Canada-Quebec Agreement on Federal Funding to Support Home and Community Care as well as Long-Term Care (2023-2024 to 2027-2028)
Tables of contents
- Funding agreement
- Annex A – Highlights of the strategic plan
- Annex B – Summary of Quebec’s investments in home and long-term care
- Annex C – Summary of the act respecting health and social service information
Funding agreement
(the "Agreement")
BETWEEN:
HIS MAJESTY THE KING IN RIGHT OF CANADA represented by the Minister of Health (hereinafter “Canada”)
- and -
THE GOVERNMENT OF Quebec represented by the Minister of Health and the Minister responsible for Canadian Relations and the Canadian Francophonie (hereinafter “Quebec”)
Hereinafter referred to as “the Parties.”
PREAMBLE
WHEREAS, on February 7, 2023, Canada announced the Working Together to Improve Health Care for Canadians plan, which also includes a commitment to improve access to safe home and long-term care so that Canadians can age with dignity, supported by an investment of $6 billion over 10 years included in Budget 2017 for home and community care and an investment of $3 billion over five years included in Budget 2021 to help provinces and territories ensure the safety of long-term care residents and improve their quality of life;
WHEREAS, having access to home and community care services and improving the safety and quality of life of long-term care residents are objectives shared by Canada and Quebec;
WHEREAS, on September 16, 2004, the Prime Minister of Canada and the Premier of Quebec signed a health agreement entitled Asymmetrical Federalism that respects Quebec’s jurisdiction, which allows for the existence of agreements and arrangements adapted to Quebec’s specific situation;
WHEREAS,recognizing Quebec’s jurisdiction over health and social services and the Government of Quebec’s exercise of control over the planning, organization and management of services on its territory to enable it to implement its own health plans and priorities, on March 10, 2017, the Government of Canada and the Government of Quebec entered into a new asymmetrical agreement based on the principles of the September 2004 asymmetrical agreement, the terms of which were stated in the Implementation Agreement concluded in September 2018;
WHEREAS, the above-mentioned agreements also recognize that the Government of Quebec will continue to report to the people of Quebec on the use of all funds earmarked for health care and will continue to collaborate with other governments in the exchange of information and best practices;
WHEREAS, Quebec’s health care system is based on the principles of universality, accessibility, comprehensiveness, portability and public administration;
WHEREAS, Canada and Quebec agree on the importance of collaborating to achieve the objectives of the present agreement, and on the importance of developing, evaluating and sharing innovations within Quebec’s health care system. The departments of Health of Quebec and Canada agree to measure progress on common objectives and objectives that are specific to each government, and reporting on these objectives to its citizens;
WHEREAS, Quebec acknowledges the right of Indigenous peoples to receive proper and personalized health services and, in a spirit of reconciliation, it aims to foster collaboration with Indigenous peoples and support safe health service practices that take into account their cultural and historical values and realities;
WHEREAS, Quebec promotes equity in access to health care for its entire population, including English-speaking Quebecers;
WHEREAS, Quebec acknowledges the importance of supporting health data infrastructure, data collection and public reporting to improve transparency of results and to help manage public health emergencies, as well as ensuring that individuals can access their own health information, and benefit from it being shared among health care workers across all health care settings;
WHEREAS, Canada recognizes the progress made by Quebec in this area, through its Act respecting the sharing of certain health information, summarized in Appendix C;
WHEREAS, Canada authorizes federal ministers to enter into agreements with the provinces and territories to facilitate the formulation, coordination and implementation of any program or policy within the mandates of federal ministers;
NOW THEREFORE, Canada and Quebec agree as follows:
1.0 Definition
The following expression, as used in the Agreement, shall have the meaning hereinafter defined:
“Agreement” means the Canada–Quebec Agreement on Federal Funding to Support Home and Community Care as well as Long-Term Care (2023–2024 to 2027–2028).
“Fiscal year” means the period beginning on April 1 of one calendar year and ending on March 31 of the calendar year immediately following.
2.0 Term of agreement
2.1 This Agreement comes into effect upon the date of the last signature of the Parties and will remain in effect until March 31, 2028 (“the Term”), unless terminated in accordance with this Agreement. Funding provided under this Agreement will cover the period April 1, 2023 to March 31, 2028.
