1. Ministère de la Santé et des Services sociaux RITM – Réseau intégré des télécommunications multimédia (integrated multimedia telecommunications network) First Nations Health Forum – FNQLHSSC February 24, 2015 Direction générale des technologies de l’information

2. Presentation plan Scope of the integrated multimedia telecommunications network (RITM) Role of the Ministère de la Santé et des Services sociaux (MSSS) Access services available for partners Assets of common interest – A few examples Partner approach for accessing the RITM / RI Questions and discussion

3. Scope of the RITM (1 of 2) The integrated multimedia telecommunications network (RITM) provides a set of services based on a high-speed fiber-optic network throughout almost all of Quebec. It provides a scalable, secure and robust connectivity. This network ensures extensive and efficient data exchanges, confidentiality of information and a high availability rate. Included in the telecommunications service: –Security services; –Management tools; –Support and advice; –Performance levels guaranteed from source to destination; –Partitioning and organizational and technical protection; –Standardized management framework. The RITM also offers related services such as IP telephony and videoconferencing.

4. Scope of the RITM (2 of 2) CCS Clinics Pharmacies Community organizations GMF RAC, RI, RTF LIM Ambulances and air-ambulances Public institutions RSSS organizations (OPHQ, INSPQ, INESS, etc.) Agencies (RITM perimeter) MSSS Clientele/patients CSPQ Suppliers (providers) Partners Representatives Web hosts Faculties of medicine Research centres

5. Role of the Ministère de la Santé et des Services sociaux (MSSS) The Ministère de la Santé et des Services sociaux (MSSS) is responsible for the health and social services network (RSSS), for the orientation and evolution of access to RITM services, including interconnection services for partners and suppliers outside the RITM. Supplier of RITM links up to 2018 inclusively: Telus The Direction générale des technologies de l’information (DGTI) at the MSSS is responsible for the availability of interconnection services and its Service Centre acts as single-window access to services.

6. Access services available for partners Remote access F_Dedicated Remote access services Type of installation/equipment Client Internet Remote access token Client Internet Remote access token Client Internet M PLS RITM link Internet client with fixed IP Access type Strong two-factor (NIP/Token) BIDIRECTIONAL UNIDIRECTIONAL Decompart- mentalization INSTITUTION RSAI AUTHORIZATION PROCESS, TCR AND DGTI-MSSS Authentication type Strong two-factor (NIP/Token) Bandwidth Based on the site’s Internet link Based on the selected RITM link (128bps at 100 Mbps) Note: Only service with available QoS Based on the site’s Internet link Cost Initial cost for the Juniper Annual cost: $ 88 per token Annual cost:$ 88 per token Initial cost: $ 165 per user Monthly cost: $ 75 per user Installation cost: $ 500 Monthly cost: $ 250 E.g.: 10 Mbits: installation cost $ 1,500 Monthly cost:$ 2,100 Note: construction costs may apply

7. Assets of common interest – A few examples (1 of 3) DSIE: The application “Demande de services interétablissements” (request for inter-institution services) is a clinical information exchange tool required by different stakeholders regarding users who are transferred from one institution to another or to their home. I-CLSC: Information system for managing clinical information for first- line services in local community service centres (CLSC). It is also used by rehabilitation centres (centres de réadaptation en dépendances) and Aboriginal communities. Info-Santé and Info-Social Web (ISISW): Application that supports professionals in their telephone interventions with the general public and also with customers registered through the 8-1-1 Service. Module de garde (care module): The application allows organizations providing care (medical, social, nursing or other) to collect the schedules. The Info-Santé and Info-Social personnel can consult the schedules of the professionals listed.

8. Assets of common interest – A few examples (2 of 3) PIJ: This application is for managing information concerning users, the services they receive in accordance with their relevant intervention process. RRSS: Application for finding the most suitable service or the most appropriate resource, responding to the problem experienced by the user. Available for the network stakeholders, it helps to quickly locate the coordinates of a particular hospital, a CLSC or a rehabilitation centre, in addition to the resources that are part of the network through their mission to assist the public (pharmacies, medical clinics, community organizations, etc.). RSIPA: This solution provides various software tools to stakeholders in the health and social services network (RSSS) to support the clinical evaluation process of the person with a loss of autonomy.

9. Assets of common interest – A few examples (3 of 3) Videoconferencing: the centralized videoconferencing and collaboration service supports the telehealth activities, administrative meetings, continuing education, research and distance learning through the integrated multimedia telecommunications network (RITM). For a complete list of assets of common interest including a more comprehensive description, you are invited to visit the following website: http://ti.msss.gouv.qc.ca/Familles-de-services/Actifs- informationnels.aspx [French only] For support, the FNQLHSSC will be the link with the Ministère de la Santé et des Services sociaux (MSSS).

10. Partner approach for accessing the RITM / RI To access the RITM information assets, any non-contracted partner must: 1- Identify their needs: Are the users mobile? What information assets need to be accessed? –The DGTI-MSSS steering department (Direction du pilotage) controls the assets of common interest contents. It assists applicants in prioritizing their needs and identifying the information assets to meet these needs. –An agreement with the owners of the information assets must be signed to obtain access rights. Will access to information assets be given to all users of all sites or only to a few clinicians? Are the clinicians already part of the RITM? Do you require videoconferencing with the RITM? 2- Subsequently, the FNQLHSSC shall send a formal request to the MSSS: Identify the best remote access service based on the needs expressed and the volume required. A safety analysis will be conducted to determine the level of trust and the controls required for connecting the First Nations CSSS to the RITM.

11. Ministère de la Santé et des Services sociaux Questions? Comments? Direction générale des technologies de l’information – Direction générale adjointe des orientations et de la planification