Résumé
Background: The Ministere de la Sante et des Services Sociaux of Quebec (MSSS) pioneered an innovative patient pathway accreditation initiative with Accreditation Canada to advance integrated care by unifying standards across patient pathways, and organizational and professional boundaries to enable high-quality services that meet the needs of people and communities.Citizens, community and service organizations, and policy makers with an interest in evaluating its programs and services and promoting continuous improvement and the development of integrated, people-centred care. Approach: The Quebec MSSS is the government department responsible for overseeing public health and social services in the province of Quebec, Canada. The MSSS has a broad mandate, including the planning, coordination, funding, and evaluation of health and social services across the province.The MSSS serves 8.7 million, and growing, residents of Quebec and is structured to provide comprehensive, integrated, and high-quality services to all residents, ensuring that the system is responsive to the needs of the population. A province-wide patient pathway accreditation cycle was co-designed with Quebec MSSS and Accreditation Canada to meet its unique and integrated structure and to uphold quality and safety through assessment.Quebec's health and social services system is characterized by a high degree of integration on three levels. The The Ministere de la Sante et des Services Sociaux of Quebec (MSSS) is the government entity responsible for developing and implementing health and social services policies in the province. It establishes strategic orientations, policies and allocates resources. On the other hand, the new Sante et des Services Sociaux of Quebec agency was created to operationalize the orientations and policies of the MSSS, and to supervise health and social services establissements. The latter are organizations that provide direct health care and social services to users. Each establissement reports to Sante et des Services Sociaux of Quebec , and may include one or more hospitals, local community service centers, long-term care hospitals, rehabilitation services, mental health and addiction services, and others. Results: 30 public establishments took part in the first patient pathway accreditation cycle between 208 and 2023. The accreditation process engages with senior management, service providers, clinical teams, patients, and family caregivers in each public establishment. Over 00,000 stakeholders expressed their perceptions of quality and safety through 5 surveys in areas such as governance, staff mobilization, quality of life at work, patient safety culture and patient experience.The Quebec accreditation program is based on more than 50 co-designed quality standards from Accreditation Canada. The program covers a 0-year period organized in two five-year cycles (208-2023 and 2023-2027), including areas of focus such asleadership, governance, public health, infection prevention and control, medication management, telehealth and the evaluation of programs and services along a patient pathway, including at transitions of care and coordination of services. Qualitative and quantitative assessment methods are used to understand integrated, quality and safety practices aligned to national and international quality standards. ImplicationsThe patient pathway assessment aims to develop a culture of continuous improvement for the benefit of patients, family care givers, and communities. A co-designed accreditation program that meets specific structural and population needs enables a clear understanding of strengths and weaknesses along a patient pathway, the ability to unify practices and standards across professions and organizations. Learn how gaining a better understanding of patient pathways has helped to illustrate gaps in transitions of care, resulting in more informed decision-making at the organizational and ministry levels. Learn how to build patient safety and quality into an everyday practice by mapping your own jurisdiction patient pathway journey.The second phase of implementation occurs 2024-2027. Improvements will be applied to continue to co-design an assessment program that meets the needs of Quebec and of its residents.
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Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,006 | 0,012 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,008 | 0,003 |
| Communication savante | 0,003 | 0,002 |
| Science ouverte | 0,002 | 0,004 |
| Intégrité de la recherche | 0,001 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,009 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».