Rolling out the electronic health record (DMP): the ASIP Santé is providing support to 33 healthcare establishments (updated)

DMP | 04 Oct 2012
In order to encourage the rollout of the electronic health record (DMP) to healthcare facilities, the Agence des Systèmes d’Information Partagés de santé (ASIP santé) has just accepted 33 applications as part of the call for proposals entitled "The DMP system in healthcare facilities". The agency's new initiative is testament to the importance it attaches to effective coordination between community and hospital healthcare, as a way of improving patient management.

22 December 2011 : the launch event for the "DMP system in healthcare facilities" programme took place on 23 November 2011. To listen to a recording of this eventclick here.

12 décember 2011 : "The list of 33 facilities has been updated to include the following new organizations:
Clinique du Pré Saint Gervais - Groupe Orpea Clinea and the Saint Hélier Physical Medicine and Rehabilitation Section" 

The "Rolling out the DMP to healthcare facilities"call for proposals, which was published last July, should aid the rollout of the DMP system, with help from the lessons drawn from the "Amorçage" programme, which was itself launched by ASIP Santé in 2010 as a way of testing the DMP service and its rollout in 4 pilot regions: Alsace, Aquitaine, Franche-Comté and Picardy.

The experience acquired in these pilot regions, which are at an advanced stage of the project, is currently guiding the implementation of the DMP service in other regions. Among the initial observations are the importance of where DMP records are created (photo), and the need to treat DMP implementation as a major, important project that involves all departments.

This call for proposals aims to achieve "critical mass" for the DMP across each region, which will be needed if the service is to be used widely and routinely. healthcare establishments are at the heart of the system, and are drivers of the rollout, as significant producers of documents useful in care coordination – something that is expected by healthcare professionals just as it is by patients.

The rollout of the DMP service, which was begun in 2011 by ASIP Santé, is happening gradually, across geographical regions and across care networks in a large number of French regions. In order to achieve this, it is receiving help from « regional project owners » (MOAR), which are responsible for development and co-ordination of local initiatives in e-health. These bodies offer information, training and support for all those involved (for example community and hospital doctors, hospital directors, patients' associations, software publishers, and IT consultancies) to promote the use of the DMP service in their regions.

  •  The French electronic health record system (DMP) was created as part of the health insurance reform law of 13 August 2004, and was strengthened by the 2009 law on hospitals, patients, health and regions (HPST). It is the central element of a healthcare modernization policy that is focused on making care coordination a key part of better patient management. 
  •  This reform has also resulted in the creation of health cooperation groupings (GCS) and has enshrined the concept of "cooperation between healthcare professionals" in the French public health code. This policy has emerged from the observation that better coordination of care through the electronic exchange of healthcare data can provide a response to the challenges that are facing our healthcare system today – an ageing population and the need to keep people in their homes, the increase in long-term conditions, difficult medical demographics, and the current tough economic conditions.
  •  The digital hospitals programme, which has been piloted by the French ministry of health, has identified networking of hospital information systems as a driver of modernization and development, and has made the "shared patient record" one of this programme's five functional areas.
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In addition, the first findings of the “laying new ground” programme (see above) stress the effect the DMP service has had as a catalyst for building relationships between healthcare establishments and community doctors, particularly via regular meetings. This shows that the DMP is fulfilling its potential as a facilitator of care co-ordination, as it creates an interdisciplinary way of working that was previously difficult to achieve.

Beyond the development of e-health, the rollout of the DMP service is a real opportunity for the whole hospital sector, as it makes hospitals truly open to community of healthcare establishments, which will benefit regional and care network approaches. It is useful both for practitioners in hospitals, who need to find out medical information about patients referred by a community doctor (past history, allergies, current treatments, summaries of outpatient visits) and for community doctors who follow-up patients after they are discharged (operation summaries, discharge summaries, anaesthesia reports).

In addition, the DMP meets the needs of hospital and community healthcare professionals in terms of data sharing and exchange, to the benefit of the patients they treat. It means that healthcare establishments no longer need to implement specific computer projects to create links between community and hospital medical files.

Finally, the ability of an establishment to use the DMP service can really improve relationships with patients. By providing a positive response to patients who are asking to create or use a DMP record, healthcare establishments can improve its image in the local area.

The DMP system is therefore an important issue for healthcare professionals. It can drive medical practice forward towards better care co-ordination, by promoting a culture of information sharing. The "DMP in healthcare establishments" call for proposals will enhance this process, with the aim of improving care quality for all users.

Documents associés:
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DMP en établissement - list of 33 facilities (in French)305.23 KB