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Granby regresses again

temps-moyen-sejour-urgence-hopital(Granby) There are only two years, the Granby Hospital occupied the top of the charts emergency La Presse in its class. However, the establishment of health care has seen its enviable overall rating of B + to C- drop since. The average time is between other increased more than seven hours compared to 2014, reaching almost twenty-two hours. Regarding the hospital Brome-Missisquoi-Perkins (BMP) is the status quo of the pack.

Rollercoaster. This is the image that comes to mind when we observe the course of the Centre hospitalier de Granby (CHG) Emergency ranking in recent years. The effects of significant change of course given by the leaders of the organization to become one of the elite seem to fade.

Moreover, the member for Granby, François Bonnardel and critical colleague health, François Paradis, have recently made an incisive media release concerning the situation with the urgency of CHG. Data from the latest charts have again reacted strongly parliamentary leader of the future Coalition Québec (CAQ).

“In school, we raise the question of why our child has lost its way. For two years, the Minister [of Health] has put in place measures that do not work here in Granby. I do not accept these results !, has he launched in interview. We are able to do much better in our emergency. The idea is not to accuse people [in the health network]. (…) I am convinced that we have the tools in place, with our doctors, nurses and administrative staff to be in the Quebec average, if not above. You have to find the problems and roll up their sleeves. ”

To this end, François Bonnardel wants to meet emergency physicians at the end of the parliamentary session on June 10. “I want to see how we can help to make our effective emergency,” he said.

Crescendo

The ranking takes into account four criteria. The first is the average length of stay in emergency. In this regard, the CHG has one of the worst of the 18 institutions in its group (more than 10 000 patients on stretchers annually), displaying 21 h 42. The maximum target set by Quebec is 12 hours.

The percentage of people aged 75 and over and the amount of stretcher cases requiring hospitalization are also among the data for the overall assessment. These statistics have remained stable in Granby in the past two years, amounting to respectively around 30% and 36%. stays the rate of 48 hours and more complete list. The CHG had managed the feat of lowering the index to 0.4% in 2014. This was one of the best results in Quebec. However, this tag is mounted crescendo to 4.3% the following year, to jump to 9.6% in the standings in 2016.

Slight decline for BMP

With an overall rating of C, the BMP Hospital is still in the bottom of the rankings in the category “less than 10 000 patients on stretchers per year.” In fact, Cowansville Institution of health care has slipped three positions to charts, moving from 34th to 37th out of 43. Note, however, that the hospital had received a grade D in the last few years. While the average length of stay at the provincial level has dropped an hour relative to 2015, 15 h 42, this data has not moved one iota in two years at BMP, which displays 16 h 54. Ditto for the rate of patients who remain two more days to the emergency. This statistic was down 0.3% since the last census. Similarly, the percentage of patients 75 years and older (27.9%) and that of hospitalizations (31.6%) decreased slightly.

“We must give a change of course”
“There is something we were doing before was correct and who is not now.” It is in these words has responded Dr. Michel Camirand, assistant director of professional services of University Centre Integrated health and social services (CIUSSS) the Eastern Townships, about the plunge of the Granby Hospital in the Top emergency La Presse.

From an average length of stay in emergency from 2:36 p.m. to 9:42 p.m. in two years is far from shining as balance sheet for the establishment of health care Granby, conceded Dr. Camirand, also responsible for hospital Brome-Missisquoi-Perkins (BMP) Cowansville. Ditto for the stay rate of 48 hours or more, which jumped to 9.6% down from 0.4% in 2014.

According to Dr. Camirand, strong population growth combined area of ​​the surf aging of the population may be affected. “When we look at the average length of stays on stretchers, one must always ask. Is this a problem or a consequence? In this case, it was about the same personnel in the past two years. So this is something new happened. We saw the situation begin to deteriorate in Granby in 2014-2015. We realized that our working staff, who were very efficient, were no longer in terms of numbers. ”

However, the percentage of people aged 75 and over, one of the four evaluation criteria in ranking institutions remained virtually unchanged in two years at the Granby Hospital (CHG), amounting to nearly 30%. As regards population growth, Dr. Camirand said that the population of Haute-Yamaska ​​has increased by 15% in recent years relative to 8% for the entire Estrie region.

Mode solutions

The CIUSSS the Eastern Townships has three to four months to analyze the situation with the urgency of Granby, mentioned Dr. Camirand. It believes that the passage of CHG and BMP in the lap of the Eastern Townships, in the recent reform of the health system, had no impact on the decline in Granby charts. “Is that the structure of change could create an impact [on the performance of the emergency]? Must be measured. If so, it requires a correction. But to date a governance issue in Estrie CIUSSS is not in the assumptions. ”

Dr. Camirand stressed that concrete actions will be “this summer” the urgency of Granby. These measures will focus on three axes. The first is to review the allocation of leave. The second point is the review of services for older people, including the home support. The overall assessment of working methods to complete the emergency table. “We must give a change of course, it’s obvious. It is trying to adapt. The teams are highly motivated and we will get there. ”

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