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

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

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.

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 medicineResearch centres

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.

Access services available for partners

Services d'accès distant

Type d'installation/équipements

Type d'accès Décloisonnement Type d'authentification Bande passante Coût

GMF

Internet cl ient+

VPN(Juniper SRX100)

+Jeton de téléaccès

BIDIRECTIONNELForte deux facteurs

(NIP/Jeton)Selon le l ien

internet du site

Coût initiaux pour le Juniper

Frais annuel : 88$ par jeton

TéléaccèsInternet cl ient

+ Jeton de téléaccès

UNIDIRECTIONNELForte deux facteurs

(NIP/Jeton)

Selon le l ien internet de

l 'utilisateurFrais annuel : 88$ pa jeton

F_VPN_MobileInternet cl ient

+Jeton de téléaccès

UNIDIRECTIONNELForte deux facteurs

(NIP/Jeton)

Selon le l ien internet de

l 'utilisateur

Frais initiaux : 165$ par utilisateur

Frais mensuel : 75$ par utilisateur

F_Dédié

Lien MPLS RITM+

NAT 1:1+

LDAP

BIDIRECTIONNEL LDAP

Selon le l ien RITM choisi (128kbps à

100Mbps)Note : Seul service

avec QoS disponible.

EX: 10 Mbits :Frais d'installation : 1500$

Frais mensuel : 2100$Note : Des frais de

construction pourraient s'appliquer.

F_VPN

Internet cl ient avec IP fixe+

VPN (Juniper SRX100)

+NAT 1:1

+LDAP

BIDIRECTIONNEL LDAP Selon le l ien

internet du siteFrais d'installation : 500$

Frais mensuel : 250$

Processus d'autorisation

RSAI de l 'établissement,

TCR et DGTI-MSSS

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

BIDIRECTIONAL

UNIDIRECTIONAL

UNIDIRECTIONAL

Decompart-mentalization

INSTITUTION RSAI

AUTHORIZATION PROCESS, TCR

AND DGTI-MSSS

Authentication type

Strong two-factor (NIP/Token)

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

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:$ 2,100Note: construction costs

may apply

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.

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.

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).

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.

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