1. CS2 – Cross Country Check-up Around 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, BC May 21 – 23, 2014

2. 2014 CMBEC37 Conference, Vancouver, BC May 21 – 23, 2014 2 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

3. 2014 CMBEC37 Conference, Vancouver, BC May 21 – 23, 2014 3 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

4. 2014 CMBEC37 Conference, Vancouver, BC May 21 – 23, 2014 4 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/pavilionkhttp://jgh.ca/fr/pavillonkhttp://jgh.ca/en/pavilionk

5. 2014 CMBEC37 Conference, Vancouver, BC May 21 – 23, 2014 5 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

6. 2014 CMBEC37 Conference, Vancouver, BC May 21 – 23, 2014 6 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)

7. 2014 CMBEC37 Conference, Vancouver, BC May 21 – 23, 2014 7 CECR Health 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

8. 2014 CMBEC37 Conference, Vancouver, BC May 21 – 23, 2014 8 PQDCS Quebec 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.dochttp://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

9. 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 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 http://msssa4.msss.gouv.qc.ca/fr/document/publication.nsf/0/cff91eba826dc72f852579a500504996?OpenDocument Regional IT support Services – Effective in 2015 2014 CMBEC37 Conference, Vancouver, BC May 21 – 23, 2014

10. 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, BC May 21 – 23, 2014

11. An invitation of Quebec University Hospitals 2 nd International Forum on Health – 7th - 8th October 2014 – Palais des congrès de Montréal – http://www.forumsanteinternational.com http://www.forumsanteinternational.com 2014 CMBEC37 Conference, Vancouver, BC May 21 – 23, 2014

12. Questions ? 12