3.0 Objective
3.1 Canada and Quebec agree that the purpose of this Agreement is to establish the terms and conditions for the disbursement of Canada’s contributions to support the Plan stratégique 2023-2027 of the Ministry of Health and Social Services, excerpts of which are included in Annex A. Annex B presents Quebec’s additional investments from Budget 2023-2024 and Budget 2024-2025 to support home and community care and long-term care, including Canada’s financial contributions.
3.2 Both parties agree that Quebec will determine its priorities and be responsible for designing, implementing and evaluating the implementation of its Plan stratégique.
3.3 Canada and Quebec agree that, with Canada’s financial support, Quebec will continue to build and improve its health care system to achieve some or all of the following objectives:
- improving access to home and community care services;
- improving long-term care to keep long-term care residents safe and improve their quality of life.
4.0 Financial provisions
4.1 The funding provided under this Agreement is in addition to and not in lieu of those that Canada currently provides under the CHT to support delivering health care services within Quebec.
4.2 Allocation to Quebec
4.2.1 In this Agreement, “Fiscal Year” means the period commencing on April 1 of any calendar year and terminating on March 31 of the immediately following calendar year.
4.2.2 Canada has designated the following maximum amounts to be transferred in total to all provinces and territories under this initiative based on the allocation method outlined in subsection 4.2.3 for the Term of this Agreement.
Budget 2017 Home and Community Care
- $600 million for the Fiscal Year beginning on April 1, 2023
- $600 million for the Fiscal Year beginning on April 1, 2024
- $600 million for the Fiscal Year beginning on April 1, 2025
- $600 million for the Fiscal Year beginning on April 1, 2026
Budget 2021 Long-Term Care
- $600 million for the Fiscal Year beginning on April 1, 2023
- $600 million for the Fiscal Year beginning on April 1, 2024
- $600 million for the Fiscal Year beginning on April 1, 2025
- $600 million for the Fiscal Year beginning on April 1, 2026
- $600 million for the Fiscal Year beginning on April 1, 2027
4.2.3 Allocation Method
-
For funds associated with Budget 2017 Home and Community Care committed by the federal government in 2017, annual funding will be allocated to provinces and territories on a per capita basis. The per capita funding for each Fiscal Year is calculated using the following formula: F x K/L, where:
F is the annual total funding amount available under this program;
K is the total population of Quebec, as determined using the annual population estimates on July 1st from Statistics Canada; and
L is the total population of Canada, as determined using the annual population estimates on July 1st from Statistics Canada.
For funds associated with Budget 2021 Long-Term Care committed by the federal government in 2021, annual funding will be allocated to provinces and territories with a base amount of $1,200,000 and the remainder of the funding allocated on a per capita basis. The total amount to be paid will be calculated using the following formula: $1,200,000+(F-(N x 1,200,000)) x (K/L), where:
F is the annual total funding amount available under this program;
N is the number of jurisdictions (13) that will be provided the base funding of $1,200,000;
K is the total population of Quebec, as determined using the annual population estimates on July 1st from Statistics Canada; and
L is the total population of Canada, as determined using the annual population estimates on July 1st from Statistics Canada.
4.2.4 Subject to annual adjustment based on the formulas described in section 5.2.3, Quebec estimated share of the amounts will be:
| Fiscal Year | Budget 2017 Home and Community Care Estimated amount to be paid to QuebecFootnote * (subject to annual adjustment) | Budget 2021 Long-Term Care Estimated amount to be paid to QuebecFootnote * (subject to annual adjustment) |
|---|---|---|
2023-2024 |
$132,800,000 |
$130,500,000 |
2024-2025 |
$132,800,000 |
$130,500,000 |
2025-2026 |
$132,800,000 |
$130,500,000 |
2026-2027 |
$132,800,000 |
$130,500,000 |
2027-2028 |
n/a |
$130,500,000 |
5.0 Payments
5.1 Funding provided by Canada will be paid in semi-annual installments as follows:
- In 2023-24, the first installment will be paid within approximately 30 business days of execution of this Agreement by the Parties. The second installment will also be paid within approximately 30 business days of execution of this Agreement by the Parties.
- Starting in 2024-25, the first installment will be paid on or about April 15 of each Fiscal Year and the second installment will be paid on or about November 15 of each Fiscal Year.
- The first installment will be equal to 50% of the notional amount set out in section 4.2.4 as adjusted by section 4.2.3.
- The second installment will be equal to the balance of funding provided by Canada for the Fiscal Year as determined under sections 4.2.3 and 4.2.4.
