[Guidelines and standards, English version updated in June 2020: requirements relating to the institutions responsible for the operation of acute healthcare facilities designated within the Quebec trauma network]

Gonthier C, Truchon C, Trudelle N
Record ID 32018000975
Original Title: Guide et normes: exigences relatives à la désignation des installations de soins aigus dans le réseau québécois de traumatologie
Authors' objectives: The Quebec trauma network includes some sixty (60) acute healthcare facilities, designated and organized into a five-level hierarchy (tertiary – adult or paediatric population; regional secondary; secondary; primary; and stabilization center) based on the specialization of services and resources available. To operate a facility designated in traumatology, an institution must meet a series of requirements or compliance elements specific to their respective level of designation. The latest revision of the requirements on which the designation of the Quebec network of healthcare facilities is based goes back to 2001. Following an update of the trauma requirements published by a number of international organizations, INESSS undertook a process to review them in 2012. With the enforcement of the Act to modify the organization and governance of the health and social services network, in particular by abolishing the regional agencies, the reorganization of the health care network made it necessary to review the process used to assess the compliance of institutions responsible for the operation of designated facilities with the requirements. This document aims to present the requirements selected after the review process and their status (essential, optional, or not required) for each level of trauma designation, and the scientifc bases supporting their selection.
Authors' results and conclusions: RESULTS: The framework consisting of a selection of 247 requirements is now organized in six themes: 1) Institutional commitment and facility consultation structure 2) Interinstitutional transfer agreements 3) Availability and training of trauma care human resources 4) Health care facility trauma data 5) Technical platforms, procedures and algorithms 6) Prevention, teaching, research and network support activities To facilitate the monitoring of the implementation and observance of requirements by each institution responsible for the operation of one or several facilities designated within the Quebec trauma network, INESSS developed reporting tools, called templates. A specific template is available for each theme, for a total of six templates to be implemented gradually throughout the Quebec trauma network. With these templates, each institution and its designated facilies will be able to monitor the requirements associated with its level of designation, for the sake of continuous quality improvement.
Authors' methods: INESSS started by reviewing the scientific literature from accreditation and audit agencies widely acknowledged among the trauma care community, then conducted a vast consultation among Quebec experts in order to select the necessary requirements for the designation of acute care facilities. Lastly, the model of reporting used to assess the conformity of the requirements was then revisited with the objective of simplifying the process and making the method of documenting expected compliances more objective.
Project Status: Completed
Year Published: 2018
English language abstract: An English language summary is available
Publication Type: Other
Country: Canada
Province: Quebec
MeSH Terms
  • Trauma Centers
  • Emergency Service, Hospital
  • Delivery of Health Care
  • Emergency Medical Services
  • Accreditation
Organisation Name: Institut national d'excellence en sante et en services sociaux
Contact Address: L'Institut national d'excellence en sante et en services sociaux (INESSS) , 2021, avenue Union, bureau 10.083, Montreal, Quebec, Canada, H3A 2S9;Tel: 1+514-873-2563, Fax: 1+514-873-1369
Contact Name: demande@inesss.qc.ca
Contact Email: demande@inesss.qc.ca
Copyright: Gouvernement du Québec
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.