Sarah Rennie – LJI reporter

As of December 1, the Centre intégré de santé et de services sociaux de la Montérégie-Ouest (CISSSMO) ceased to exist. Local health services will now be provided by Santé Québec Montérégie-Ouest (SQMO), which is part of a provincial network of health-care agencies organized under the newly created crown corporation.

Claude Jolin, who chairs the CISSSMO’s board of directors, referred to the change in governance as an important milestone and major transformation, during the organization’s annual general meeting and public information session on November 27. “We have begun to prepare ourselves to ensure a smooth transition and to continue to offer excellent care,” he confirmed.

CISSSMO’s deputy president and CEO, Dominique Pilon, explained that while there will be a significant adjustment period, he considers the changes to be positive. “This is not the end. It is the beginning of a great adventure for the entire network,” he said.

Johanne Fleurant, the assistant director of social programs, rehabilitation, and public health at the CISSSMO, then presented the details relating to this change and what it will mean for the local health network.

She pointed out that sweeping healthcare reforms tend to happen in Quebec around every nine or ten years. The last major upheaval was in 2015, when the integrated health and social services centres (CISSS) were first introduced.

The main change this time around is that Santé Québec is a crown corporation that will become the single employer for healthcare workers in the Quebec’s public sector. “We don’t yet know the full extent of the changes this will bring,” admitted Fleurant. Santé Québec will be responsible for coordinating all health and social service resources, as well as strategic planning. It will then be up to health-care establishments to put these plans into operation based on the resources and healthcare needs of the population.

The current board of directors for the CISSSMO will remain in place until June 2025 to ensure the transition to the new governance structure goes smoothly. The board will then become an institutional board of directors with an advisory role, made up of users, representatives from the research community, healthcare facilities, human resources management, the business community, and the various hospital and support foundations.

There will also be certain criteria for the composition of boards, including a requirement that two-thirds of all members be independent, and 40 per cent of seats must be filled by women. Boards will also be required to reflect Quebec’s diversity while taking the socio-cultural, ethno-cultural, and linguistic composition of the territory into account.

Fleurant explained that the transition will allow the SQMO to access best practices from across the network and export them to the Montérégie-Ouest. She noted the change will also allow for resources to be pooled across the province, while allowing for greater staff mobility across different sites at the more local level.

Beyond returning to a balanced budget, Fleurant said that over the next several months the SQMO will be rolling out a new integrated plan to improve access by March 2025, coordinate services, and support the major transformations currently underway.