- Canada will notify Quebec prior to the first payment of each Fiscal Year, of their notional amount. The notional amount will be based on the Statistics Canada quarterly preliminary population estimates on July 1 of the preceding Fiscal Year. Prior to the second payment, Canada will notify Quebec of the amount of the second installment as determined under sections 4.2.3 and 4.2.4.
- The sum of both installments constitutes a final payment and is not subject to any further payment once the second installment has been paid.
- Payment of Canada's funding for this Agreement is subject to an annual appropriation by the Parliament of Canada for this purpose.
5.2. In the event payments made exceed the amount to which Quebec is entitled under this Agreement, the amount of the excess is a debt due to Canada and, unless otherwise agreed to in writing by the Parties, Quebec shall repay the amount within sixty (60) calendar days of written notice from Canada.
5.3 Long-term care funding transferred by Canada under this Agreement will not be used by the Government of Quebec to fund for-profit long-term care facilities.
6.0 Reporting and information sharing
6.1 Quebec is pursuing the objective of making health results available to the public, namely through its dashboard on the performance of the health and social services system (Tableau de bord sur la performance du réseau de la santé et des services sociaux).
6.2 Quebec agrees to ensure transparency with regard to the objectives of this Agreement, and will continue to report to the people of Quebec on the use of all funds earmarked for health care, in accordance with its own accountability practices and indicators, namely those in its Annual Management Report. The Annual Management Report describes the results achieved in relation to the objectives and commitments set out in its Plan stratégique, in accordance with sections III and V of the Public Administration Act (A-6.01).
6.3 As it has done for several years, Quebec intends to continue sharing its information, expertise and best practices in health care with other governments in Canada.
Collaboration with the Canadian Institute for Health Information (CIHI)
6.4 Quebec will promote the use of comparable indicators to compare its health and social services with those of other provinces and territories. It will continue to collaborate with CIHI, as it has done since 2004, through service agreements, enabling Quebec to obtain comparative information on which to base improvements to its health care system and meet its own benchmarking needs.
6.5 Quebec will collaborate with CIHI’s committee to develop additional indicators to the extent that data is available and will share its data with CIHI within the parameters of its agreement.
7.0 Communications
7.1 In the spirit of transparency and open government, Canada will make this Agreement, including any amendments, publicly available on a Government of Canada website.
7.2 Quebec will make publicly available, clearly identified on its website, this Agreement, including any amendments.
7.3 Canada, with prior notice to Quebec, may incorporate, accurately referencing the source, any part of publicly released reports containing data and information or any part of evaluation and audit reports made public by Quebec into any public report that Canada may prepare for its own purposes, including any reports to the Parliament of Canada or reports that may be made public.
7.4 Canada reserves the right to conduct public communications, announcements, events, outreach and promotional activities about this Agreement. Canada agrees to give Quebec 10 days advance notice and advance copies of public communications related to the signing of this Agreement.
7.5 Quebec reserves the right to conduct public communications, announcements, events, outreach and promotional activities about this Agreement. Quebec agrees to give Canada 10 days advance notice and advance copies of public communications related to the signing of this Agreement.
8.0 Dispute resolution
8.1 Canada and Quebec are committed to working together and avoiding disputes through government-to-government information sharing, advance notice, early consultation, and discussions and clarifications to resolve issues as they arise.
8.2 If a dispute arises between the Parties with respect to the interpretation and/or implementation of any of the terms of this Agreement, either Party may notify the other in writing of its concerns. Upon receipt of such notice, Canada and Quebec will seek to resolve the issue raised in a manner deemed appropriate by the designated officials. In the event of a dispute that cannot be resolved by the designated officials, the matter will be referred first to the Deputy Ministers of Health of Quebec and Canada and, if it cannot be resolved by them, to the Ministers of Health of Quebec and Canada.
9.0 Amendment of the agreement
9.1 The Agreement may be amended at any time by mutual written consent of the Parties. Any amendment will become effective on the date agreed to by the Parties. Neither Canada nor Quebec may terminate this Agreement unless it is demonstrated that the Agreement is not being respected by the other Party. In this case, at least 12 months written notice must be given to the other Party of the intention to terminate the Agreement.
10.0 Disclaimer
10.1 The failure or delay by a Party to exercise any of its rights, powers or remedies under this Agreement shall not constitute a waiver of such rights, powers or remedies. Any waiver by either Party of any of its rights, powers or remedies under this Agreement must be in writing, and no such waiver shall constitute a continuing waiver, unless explicitly stated.
