Population Based Responsibility: A Unique Canadian Experience in Population Health

Presented by the Initiative on knowledge sharing and skills development to meet the challenge of population-based responsibility (IPCDC)

Held March 26, 2015

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The reorganization of Quebec’s health and social services system in 2004 was based on the concepts of population-based responsibility and tiered services. To meet the challenge of exercising population-based responsibility, a consortium of several partners (IPCDC) was formed, in 2005. The members and the team of this Consortium guide the CSSSs, the regional agencies and their partners in organizational projects in order to strengthen action skills, knowledge sharing and the competencies required to accomplish change.

The origins, development, guidance methods and results of Initiative on knowledge sharing and skills development to meet the challenge of population-based responsibility will be presented in relation to the objectives of the Triple Aim for Populations developed by the Institute for Healthcare Improvement (IHI).

Learning Objectives:

  • Better understand the origins of the Consortium, its objectives and the outcomes
  • Understand the phases of the Consortium and their development
  • Explore their audiences, themes, tools, strategies and governance
  • Discuss the links between population-based responsibility and the IHI’s Triple Aim for Populations: improvement of the population’s health and a care experience at lower cost


Jean-Rochon-125Jean Rochon is currently a consultant with the Institut national de santé publique du Québec and performs that role in particular with the IPCDC (Initiative on knowledge sharing and skills development to meet the challenge of population-based responsibility).

In the course of his career, Mr. Rochon has been a member of the Quebec government where he occupied, among other posts, that of Minister of Health and Social Services (1994-1998). It was during his tenure that the Quebec government adopted, in 1998, the Tobacco Act which regulates tobacco use in public places throughout Quebec.

Dr. Jean Rochon has also served as:

  • Director of the Department of Social and Preventive Medicine at Université Laval (1970-1979)
  • Director of the Department of Community Health at the Centre hospitalier de l'Université Laval (1973-1979)
  • Dean of the Faculty of Medicine at Université Laval (1979-1985)
  • Chair of the Commission of inquiry into health and social services of 1985-1988 (also known and frequently referred to as the "Rochon Commission")
  • Assistant to the World Health Organization’s Director General for Europe in Copenhagen
  • Responsible for the creation of a public health programs directorate for all of the W.H.O. at its head office in Geneva

Pernelle Smits is a professor at the Management Department of the Faculty of Administrative Sciences (FAS) at Université Laval, and Researcher at the École nationale d’administration publique and Université de Montréal. Pernelle is also a member of the CHU de Qc Research Centre - FAS.

Pernelle holds a Ph.D. in public health/organization of care. She carries out research on evaluation policies, intersectoral governance and support for innovation. She has worked with Hôpital Ste-Justine de Montréal, the Agence de Santé et de Services Sociaux de Montréal, the MSSS and international organizations. She has directed projects funded by the Canadian Institutes of Health Research (CIHR), has received grants from the Fonds de Recherche du Québec en Santé and from federal bodies (SSHRC, IDRC), and has published papers in high impact-factor international journals. She teaches courses in health system management and in program and policy evaluation.

Denis RoyDenis A. Roy, MD, MPH, MSc, FRCPC, Clinical assistant professor, École de santé publique de l’Université de Montréal Associate professor, Université de Sherbrooke and McGill University

Denis A. Roy holds a community medicine specialty and is a Harkness Fellow of the Commonwealth Fund in Health Policy. Since 2009, he has served as the vice president of scientific affairs for Institut National de Santé Publique du Québec and is responsible for supervising the Institute’s comprehensive scientific program on the determinants of population health. Dr. Roy is also president of the Board of l'Initiative sur le Partage des Connaissances et le Développement des Compétences, a broad-based capacity building consortium aimed at health system improvement, and is the proud author of a recent book on health networks’ management and governance. Previously, Dr. Roy worked in three other executive leadership positions at Agence de la Santé et des Services Sociaux de la Montérégie, at Quebec Health and Social Services Ministry and at Montreal Public Health Department.

Dr. Roy holds an MD from Laval University. In addition, he earned a Master of Public Health at the University of California, Berkeley, and a Master of Science (Epidemiology) at McGill University. A fellow of the Royal College of Physicians in Community Medicine, he has been honoured with some prestigious awards, including an Excellence Award by the Quebec Association of Community Health Physician, and he is currently the only Canadian to have twice received the Canadian Health Services Research Advancement Award, which he obtained due to his outstanding work in Montréal and Montérégie.


Armand BoudreauArmand Boudreau holds master’s degrees in public administration and in social work. He started his career as a social worker and manager in northern Ontario, before becoming a senior manager in the Quebec healthcare system for 23 years. Since 2002 he has been self-employed as a management consultant.

He collaborates with the Canadian Foundation for Healthcare Improvement in the capacity of consultant and trainer in quality improvement as part of the Executive Training for Research Application (EXTRA) fellowship program and other collaborative projects under the Foundation’s umbrella.