EXTRA Team Photo

Centre intégré de santé et de services sociaux Laval (Québec)

  • Marina Larue, Directrice des soins infirmiers, Centre intégré de santé et de services sociaux de Laval, Laval, Québec
  • Isabelle Legault, Adjointe à la présidente-directrice générale adjointe, Centre intégré de santé et de services sociaux de Laval, Laval, Québec
  • Ève Riopel, Directrice médicale adjointe à la direction des services professionnels, Centre intégré de santé et de services sociaux de Laval, Laval, Québec

Implementing and Sustaining the Practice of Levels of Care

This project consists in helping physicians and healthcare teams integrate, into their practice, discussions with patients and their families, on care targets in serious illness or end-of-life situations. Although quality care requires that the patient’s needs and preferences be taken into account, often, in end-of-life care, their needs are not known.  The practice of levels of care seeks to open up dialogue and give thought to a patient’s needs should a situation arise when it is no longer possible to obtain his or her consent. This enables patients to constantly play a role in the process they are involved in. It has been demonstrated that, despite a desire expressed by patients for this type of process, levels of care are not sufficiently alluded to by healthcare professionals.  Beyond the positive impact on the patient and his or her family, it has been noted that the assessment of levels of care also has a beneficial impact on the number of hospitalizations and resource utilization.

It is, therefore, our objective to enable as many patients as possible with advanced chronic health issues to benefit from discussions on levels of care thanks to the creation and implementation of an institutional policy. Targeted training, information and promotion interventions will be set up in order to maximize integration of this practice in the healthcare services currently offered at CISSS Laval. Attempts will be made to get as many healthcare teams onboard as possible. The impact on the quality of care will also be assessed.