11.0 General information
11.1 This Agreement shall be interpreted in accordance with the applicable laws of Quebec.
11.2 No member of the House of Commons or Senate of Canada or of the National Assembly of Quebec may be a Party to this Agreement, in whole or in part, of any contract or commission or derive any benefit therefrom.
11.3 If, for any reason, any provision of this Agreement which is not a fundamental term of this Agreement is held to be invalid or unenforceable, in whole or in part, such provision shall be deemed severable and stricken from this Agreement, but all other terms and conditions of this Agreement shall continue to be valid and enforceable.
11.4 Either Party may terminate this Agreement at any time if the terms are not respected by giving at least 12 months written notice of intention to terminate.
11.5 As of the effective date of termination of this Agreement, Canada shall have no obligation to make any further payments.
12.0 Notice
12.1 Any notice, information, or document provided for under this Agreement will be effectively given if delivered or sent by letter, email, postage or other charges prepaid. Any communication that is delivered will be deemed to have been received in delivery; and, except in periods of postal disruption, any communication mailed by post will be deemed to have been received eight calendar days after being mailed.
12.2 The address to be used for communications or notices to Canada shall be as follows:
Health Canada
70 Colombine Driveway
Brooke Claxton Building
Ottawa, Ontario K1A 0K9
Email: jocelyne.voisin@hc-sc.gc.ca
The address to be used for communications or notices to Quebec shall be as follows:
Department of Health and Social Services
1075 Sainte-Foy Road
Québec, Quebec G1S 2M1
Email : Daniel.Desharnais@msss.gouv.qc.ca
IN WITNESS WHEREOF the Parties have executed this Agreement through duly authorized representatives.
SIGNED on behalf of Canada by the Minister of Health
The Honourable Mark Holland, Minister of Health
SIGNED on behalf of Quebec by the Minister of Health
Christian Dubé, Minister of Health
SIGNED on behalf of Quebec by the Minister Responsible for Canadian Relations and the Canadian Francophonie
Jean-François Roberge, Minister Responsible for Canadian Relations and the Canadian Francophonie
Annex A – Highlights of the strategic Plan
The Plan stratégique 2023–2027 of the Ministry of Health and Social Services (MSSS), tabled in November 2023, sets out the priorities at the heart of the actions of the Ministry and its network during this period, and which will help to meet the needs of Quebecers. The Plan stratégique 2023–2027 was developed in a context where the health and social services system is facing numerous challenges that are putting pressure on health and social services workers and that are affecting user access to care and services.
Prior to presenting its Plan stratégique, Quebec was already taking action to address a number of issues through its Plan pour mettre en œuvre les changements nécessaires en santé (Plan santé), which proposes a vision of the health care system centred on the user experience and focused on accessibility, quality and value of care.
With the same major orientations, the Plan stratégique 2023–2027 is a continuation of the Plan santé, in order to pursue Quebec’s efforts to improve the quality of life, well-being and health of the people of Quebec. It helps focus Quebec’s efforts, coordinate its operations and amplify the scope of its actions and priorities. An overview table summarizes the measures and objectives.
Focus area 1 – A more humane organization of work
The care and services provided by the Network of Health and Social Services (RSSS) are based primarily on the daily work of thousands of people who are committed to the health and well-being of the people of Quebec. As such, it is essential to take care of the network’s staff in the same way as it takes care of its users. To achieve this, the work organization must be adapted to ensure the best possible balance between staff needs and access to, and quality of, care and services.
