Lecture 3: Quebec System and Acute Care

Question 1

Law 10 brought 182 institutions down to how many?

Answer 1

34

Question 2

who allocates budgets to CISSS/CIUSSSs?

Answer 2

MSSS

Question 3

which organization would be looking at the “big picture” things (ie things that might affect all canadians, promotion of healthier lifestyles, stop smoking initiatives etc)

Answer 3

Health Canada

Question 4

where is Quebec getting the $$ to pay for anything?

Answer 4

lotto quebec, the casino, sales and income tax, licencing fees…

Question 5

what centre deals with work-related injuries?

Answer 5

C(NE)SST (was CSST, now is CNESST?)

Question 6

Will SAAQ pay even if it was you that crashed your car?

Answer 6

yes, they pay irregardless of who crashed the car.

Question 7

a neurosurgeon is an example of what level of care?

Answer 7

tertiary

Question 8

all CISSS/CIUSSS have which 5 types of centres?

Answer 8

• CH (hospital)
• CRDP/CRDI (rehab centre)
• CLSC/CSSS (community centre)
• CHSLD (long term)
• CPEJ (youth)

Question 9

Other than the 13 CISSS and 9 CIUSSS ( 2 of which are in Montreal) there are 7 non-merged and 5 non-targeted institutions. What are the differences between them?

Answer 9

non-merged - most university institutions like MUHC and CHUM
NOTE all the CHUM centres sound really french and MUHC all sound english except lachine… handy way to know which belongs to which…

non-targeted - mostly in the far north.

Question 10

What are some benefits of Law 10?

Answer 10

one-stop shopping: more resources linked up so better flow of information and better flow through continuum of care (know when beds open up faster etc)

Question 11

what has the press criticized about law 10?

Answer 11

too much power to minister, less community feel, more workload, workers maybe forced to move

Question 12

The RUIS of McGill is huge, what level of care do these centres usually provide to these regions?

Answer 12

tertiary - not a lot of centres like these on baffin island…

Question 13

teams involving the patient and a common goal are:

Answer 13

Interdisciplinary

Question 14

a management structure with a PT/OT head is: (a)
with a stoke unit head: (b)
with both (c)
where are these usually seen?

Answer 14

(a) functional - small organizations
(b) program - hospital
(c) matrix - hospital

Question 15

You are in a busy acute care hospital. Jimmy has been double booked again for xrays, and he wants to talk in private about his privates but there is nowhere to go. You (a) mention he wants to talk, then (b) tell the doctor “you have to look at Jimmy’s privates”. You have used what levels of assertion?

Answer 15

(a) first level - observation

b) fourth level - direct order (probably won’t be well received

Question 16

It turns out you have mistaken Johnny for Jimmy, now Johnny is weirded out that someone asked about his privates. What safety procedure would have prevented this?

Answer 16

• checking the ID bracelet so you know who you are talking to/about.