CS2 – Cross Country Check-upAround the Table

What Issues Are Filling Your Days?Québec

Gnahoua Zoabli, P.Eng., M.Eng., Ph.D.Chief of biomedical engineering depertment

CSSS Du Lac-Des-Deux-Montagnes

www.zoabli.com

2014 CMBEC37 Conference, Vancouver, BCMay 21 – 23, 2014

2014 CMBEC37 Conference, Vancouver, BCMay 21 – 23, 2014

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Major Changes in CE

• Major changes in biomedical engineering in Quebec– September 2008: Ecole Polytechnique de Montreal started in Quebec

the first Canadian undergraduate program in bio-medical engineering. Followed by Ontario (Toronto) and BC (Vancouver).

• http://www.polymtl.ca/carrefour/article.php?no=2841

• More than 60% of the students are women

– October 2008 : Bill regarding regroup purchase for public organizations (Health & Education)

• Four (4) geographic regions

2014 CMBEC37 Conference, Vancouver, BCMay 21 – 23, 2014

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Rebuild of Montreal Major University Hospitals

• MUHC (McGill University Health Center). Opening in 2015

• CHUM (Centre hospitalier de l’Université de Montréal). Opening in 2015

2014 CMBEC37 Conference, Vancouver, BCMay 21 – 23, 2014

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Rebuild of Montreal Major University Hospitals (Cont’d)

• Mother-Child University hospital CHU Ste-Justine is extending• The hospital and the Research Center• with the project ‘Grandir en santé [Growing Healthy]’ – Opening in 2016• http://www.hsj.qc.ca

• Jewish General Hospital new Pavilion K• Focus on patients requiring emergency treatment, surgery, or intensive,

coronary, or neonatal intensive care• http://jgh.ca/fr/pavillonk or http://jgh.ca/en/pavilionk

2014 CMBEC37 Conference, Vancouver, BCMay 21 – 23, 2014

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Directives of the MSSS

• Mandatory regroup purchase for a list of medical devices– Medical Imaging– Strategic devices– All developments approved by MSSS

• Restrictions regarding Portable ultrasound Scanners– One scanner for ER– One scanner for Anesthesia– Otherwise, a radiologist or ultrasound technologist is required– Problems with affected specialties

• Urology : US guided prostate biopsy• ICU : US screening• Birth Planning : Voluntary Abortion Program.

• Healthcare Technology Assessment Bureau (INESS) is now working according to recent (Feb. 2014) MSSS Mandatory regroup purchase Directive

2014 CMBEC37 Conference, Vancouver, BCMay 21 – 23, 2014

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APIBQ

• Executive Board working on new Mission and Values

• Revision of By-Law (Statut et règlements intérieurs)

• AFIB – APIBQ annual conferences mutual attendance• 1-to-2 Delegates from each Executive Board

• CMBES-APIBQ Memorandum of Understanding (MOU)• 50% discount for membership fees (common members)

2014 CMBEC37 Conference, Vancouver, BCMay 21 – 23, 2014

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CECRHealth Canada Security Code 35 (in

Quebec)

• Completed Guidelines documents– CT Scan (May, 2013)– Radiography/Fluoroscopy (to be released in 2014)

• Work in progress– Digital radiography– Digital Mammography– PET-CT– Standardization of radiation dosimetry technical reports

2014 CMBEC37 Conference, Vancouver, BCMay 21 – 23, 2014

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PQDCSQuebec program for early detection of

breast cancer

• Mammography Guidelines for PQDCS (1998, 2006)

• APIBQ releases an annual list of Accredited mammography radioprotection physicists in Quebec

– http://www.apibq.ca/client_file/upload/document/Radioprotection/Liste_APIBQ_Accreditation_Mammo_2010-2011.doc

– Consulted by all hospitals prior to hiring medical physicists for PQDCS radioprotection and quality controls Programs

Integrated EMR for Medical Imaging & Clinical Laboratories

• Development of Telehealth via the RUIS– RUIS = Integrated University Healthcare Services– http://www.msss.gouv.qc.ca/statistiques/atlas/docs/Carte_PDF/Carte_RUIS_RLS.pdf

• Optilab Project– http://msssa4.msss.gouv.qc.ca/fr/document/publication.nsf/0/cff91eba826dc72f852579a500504996?OpenDocument

• Regional IT support Services– Effective in 2015

2014 CMBEC37 Conference, Vancouver, BCMay 21 – 23, 2014

Significant Budget reduction in 2013

• About 25% reduction of Devices replacement budgets in Quebec public hospitals

• Mandatory Return to Zero-Deficit : Up to $10 millions budget compression mandatory in each of 12 hospitals (including CSSS LDDM)

2014 CMBEC37 Conference, Vancouver, BCMay 21 – 23, 2014

An invitation of Quebec University Hospitals

• 2nd International Forum on Health– 7th - 8th October 2014– Palais des congrès de Montréal– http://www.forumsanteinternational.com

2014 CMBEC37 Conference, Vancouver, BCMay 21 – 23, 2014

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Questions ?