RUIS McGill Mothers, Children and Youth Subcommittee TERMS OF REFERENCE

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1 RUIS McGill Mothers, Children and Youth Subcommittee TERMS OF REFERENCE Background The McGill RUIS Executive Committee is composed of the McGill affiliated teaching hospitals: Douglas Mental Health University Institute (DI), Jewish General Hospital (JGH), McGill University Health Centre (MUHC), St. Mary s Hospital (SMH) and the McGill Faculty of Medicine. This core grouping, in collaboration with its many health care partners, is responsible for carrying out the RUIS mandate in the areas of clinical care, education and research, as described by the MSSS (see MSSS document attached). In part, this mandate is population based and for a particular geographic territory (the McGill RUIS). In order for the McGill RUIS to fulfill these responsibilities, a collaborative approach to the organization of clinical services for mothers, children and youth among the partner institutions needs to be fostered. Goal The RUIS McGill Subcommittee for Mothers, Children and Youth has been created in order to advise the McGill RUIS Executive Committee on issues regarding health of mothers, children and youth. Membership The membership shall include: Co-Chair of the Subcommittee (University Chair of Pediatrics); Co-Chair of the Subcommittee (Senior Advisor of the MUHC Pediatric Network); The Clinical Chiefs of Pediatrics, Obstetrics and Family Medicine at the JGH, SMH and the MUHC; A McGill RUIS Representative of the Table sectorielle mère-enfant; A Representative of the McGill RUIS Nursing Subcommittee for Women s Health from the JGH, SMH or the MUHC; The Director for Allied Health Services (MCH); The Medical Director and the Senior Advisor of the MUHC Pediatric Network; The Associate Director of Telehealth (MUHC); The Associate Director of Professional Services (MCH); The Associate Director of Nursing for Pediatrics (MCH); The Associate Director for Pediatric Research (MCH); Updated November 2008 RUIS Subcommittee Mothers, Children and Youth

2 The Director of McGill Health Network Office (mandate to report on any issue related to mothers, children and youth health) (Ex-Officio). Accountability This Advisory Subcommittee will be accountable to the McGill RUIS Executive Committee. Objectives The following applies to all health care professionals engaged in health care of mothers, children and youth. Specific objectives of this Subcommittee are defined as follows: 1. Clinical Care Review regularly the portfolio of clinical services for mothers, children and youth in the McGill RUIS; Identify the process by which the McGill RUIS teaching hospitals would interact with local and regional partners in establishing corridors of services and ententes. This should be done in conjunction with the McGill Health Network Office, Pediatric Network Office, and Telehealth; Review the inventory of all ententes de service related to mother, child and youth health care in the RUIS. 2. Teaching Review and make recommendations on how the RUIS McGill teaching hospitals carry out their teaching responsibilities related to health for mothers, children and youth, both locally and in conjunction with their regional partners; Develop teaching sites within the regions of Quebec affiliated with the McGill RUIS when appropriate; Obtain information from the Telehealth Sub-Committee concerning activities and new developments related to health for mothers, children and youth. 3. Research Review and make recommendations on how the McGill RUIS research activities in the mother-child-youth health domain should be prioritized and developed. Updated November 2008 RUIS Subcommittee Mothers, Children and Youth 2

3 HUMAN RESOURCES Make recommendations as to how the McGill RUIS can respond to manpower shortages for all disciplines in regional centers. INTER-RUIS ACTIVITIES The Subcommittee will evaluate inter-ruis activities related to mothers, children and youth and make recommendations as required. MEETINGS This Subcommittee should have four meetings per year, in addition to one annual general meeting. Representatives of the Montreal Agence de santé et des services sociaux and of the five RUIS regions would be invited to the annual general meeting to participate in person or via teleconference. All minutes and reports from this Subcommittee will be submitted to the McGill RUIS Executive Committee. MATERIAL AND FINANCIAL RESOURCES The Subcommittee will manage its budget for activities related to the operation of the Subcommittee Mothers, Children and Youth for presentation to the McGill RUIS Executive Committee; The Subcommittee will manage the material and financial resources required to fulfill its mandate. Updated November 2008 RUIS Subcommittee Mothers, Children and Youth 3