Guideline 1: Become an employer of choice
| Objectives | Indicators | Target 2023–2024 |
Target 2024–2025 |
Target 2025–2026 |
Target 2026–2027 |
|---|---|---|---|---|---|
1.1 Improve job satisfaction among the Ministry’s staff and its network |
1. 0–12 month retention rate for new hires in the network |
72.2% |
73.5% |
74.9% |
76.3% |
2. Percentage of health and social services network employees who recommend their establishment as an employer |
Establishment of the initial measurement |
+ 1% compared with the initial measurement |
+ 2.5% compared with the initial measurement |
+ 4.5% compared with the initial measurement |
|
3. MSSS employee experience satisfaction rate |
85% |
86% |
86% |
88% |
|
1.2 Support the network’s workforce |
4. Number of hours worked by employees of staffing agencies and independent workers |
19.6 M |
18.2 M |
10.9 M |
4.2 M |
1.3 Raise awareness among network staff about Indigenous realities |
5. Percentage of employees trained in Indigenous issues |
100% |
100% |
100% |
100% |
1.4 Contribute to the government’s sustainable development efforts |
6. Percentage of targets met in the 2023–2028 sustainable development action plan |
80% |
82% |
85% |
85% |
Focus area 2 – A healthy population
Health is defined as a state of complete physical, mental and social well-being, not just the absence of disease. The combination of a high prevalence of chronic diseases among the people of Quebec and the deterioration of certain lifestyle habits observed in recent years and amplified during the COVID-19 pandemic, demonstrates the need to step up prevention and promotion efforts to ensure optimal health for Quebecers. The same applies to the resumption of certain activities that slowed down during the pandemic, such as vaccination in schools and screening for certain cancers, which will enable action upstream of certain health problems.
Guideline 2: Be proactive and take preventive action
| Objectives | Indicators | Target 2023–2024 |
Target 2024–2025 |
Target 2025–2026 |
Target 2026–2027 |
|---|---|---|---|---|---|
2.1 Promote taking responsibility for one’s own health |
7. Proportion of daily and occasional smokers |
11.5% |
10.0% |
9.5% |
9.0% |
8. Percentage of high school students meeting recommendations for physical activity during recreational activities and transportation.Footnote * |
30% |
– |
32% |
– |
|
2.2 Provide the population with optimal protection against preventable diseases |
9. Proportion of Secondary III students who are fully vaccinated |
65% |
70% |
75% |
80% |
2.3 Reduce cancer-related mortality |
10. Age-standardized cancer mortality rate |
-3% from initial measurement |
-5% from initial measurement |
-6% from initial measurement |
-7% from initial measurement |
11. Coverage rate for colorectal cancer screening by fecal occult blood test (FOBT) |
38% |
40% |
42% |
44% |
|
12. Percentage of patients treated with oncological surgery within 28 days |
65% |
69% |
75% |
80% |
|
Focus area 3 – Timely access to care and services
Every person living in Quebec must have access to a health and social services professional when they need one. This priority requires continued efforts to improve the organization of health care and services to ensure optimal care for each individual’s needs, throughout the entire care pathway.
Guideline 3: Provide a patient experience centred on accessibility and quality
| Objectives | Indicators | Target 2023–2024 |
Target 2024–2025 |
Target 2025–2026 |
Target 2026–2027 |
|---|---|---|---|---|---|
3.1 Promote optimum development for youth |
13. Number of children whose screening was carried out through the Agir tôt platform |
8,688 |
9,556 |
10,512 |
11,563 |
14. Percentage of first Youth Protection evaluation interventions completed within 14 days |
50% |
53% |
57% |
60% |
|
3.2 Rapid access to mental health services |
15. Proportion of users who received mental health care and services within the prescribed time frame |
60% |
65% |
70% |
75% |
3.3 Promote access to home support |
16. Total number of people receiving home support services |
387,807 |
398,017 |
404,409 |
410,802 |
17. Number of people waiting for their first home support service |
17,478 |
15,730 |
14,157 |
12,741 |
|
18. Number of hours of long-term, short-term and palliative home support services provided in the home |
32.2 M |
34.7 M |
37.5 M |
40.4 M |
|
3.4 Improve access to front-line and local services |
19. Percentage of people who consulted a health care provider within 36 hours in medical clinics |
20% |
25% |
30% |
30% |
20. Percentage of users who had access to a CLSC service within the time frame established by prioritization |
71% |
72% |
73% |
74% |
|
21. Percentage of people assigned to a front-line care provider or team |
83% |
85% |
87% |
90% |
|
3.5 Improve access to emergency services |
22. Average emergency room turnaround time for all clients |
165 minutes |
125 minutes |
105 minutes |
90 minutes |
23. Average length of stay on a stretcher |
17 hours |
16 hours |
15 hours |
14 hours |
|
3.6 Improve access to specialized services |
24. Percentage of requests for specialist medical consultations for which wait times have been exceeded |
50% |
35% |
25% |
15% |
25. Number of surgical requests pending for more than one year |
7,600 |
2,300 |
1,500 |
1,000 |
Annex B – Summary of Quebec’s investments in home and long-term care, as part of budgets 2023-2024 and 2024-2025
The following is a summary of the actions and financial impacts included in budgets 2023-2024 and 2024-2025 for home care and long-term care. In Budget 2023-2024, the Government of Quebec invested nearly $5.6 billion in additional funding over five years (2023-2024 to 2027-2028) to make the health care system more accessible, efficient and flexible for the population, to care for seniors and caregivers, and to provide support to the most vulnerable.
