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New PATIenTS program: 4 tangible projects to improve life trajectories in Quebec

Through the PATIenTS program, the activation of the Québec learning health system (LHS) is being carried out in the RUISSS territories of Québec through four tangible projects over a one-year period.

The Unité de soutien SSA Québec is launching the Life Trajectory Improvement and Innovation Partnerships in Transition to Sustainable Health (PATIenTS program) in collaboration with the four integrated university health and social services networks (RUISSSs). Through the PATIenTS program, the activation of the Québec learning health system is being carried out in the RUISSS territories of Québec through four tangible projects over a one-year period.

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The PATIenTS projects support the improvement of life trajectories with SSA-RUISSS teams, in collaboration with the RUISSSs, institutions and universities in their territory. These trajectories are targeted in line with the priorities of the Ministry of Health and Social Services.

  • 1 project / RUISSS
    • The financial contribution of each RUISSS is at least equivalent to that of the Unité de soutien SSA Québec
  • To support the analysis and improvement of trajectories for specific health problems or issues
  • In response to the needs identified by the people involved in the field
  • Immediate added value for the health and social services network

Improving life trajectories by working together rather than improving processes in silos

With its PATIenTS program, the Unit proposes to improve life trajectories by working in partnership rather than improving processes in silos.

With each RUISSS having its own trajectory improvement project, the Québec learning health system (LHS) is activated in the field through promising projects. The ultimate aim of this program is to achieve the quintuple aim.

Ultimately, the Unit seeks to support and facilitate the activation of Québec’s new network of learning health and social services systems.

Action plan

Eligibility criteria and conditions

Projects in the PATIenTS program must meet the following criteria:

  • Sélection d’une trajectoire de vie :
    • Complete and a priority for the RUISSS and its institutions
    • Potentially transferable to all four RUISSSs
    • Relevant to Ministry of Health and Social Services (aligned with its priorities)
    • Characterized by the complete patient journey including trajectory mapping
  • Consideration of all of each RUISSS’s environments, including remote regions and indigenous territories, where relevant
  • Project done in partnership with all stakeholders involved in research, care and management, patients and concerned communities
  • Project leveraging the Unit’s LHS expertise to address the quintuple aim
  • Team reporting based on the Unit’s performance measurement framework
  • Achievement of the deliverables described in this program
  • Relevant and realistic data acquisition and structuring strategy
  • Use or deployment of existing technologies
  • Consideration of the well-being of human resources, the feasibility and acceptability of the project by them
  • Obtaining a clear commitment from the RUISSS for its $250,000 match for the year 2023

Year 1 Deliverables

  • Cartographies de la trajectoire :
    • Theoretical: including clinical and organizational best practices
    • Field: including experiential data from all people involved in the trajectory
  • Improvements to be made based on the differences between the ideal trajectory (theoretical) and the observed trajectory (field) (in list form)
  • One tangible action (minimum) leading to a continuous quality improvement cycle (in the form of a PDSA cycle or other continuous improvement methodology that includes evaluation of the impact of change)
  • Identification of indicators to measure and monitor each element of the quintuple aim in relation to the identified improvements (in list form), including data sources for the indicators
  • Initial measurements (time 0) of identified indicators to use as baseline indicators for Year 2

4 concrete projects

Improving a care trajectory related to respiratory infections: RUISSS McGill activates the PATIenTS program in its territory

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Improving practices and the trajectory of services for people with common mental disorders in primary care: the RUISSS Université de Sherbrooke activates the PATIenTS program

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Improving the trajectory for people without a family doctor going through the Guichet d’accès à la première ligne (GAP): the RUISSS Université de Montréal activates the PATIenTS program

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Improving the trajectory of seniors in the transition from home to residential care: RUISSS Université Laval activates the PATIenTS program

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