The Rapid Response Unit (RRU)

The RRU provides care 24 hours a day, 7 days a week, and works to ensure that hospitalized patients can return home as quickly as possible—whether on weekdays or weekends, during the day or in the evening.
For individuals who remain at home and wish to avoid hospitalization despite requiring intensive end-of-life care, the same level of comprehensive support and clinical care is provided in the home.

What is a Rapid Response Unit (RRU)?

The Rapid Response Unit (RRU) is a specialized interdisciplinary team that supports people at the end of life who wish to remain at home despite experiencing complex, difficult-to-manage symptoms.

An interdisciplinary team

Specialist physicians, nurses, healthcare aides and a range of complementary care professionals work together to provide personalized, patient-centred care tailored to each individual’s needs.

A personalized care plan

Every care plan is developed according to the patient’s needs, wishes and circumstances, as well as those of their loved ones.

Available 24/7

Our team is available around the clock and provides care day and night, seven days a week, ensuring a rapid response and seamless continuity of care.

Fewer hospital visits, greater comfort

The RRU helps patients avoid unnecessary ambulance transfers, emergency department visits and hospital admissions by providing at home many of the specialized services that are traditionally available only in hospital settings.

A new option for end-of-life care

For those who choose it, we offer the opportunity to spend their final days in the comfort and security of home, surrounded by the people they love.

Complementary Care

In addition to medical and nursing care, RRU patients may benefit from complementary services designed to promote comfort, well-being and quality of life, including:

  • Psychosocial support
  • Massage therapy
  • Art therapy
  • Spiritual care
  • Sound therapy
  • Hypnotherapy
  • End-of-life doula support

How can patients access the Rapid Response Unit (RRU)?

The Rapid Response Unit (RRU) cannot be accessed directly by patients or their loved ones. Referrals must be made by the clinical teams at our partner institutions, including the CHUM, the CLSCs of Santé Québec West-Central Montreal Health and Social Services University Network, and healthcare professionals at the Jewish General Hospital.

The RRU is intended for people at the end of life whose condition requires specialized home-based care beyond what can be provided through standard home care services. Partner clinical teams assess each patient’s eligibility according to established criteria and submit a referral when appropriate.

RRU’s target clientele

Eligibility Criteria

  • 18 years of age or older
  • Level D goals of care
  • An end-of-life prognosis of less than six weeks
  • Wishes to return home or remain at home
  • With or without a family caregiver
  • Resides on the Island of Montreal (see the Service Area section below)

Three Care Pathways to End-of-Life Care Through the Rapid Response Unit (RRU):

The Rapid Response Unit (RRU) is a specialized interdisciplinary team that supports people at the end of life who wish to remain at home despite experiencing complex, difficult-to-manage symptoms.

Pathway 1

Hospitalized patient at the end of life

  • Wishes to return home
  • Requires an intensity of care typically available only in a hospital setting
  • Seeks the comfort and security of home
  • With or without a family caregiver

Pathway 2

Avoiding hospitalization

Patient at home whose condition is rapidly deteriorating during the final stage of life

  • Experiencing acute, refractory and/or complex symptoms
  • Requires specialized care typically provided in hospital
  • Referred to Aux trois sentiers instead of being transported by ambulance to the emergency department
  • Referred by the CLSC care team (physician, nurse or care coordinator)

Pathway 3

Medical Assistance in Dying (MAiD) at Home

Patients in Pathway 1 or Pathway 2 who request Medical Assistance in Dying (MAiD) and whose prognosis is less than six weeks.

An Innovative Approach to Home-Based End-of-Life Care

One of the Rapid Response Unit’s (RRU) key objectives is to bring specialized hospital-based approaches into the home, allowing patients at the end of life to benefit from advanced clinical care in the comfort of their own surroundings.

Examples of innovative practices currently being implemented through the Rapid Response Unit include:

Specialized Management of Complex Pain at Home

  • Leadership and on-call coverage provided by specialist physicians
  • Use of medications typically reserved for hospital settings
  • Subcutaneous and intravenous infusions administered at home
  • Peripheral nerve blocks (currently being introduced)

Ultrasound-Guided Peripheral IV Access at Home

  • Comprehensive training program for all RRU clinical staff
  • On-site simulation workshops to develop and maintain procedural skills

Rapid, Coordinated and Continuous Care

  • Prompt admission and personalized clinical coordination
  • A dedicated clinical coordination team available seven days a week, serving as the central point of contact for patients, families and healthcare partners
  • Ongoing support until death, with real-time adjustments to the care plan as patients’ needs evolve
  • Medication kits supplied through a partnership with the Jewish General Hospital Pharmacy

A Win-Win Model for Everyone

When care becomes increasingly complex, loved ones often find themselves managing medications, treatments and countless day-to-day responsibilities. Through our specialized clinical care, they are able to step away from the role of caregiver and simply be there for the person they love—to share meaningful moments, offer comfort and accompany them through the final stage of life, rather than providing the care themselves.

For Patients

Honouring their wishes while allowing them to experience the comfort of home.

For Loved Ones

Returning to being loved ones rather than caregivers.

For Hospitals

Freeing up acute care beds for other patients.

For the Healthcare System

Making the best use of healthcare resources where they have the greatest impact.

Service Area

The Rapid Response Unit (RRU) currently serves the West-Central Montreal region and surrounding areas. Our goal is to gradually expand this innovative model to other parts of Montreal so that more people can receive specialized palliative care in the comfort of their own homes.

The continued growth of the RRU will depend, in part, on ongoing financial support from Quebec’s Ministry of Health and Social Services.

Our Clinical Partners

Our model is built on close collaboration with the five CLSCs of Santé Québec West-Central Montreal Health and Social Services University Network, the Jewish General Hospital and the CHUM, ensuring seamless continuity of care for people at the end of life.
We are also developing new partnerships with other hospitals to make this model of care accessible to even more patients across Montreal.

From a Pilot Project to a Model for the Future

2024 — 2026

Initially funded by the Institut de la pertinence des actes médicaux (IPAM) from 2024 to 2026, the Rapid Response Unit (RRU) was launched as a pilot project to expand access to specialized palliative care at home.

December 18, 2024

Following an extensive development phase—including stakeholder consultations, the creation of clinical protocols, coordination with healthcare partners, and the recruitment and training of clinical teams—the RRU welcomed its first patient on December 18, 2024.

Today

What began as an innovative pilot project has evolved into a proven model of care, enabling people at the end of life to receive at home the specialized care traditionally available only in hospital settings.

Today, we are working to secure the long-term sustainability and expansion of this unique model so that even more patients and families can benefit from it.

A Dedicated Team

The Rapid Response Unit is made up of highly skilled and compassionate professionals who are committed to providing end-of-life care with humanity, kindness and respect.

Want to get involved? Be part of the change!

Let’s work together to help Quebecers who want a dignified end-of-life experience. Let’s have the courage to offer them beauty at the end of life.