In Budget 2024-2025, the Government is continuing its efforts in health and is providing an additional amount of nearly $3.7 billion over five years, starting in 2024-2025, out of an annual budget totalling $61.9 billion, to support a humane and effective organization of health care and social services.
Quebec’s estimated total share of the funding of the bilateral agreements under the federal plan Working Together to Improve Health Care for Canadians is $6.7 billion over 10 years (i.e., 2023-2024 to 2032-2033).
Quebec included the federal investments announced on February 7, 2023, in its fiscal framework. The health investments in the 2023 and 2024 Quebec budgets factor in these additional federal funds, which will make it possible to expedite the investments in Quebec’s health care system.
Long-term and home care
In April 2021, Quebec introduced its Politique d’hébergement et de soins et services de longue durée [Long-term housing, care and services policy]. It includes general and inclusive guidelines that can be applied to all types of long-term housing as well as to all adult clients likely to reside there.
For example, it will provide increased support to community groups and social economy enterprises that provide home support. This represents 1.5 million caregivers who will provide more than one hour of support per week.
In Budget 2023-2024, an additional amount of nearly $2 billion is earmarked over five years to take care of seniors and caregivers, including the following:
- $963.5 million to step up the home support service offering;
- $705 million to provide housing tailored to seniors’ needs for a quality living environment;
- $202.7 million to continue government initiatives with seniors and caregivers;
- $124.6 million to provide free access to shingles vaccinations.
| March 31, 2019 | March 31, 2023 Forecast |
March 31, 2028 Forecast |
|
|---|---|---|---|
Number of people having received care or services in the reference year |
360,000 |
398,000 |
417,000 |
Number of hours of care and services provided |
19,500,000 |
34,700,000 |
43,600,000 |
Number of people waiting for first-time care or service |
10,500 |
15,700 |
11,500 |
Budget 2024-2025 also includes additional investments of more than $1.1 billion between 2024-2025 and 2028-2029 to ensure the maintenance and quality of care and services for seniors, namely:
- $581 million to enhance home support services;
- $253.5 million to support the deployment of seniors’ housing and alternative housing;
- $182 million to continue the accreditation of residential and long-term care facilities (CHSLDs);
- $121.8 million to increase the offering of private seniors’ residences.
In total, since Budget 2019-2020, the additional amounts awarded for home support services total more than $8 billion, and that is without factoring in the tax credit for keeping seniors at home and the measures implemented for caregivers.
Tracking of data related to this measure is made available to Quebecers on the Tableau de bord – Performance du réseau de la santé et des services sociaux [Dashboard – Performance of the health and social services network] as well as through indicators 16 to 18 in the Plan stratégique 2023-2027 of the Ministry of Health and Social Services. Quebecers will be able to measure the progress being made through the annual management reports.
Annex C – Summary of the act respecting health and social services information
The Act respecting health and social services information (hereinafter the Act) was passed on April 4, 2023, and is scheduled to come into force in 2024. Its aim is to protect information while optimizing its use. In addition, it provides a framework for the sharing of health information between health care providers and organizations, which could improve the coordination of care and the transmission of relevant information.
In this way, the Ministry of Health and Social Services (MSSS) ensures that optimal conditions are in place for the coordination of health and social services information within the health and social services system (RSSS) in order to:
- protect personal information while improving the quality of services to the public by simplifying the circulation of information of the people concerned, along the entire care and services pathway (the data will follow the person, and they will no longer have to repeat their history);
- promote a more fluid and secure flow of health and social services information based on well-established guidelines;
- enable efficient management of the health and social services system, based on knowledge of the public’s needs, and document service use;
- create added value for users of care and services, with a traceability system for consultations, enabling them to consult their own information and see who has consulted it.
The Act also establishes a national health information repository. The new system will make it easier for people to access services and take ownership of their health information, all in a secure environment. The rollout of the national health information repository will ultimately represent a substantial modernization of the technological architecture, in addition to optimizing clinical processes and enhancing the patient experience. The digital health record, the cornerstone of the national health information repository, has begun its first phase of rollout at two showcase sites.
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