EXTRA Team Photo

Centre intégré de santé et de services sociaux (CISSS) de la Montérégie-Ouest (Québec)

  • Stéphane Dubuc, Directeur des services multidisciplinaire et de l’enseignement universitaire, CISSS de la Montérégie-Ouest, Châteauguay, Québec
  • Mélanie Caron, Chef du département de pharmacie, CISSS de la Montérégie-Ouest, Châteauguay, Québec
  • Sophie Poirier, Directrice adjointe, Direction des services multidisciplinaires, CISSS de la Montérégie-Ouest, Châteauguay, Québec
  • Marie-Josée Roy, Directrice adjointe ID-ASD-PD(DI-TSA-DP), CISSS de la Montérégie-Ouest, Châteauguay, Québec

Innovating to Establish Community Care and Services for Stroke Patients

The healthcare reform initiated under Bill 10 requires that organizations meet a series of objectives in order to comply with the Ministry of Health and Social Services (MSSS)’s strategic plan. Among these is the implementation of a local care continuum for people who are at risk of or have suffered a stroke. An environmental scan enabled us to identify various challenges currently experienced by stroke patients such as access to care, continuity of care, especially at transition points, flow of information between different stakeholders and coordination of services.

In our current organizational structure, implementing a local continuum would depend upon the coordination of work between six clinical directorates to achieve specific time-sensitive targets. The fact that clients are spread across the entire catchment area is an additional challenge for implementing state-of-the-art practices across the continuum. Therefore, the creation of an integrated management structure for all stroke-patient related activities under a single clinical management entity appears to be an innovative solution to this sizable challenge. This project reflects our organization’s desire to focus on achieving the MSSS’s strategic priorities, the expectations of the Steering Committee regarding organizational capacity and the willingness of the Board of Directors to promote a patient as partner approach for all large-scale projects.