Healthcare Transformation Update: MUHC Redevelopment Project
Discussing the changing landscapes in healthcare at the CAAHP conference in Ottawa, Dr. Ewa Sidorowicz highlights the MUHC redevelopment project in Montreal. The initiative involves significant investments, collaboration, and a vision to innovate healthcare delivery. Explore the project's impact on the healthcare practice and the opportunities it presents for harmonizing and standardizing services and workflows.
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Changing landscapes in healthcare Presentation and discussion CAAHP conference Ottawa May 29th2014 Ewa Sidorowicz MDCM, FRCP(c), MSc ADG medical Affairs and DPS McGill University Health Center Montreal
Disclaimer! I am a physician with some knowledge of the complexity of the work of all of the allied professionals, but certainly not an expert. I am happy to be here with you to share some of what is going on in Quebec, but mainly I am eager to understand the views of the ROC! 2 CAAHP Conference Ottawa 14-05-29
Outline Update from the MUHC and healthcare transformation in the greater Montreal area; Transformation in healthcare practice 3 CAAHP Conference Ottawa 14-05-29
About the MUHC A new hospital born in 1997 from the merger of the Royal Victoria, Montreal General, Montreal Chest Institute, Montreal Children s and Montreal Neurological Hospitals. Each component rich in history and tradition; In 2008 the final component is added, the Lachine hospital, a community partner. 4 CAAHP Conference Ottawa 14-05-29
MUHC redevelopment project A terrific idea which was hijacked onto a shocking and shameful path, but which will come to fruition thanks to the hard work of a resilient and proud organization, thousands of devoted healthcare workers, appreciative patients and volunteers 5 CAAHP Conference Ottawa 14-05-29
MUHC Redevelopment project 2.25 billion dollar investment in to the new Glen site hospital, the Montreal General Hospital and Lachine Hospital; Funded by the Quebec Government, a CFI grant of 250 million dollars and 300 million raised through the Best Care for Life Campaign; Massive transformation supported by a transition office which is accompanying some 50 different projects. 6 CAAHP Conference Ottawa 14-05-29
MUHC Redevelopment project A once in a lifetime opportunity to harmonize and standardize practice; A once in a lifetime opportunity to review work flow and service organization; A once in a lifetime opportunity to innovate healthcare delivery. Examples: interventional platform at the Glen site, 7 CAAHP Conference Ottawa 14-05-29
The Glen site, 2010 8 CAAHP Conference Ottawa 14-05-29
View of the Glen site, July 2013 9 CAAHP Conference Ottawa 14-05-29
Glen site, September 2013 10 CAAHP Conference Ottawa 14-05-29
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Glen site stacking diagram 13 CAAHP Conference Ottawa 14-05-29
A complex series of moves 16 CAAHP Conference Ottawa 14-05-29
Montreal Metropolitan Landscape, so called 450-514 Besides the MUHC, the Centre Hospitalier Universitaire de Montr al is also building a new hospital, and Ste-Justine University Hospital is also expanding as is the Jewish General Hospital; There is a Ministry mandated shift in the offer of services towards the regions and away from downtown Montreal; MUHC and CHUM to focus on tertiary and quaternary care with less emphasis on primary and secondary care. 17 CAAHP Conference Ottawa 14-05-29
Transformation in healthcare practice An overview of the allied professionals in Quebec. Staff shortage are unfortunately present throughout most groups 18 CAAHP Conference Ottawa 14-05-29
Bill 90 (physical health) Adopted June 14th, 2002 Ce projet de loi pre voit un nouveau partage des champs d exercice professionnels dans le domaine de la sant et les activite s de sormais re serve es aux me decins, aux pharmaciens, aux infirmie res et infirmiers, aux technologues en radiologie, aux die te tistes, aux orthophonistes et audiologistes, aux physiothe rapeutes, aux ergothe rapeutes, aux infirmie res et infirmiers auxiliaires, aux technologistes me dicaux et aux inhalothe rapeutes. 19 CAAHP Conference Ottawa 14-05-29
The objectives Abolish certain barriers Better permeability between professions Loosening of the legal and regulatory framework More flexibility Increase multi and inter disciplinarity Improve inter and intra professional collaboration Recognition and optimization of competencies Improve organization of services and work flow 20 CAAHP Conference Ottawa 14-05-29
Bill 90 Took away the necessity for delegation; Gave the right of title and the right of practice; Requirement to belong to a professional Order; In general seen as a positive step, though certainly did nothing to curtail, and in some cases worsened turf wars; Some excellent work: radiology techs and nurses in the cath lab document. 21 CAAHP Conference Ottawa 14-05-29
Bill 21 (psychosocial health) 2009 Reviewed scope of practice of Social Workers, psychologists, occupational therapists and others For psychologists there was a major change in terms of scope of practice with the ability to make a diagnosis amongst others. 22 CAAHP Conference Ottawa 14-05-29
Some of the various professionals in Quebec and their training CEGEP UNIVERSITY Physiotherapy (Master s) Radiology techs Occupational Therapy (Master s) Laboratory techs Speech pathology (Master s) Social Service techs (data collection) Psychology Clinical Nutrition Physiotherapy techs Social Service (Bachelor + Master s) Nutrition techs Perfusionists (new post bachelor s program) 23 CAAHP Conference Ottawa 14-05-29
A bit more about imaging: MSSS focus on access In Quebec, colleges offer a 3-year DEC program in Radiological technologies, Radiation therapy, Electrophysiology & Nuclear medicine. The radiological technologies program includes disciplines such as Ultrasound, Mammography, CT, Angiography & MRI. Advanced certification can be obtained for all disciplines through institutions in Quebec, as well as in other provinces and through providers (public and private) like Berwin, BCIT and The Michener Institute. In Quebec, an ultrasound technologist can obtain an attestation of autonomous practice and perform ultrasound examinations without the presence of a specialist., if the criteria are met. Criteria: 5 years experience ( min 26 weeks/yr.) or number of exams (1000 exams in vascular; 1000 exams in cardiac; 2500 exams in abdominal or surface, 2500 exams in obstetrics; 1000 exams in Mammography; 1000 exams en MSK, 50 exams nuchal scan measurements; with a written confirmation from the employer. Ultrasonographers need to maintain their skills with a minimal amount of courses and / or examinations per year. 24 CAAHP Conference Ottawa 14-05-29
About the MUHC The work setting The allied professionals report to three different ADGs: ADG clinical operations, adult sites ADG pediatric site ADG medical affairs and DPS (imaging and laboratory services) 25 CAAHP Conference Ottawa 14-05-29
What do we need to aim for Emphasis needs to be focused on enhancing interdisciplinary work with the allied professionals, nursing and physicians: Admission (example psychiatry TCAB initiative) Discharge planning (daily huddles) Organization of care around interventional and cardiac imaging How we get there requires integrated training at the earliest possible moment. 26 CAAHP Conference Ottawa 14-05-29
Questions? 27 CAAHP Conference Ottawa 14-05-29