4 APPENDIX ADOPTED BY THE RUIS MINISTERIAL TABLE MAY 26, 2004 RUIS RESPONSABILITIES In accordance with the mandate entrusted to the Integrated University Health Networks (RUIS) introduced by Minister Philippe Couillard on July 2, 2003, the following is a statement of the RUIS responsibilities: RUIS: GENERAL A RUIS consists of a University Health Centre (UHC), affiliated University Hospitals (AUH), University Institutes (IU), as well as the Faculty of Medicine with which these institutions are affiliated. Other institutions might be added, at the discretion of each RUIS. The Dean of the Faculty of Medicine and the Director of a UHC head each RUIS. The Dean or the UHC Executive Director heads the Steering Committee of the RUIS. Membership on this committee includes RUIS member institution directors, university, representatives, the president-general director of the Health and Social Services Network Development Agencies located in the specific RUIS territory, one representative from the Ministry of Health and Social Services, as well as any individual whose presence is deemed pertinent. Each RUIS has a service territory and a sphere of influence. This service territory includes the territory proximal to each RUIS institution-member, peripheral and intermediate regions and more distant territories; it also includes the local Health and Social Services Networks and regional hospitals. RUIS - TERTIARY CARE Upon receipt of a request for service, and on behalf of its members, each RUIS will offer its services to the institutions in its service territory through The Development Agency Each RUIS institution-member contributes to this service offer in the field(s) of expertise for which it is known (complimentarity inter-ruis). If the service offer is not sufficient to meet the needs, another RUIS will be asked to contribute (complimentarity inter-ruis) The corridors of service that are developed must be bi-directional and be clearly defined in signed agreements between RUIS institutions and the institutions of its service territory through the affiliated Development Agency RUIS - SECOND LINE CARE Territorial proximity A RUIS institution-member must provide second line care and services to a local entity(ies) in its territory, if such a contribution is requested by The Development Agency and is within the means of the institution. Following a request for care and services, the RUIS institution-member must make an offer of second-line care and services to the local entity (ies) involved through The Development Agency. The corridor of services are two-way (bi-directional) and the application of the service mode is defined in signed agreements between these institutions through The Development Agency. This RUIS institution-member should develop links with the local entity (ies) (i.e. with official service contracts that could include clauses of bilateral representation on boards of directors, (CMDP), etc.) Page 1 of 2

5 APPENDIX Outside the territorial proximity ADOPTED BY THE RUIS MINISTERIAL TABLE MAY 26, 2004 University health centres (UHCs) and institution-members of a RUIS, should offer assistance (if requested by The Development Agency) to its service territory institutions, when difficulty is encountered in delivering second-line care to its clientele. It may mean, for example, intermittent assistance for interrupted services, or help in preventing such interruptions on a short, medium or long-term basis. RUIS TEACHING Each RUIS facilitates the movement of groups of students and residents who are sent to UHCs by the university. Each RUIS encourages medical training for regional physicians and other regional health professionals. Each RUIS ensures that the institutions that have signed service agreements for second-line services, initiate a network of knowledge sharing in this same area of activity. The university, in collaboration with the UHC s members of the RUIS, should provide its partners with continuing education programs in the different health profession fields. RUIS RESEARCH The university, in cooperation with the UHC s of the RUIS and the Fonds de recherche en santé du Québec (FRSQ), coordinates its research development program within its institutions in an effort to: Reach out to the critical core of researchers active in specific areas; Encourage collaboration; Encourage the sharing of technical platforms Each RUIS, in cooperation with the university, gathers and integrates grant applications that are made to the Canadian Foundation of Innovation The RUIS supports its regional partners in the creation of research groups. RUIS TECHNOLOGY ASSESSMENT AND HEALTH INTERVENTION METHODS The different RUIS work together along with l Agence d évaluation des technologies et des modes d intervention en santé (AETMIS), in an effort to establish priorities for action, activity distribution and to ensure the communication of results. Each RUIS is responsible for coordinating, within its memberinstitutions, technology evaluation and health intervention methods in order to increase productivity and efficiency in this field. RUIS MEDICAL STAFF Each RUIS should develop a university medical staff plan (PEM-U), in accordance with le plan régional d effectifs médicaux (PREM). This plan should allow each institution-member to fulfil its mission responsibilities related to care, teaching, research and technology assessment. This plan should then be presented to the affiliated Development Agency. This plan should ensure a judicious utilization of the medical staff input. The RUIS should manage its medical staff services economically with the goal of: Creating a collaborative spirit within its institutions; Regrouping specialized medical staff to avoid duplication. Page 2 of 2