Client wishes to have this info under the enrolment tab, apparently it is new info that came into effect as of May 23rd this year. (cannot post whole as AHA seem to limit character and render AHA invalid) refer to case # /email for full detz
see comment below;;;
Main points:
1. Comes into effect May 23, 20242. We may accept some patients directly as detailed below (including close family members)
3. Section 2 - required booking information
4. Schedules need to published in the EMR 4 weeks in advance
M Marouane Nassim
514-567-5066
marouane.nassim.ccomtl@ssss.gouv.qc.ca
Requête SF 201783
SECTION 1ADDING PEOPLE TO A CUSTOMER DOCTOR
1. The general practitioner may add to his clientele a person other than the person registered in the system concerned. in paragraph 1 of the first paragraph of section 11 of the Law promoting access to family medicine services and specialized medicine (chapter A-2.2), replaced by section 1 of the Act to increase the offer of services front line and improve the management of this offer (2022, chapter 16), when the envisaged addition corresponds to one of the following cases:
*a close family member of the person is already registered with him;
he takes over from another health professional and social services and the person was registered with of this other professional;
the person is unable to register in the system.
For the purposes of the first paragraph, member of the *immediate family of the person means people following:
his father and mother or parents;
his spouse, his child and his spouse’s child;
a dependent person.
2. In addition to the cases provided for in section 1, the general practitioner may add another person to his clientele than that registered in the system referred to therein, when hand, this doctor has already followed the person for an episode care or for specific follow-up and that, on the other hand, the person meets the conditions provided for in one of the following paragraphs:
The person is in one of the following situations:
(a) she has active cancer;
(b) she receives palliative care;
(c) she has psychotic disorders;
(d) she has suicidal or homicidal thoughts;
(e) she is pregnant;
f) she is in a situation of the same nature as those referred to in subparagraphs a to e for which a time limit registration of 7 days or more could have harmful consequences on their health;
g) she was hospitalized for a chronic problem or a problem requiring rapid follow-up within a month preceding its request to be added to the clientele from the doctor;
h) she has active substance abuse problems or addiction;
i) she has a major and active depressive, adjustment or anxiety disorder;
j) she is infected with HIV or AIDS;
k) she has suffered an embolism or fibrillation, recent infection requiring the use of anticoagulants and monitoring the international normalized ratio calculated for the blood clotting (RNI);
l) she is in a situation of the same nature as those referred to in subparagraphs g to k for which a time limit registration period of up to two weeks may be tolerated;
The person is not in a situation referred to in paragraph 1°, but its addition to the doctor’s clientele is not to the detriment of any person in such situation registered in the system referred to in Article 1.
SECTION II TIME SLOTS OF AVAILABILITY OF A DOCTOR 3. The general practitioner must offer all of the its availability time slots using any appointment making system referred to in paragraph 2 of the first paragraph of section 11 of the Act to promote access to family medicine and specialized medicine services (chapter A-2.2), replaced by section 1 of the Law aimed at increasing the supply of front-line services and to improve the management of this supply (2022, chapter 16). 4. Each of the time slots of availability that a general practitioner must transmit to the Minister in under the third paragraph of section 11.1 of the Act to promote access to family medicine and specialized medicine (chapter A-2.2), enacted by section 1 of the Act to increase the offer of specialized medicine front line and improve the management of this offer (2022, chapter 16) must include the information following:
1. the date on which the time slot became available for making appointments as well as its hours beginning and end;2. the category of people for whom this range schedule is offered among the following:
(a) a person registered with him;
(b) a person registered with another physician who practices his profession in the same place as him;
c) a person registered with another professional of health and social services who practices his profession in the same place as him;
(d) any other person;
3. the reason for the consultation for which this range schedule is offered among the following:
a) urgent consultation;
b) semi-urgent consultation;
c) pregnancy monitoring;
d) pediatric follow-up;
e) regular monitoring;
4. where applicable, the source of the reorientation of the person for whom this time slot is offered among the following:
a) 811;
b) 911;
c) the First Line Access Counter;
d) a hospital center;
5. the mode of consultation planned for which this range schedule is offered among the following:
a) in presence, at the place where the doctor practices his profession during this time slot;
b) in the person's presence, at the person's home;
c) remotely, by videoconference;
d) remotely, by telephone;
6. the name and contact details of the place where the doctor practices his profession during this time slot.
5. The following information is in addition to that included in a time slot referred to in Article 4 when this range ceases to be available due to the socket of an appointment other than by a system referred to in Article 3:
1. the name of the person who obtained the appointment;2. his health insurance number;3. his date of birth;4. his sex;5. the postal code of his place of residence;6. the contact details to which this person can be attached.
The information listed in the first paragraph must be paid to the appointment booking system used by the doctor through any means taken by the Minister under the second paragraph of section 11.1 of the Law promoting access to family medicine services and specialized medicine (chapter A-2.2), enacted by section 1 of the Act to increase the offer of services front line and improve the management of this offer (2022, chapter 16). 6. For each four-week period beginning on a Sunday, the information referred to in article 4 is transmitted to the Minister no later than 24 hours before the start of this period and, without delay, when a time slot allocated to a person becomes available again in particular due to cancellation of a consultation. The information referred to in article 5 is transmitted to the minister without delay. 7. The information referred to in sections 4 and 5 is transmitted to the Minister by means of an electronic medical record allowing the transmission of this information in accordance with Article 6.
SECTION III TRANSITIONAL AND FINAL PROVISIONS 8. Until the entry into force of a regulation adopted under paragraph 1 of the second paragraph of section 92 of the Health Information and Services Act (chapter R-22.1) providing for the procedure for certification of an electronic medical file, the file electronic medical device referred to in Article 7 must be certified in accordance with the rules, as applicable:
1. taken for the application of section 5.2 of the Act respecting the Department of Health and Social Services (chapter M-19.2);2. deemed to be taken under section 97 of the Act respecting health and social services information and amending various legislative provisions (2023, chapter 5) by article 263 of this law.
9. Sections 3 to 7 do not apply to a physician general practitioner aged 65 or over on May 23, 2024 who,on this date, does not use the orchestration platform of appointments for care requests and supply management front-line medical services covered by Decree No. 808-2020 from July 15, 2020. 10. This regulation comes into force on May 23 2024, except for the provisions of Articles 3 to 7, which come into force on November 23, 2025 with respect to any doctor who, on May 23, 2024, does not use the platform orchestration of appointments for care requests and management of first-line medical supply covered by the Decree No. 808–2020 of July 15, 2020.