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Network reorganization

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Organizational profile

The Act calls for the establishment of 13 Centres Intégré de Santé et de Services Sociaux (CISSS) and 9 Centres Intégré Universitaire de Santé et de Services Sociaux (CIUSSS).

The 13 CISSS will:

  • emerge from the merger of public institutions in the same region and, where appropriate, the health and social services agency in that region;
  • evolve within a management structure reduced from 3 to 2 hierarchical levels; and
  • be at the core of their Réseau Territorial de Services (RTS).

The 9 CIUSSS will:

  • be based on the same model as the CISSS;
  • be in a health and social service region with a university that offers a full undergraduate medicine program or operates a designated university institute centre for social services; and
  • exclude university hospitals, with the exception of CIUSSS Estrie, which has integrated the Centre hospitalier universitaire de Sherbrooke (CHU de Sherbrooke).

Non-merged or non-target institutions under the Act

Non-merged institutions include university hospitals (except CHU de Sherbrooke) and academic institutions.

Non-target institutions under the Act will maintain their current status.

Network reorganization on April 1, 2015

Non-merged institutions include university hospitals (except the CHU de Sherbrooke) and academic institutions.[D] Click on the picture to enlarge.

 

To properly integrate public services, each CISSS and CIUSSS will:

  • be at the core of a Réseau Territorial de Services (RTS);
  • be responsible for the delivery of care and services to the population of its health and social service territory, including the public health component;
  • assume populational responsibility for their health and social territory's population;
  • organize the core and complementary services in its territory as part of its multiple missions, (CH, CLSC, CHSLD, CPEJ, CR) based on the needs of its population and its territorial realities; and
  • enter into agreements with other institutions and partner organizations of the RTS (such as university hospital centres, medical clinics, family medicine groups, network clinics, community organizations, community pharmacies and external partners).

Main Actors of a Territorial or Local Health and Social Services Network.[D] Click the picture to enlarge.

To learn more about the April 1, 2015 network reorganization, please refer to the regional fact sheets (french only) This link opens a PDF file..

Roles and responsibilities shared by the MSSS and institutions

Following the adoption of the Act, the roles and responsibilities of the MSSS and institutions were redefined.

MSSS Institutions
  • Set priorities and the provincial direction and establish policy guidelines.
  • Plan and coordinate provincial services throughout Quebec.
  • Allocate the budgets to CISSS, CIUSSS and non-merged institutions based on their services-programs.
  • Ensure the organization and delivery of public health functions (promotion, prevention, monitoring and protection) and assume the coordination of services in this area with the regional public health directors.
  • Ensure the provision of medical services with subspecialty institutions operating a designated hospital centre designated CHU placed under its direct governance.

CISSS et CIUSSS

  • Plan, coordinate, organize and offer the population of its territory all health and social services, according to departmental guidelines, and determine the procedures for coordinating them.
  • Ensure regional human resource planning.
  • Conduct monitoring and accountability with the MSSS according to its expectations.
  • Ensure the management of the entire population of its territory, including the most vulnerable patients.
  • Ensure the management of easier access to services
  • Develop agreements and terms specifying the reciprocal and complementary responsibilities with partners of its Réseau Territorial de Services (RTS), such as physicians, community organizations, social economy enterprises, pharmacies and other private resources, with other institutions in the network. Integrate local service networks (LSNs) established for the benefit of the RTS.

7 non-merged institutions (CHUs and Institutes)

These non-merged institutions will keep the same roles and responsibilities they had before, with the exception of those assigned to the Minister and the MSSS.

Updated on : September 16, 2015

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