Linkage of the different components of the trauma care continuum depends on different partners with particular mandate and responsibilities creating synergy and delivering complementary services.
Ministère de la Santé et des Services sociaux (MSSS)
The mission of the MSSS is to maintain, improve and restore the health and well-being of Québecers by providing access to a range of integrated, high quality health and social services. It is therefore responsible for organizing and managing services for trauma victims and their families at the government level. The MSSS bears sole responsibility for the entire trauma care and services program.
The main responsibilities of the MSSS with respect to the TCC are as follows:
- Establish policies to develop and strengthen the TCC.
- Support the development of research to improve services delivered to trauma victims.
- Implement and chair a joint MSSS-INESSS committee tasked with resolving issues that may arise and improving the TCC.
- Chair various committees that report to it and coordinate their work.
- In conjunction with INESSS, coordinate dissemination and implementation of best-practice guides recommended by INESSS
- Ensure implementation of INESSS recommendations for all TCC stakeholders (MSSS units, institutions and facilities)
Institut national d’excellence en santé et en services sociaux (INESSS)
INESSS’s trauma and critical care evaluation unit is responsible for continuing, updating and completing the work mandated to the SAAQ until 2009 and to AETIMIS thereafter. This work aims to strengthen the trauma care network and monitor the components of TCC, the goal being continuous improvement of the quality of services provided to trauma victims.
Accordingly, the trauma and critical care evaluation unit has been working in four main areas of activity since its integration in INESSS in 2011:
- Planning and coordination of assessment cycles (designated facilities, consortiums, etc.) – recommendation of designation maintenance or modification. This involves the following:
- Development, revision and operationalization of assessment matrices (requirements)
- Monitoring of compliance with requirements (structure, procedure) together with the MSSS
- Collaboration with the MSSS in follow-up on recommendations
- Special inspections at the request of the MSSS
- Analysis of data from the SIRTQ (Québec’s trauma registry information system) and production of quality and performance reports on TCC facilities, consortiums and centres of expertise
- Development of tools and protocols to support clinical practice and provision of support for their implementation
- Decision-making support for the MSSS on service organization, guidelines, changes and any other matter related to maintaining and improving the quality of trauma care services
Société de l’assurance automobile du Québec (SAAQ)
The SAAQ’s mission is to protect and insure individuals against the risks of road use. The SAAQ operates within an integrated management framework that covers prevention, inspection, compensation and rehabilitation. As trustee, the SAAQ is also responsible for managing Québec’s insurance fund for compensation of victims of traffic accidents (Fonds d’assurance automobile du Québec).
The SAAQ’s contributions to trauma care and services include the following:
- Implements advertising campaigns to promote prevention of traffic accidents
- Financially supports rehabilitation and reintegration services for victims of traffic accidents through service agreements with the MSSS
- Supports the development of research to improve the organization of services provided by the trauma care continuum
Commission des normes, de l’équité, de la santé et de la sécurité du travail (CNESST)
The CNESST is mandated by the Government of Québec to administer the province’s occupational health and safety regime. To this end, the CNESST oversees the application of two laws:
- The Act respecting occupational health and safety, whose goal is to eliminate hazards to the health, safety and physical well-being of workers at the source
- The Act respecting industrial accidents and occupational diseases, whose goal is to provide compensation for employment injuries and the consequences they entail for workers and to collect from employers the sums required to administer the regime
The CNEEST’s contribution to trauma care is mainly in the following areas:
Prevention and inspection
- Support for worker and employer initiatives to eliminate hazards in the workplace at the source
- Workplace inspections
- Promotion of occupational health and safety
Compensation and rehabilitation
- Compensation of workers who have suffered an occupational injury or are victims of a crime (IVAC)
- Rehabilitation of workers with a permanent mental or physical impairment resulting from an occupational injury