Supporting regional projects

Régions | 21 Jun 2010
For almost ten years, the regions have been driving the widely anticipated modernization of health information systems. Consequently, supporting the regions in the relaunch of health information systems projects, as decided on 9 April 2009 by Roselyne Bachelot-Narquin, Minister of Health and Sports, is a priority for ASIP Santé.

Unifying and strengthening regional initiatives


ASIP Santé is committed to further unifying regional initiatives to foster the emergence of a culture of sharing and exchanging health data in the regions. The gradual implementation of an updated mechanism responds to the need, expressed repeatedly by the stakeholders, for a national framework and additional support. Firstly, this mechanism facilitates the integration of the national Reference Frameworks Repository (RFR), which is particularly important as far as security and interoperability are concerned. Secondly, it supports the development of new services. Thirdly, it helps to consolidate and professionalize the regional project management teams running pilot e-health projects in each region.


Promoting regional digital health environments throughout France 


To ensure the success of these changes, in 2009 ASIP Santé began introducing new relationship frameworks with the regions. The development of regional digital health environments (ENRS) is the greatest asset to these regional relaunches. In the future, the range of regional e-health services will exist and grow within these environments for electronic services, which will be based on a standardized technical mechanism created in accordance with the national RFR. Managed and coordinated by regional project teams, these environments will guarantee the convergence of the range of regional services towards a national framework. Acting as conduits for the deployment of e-health in the regions, they will be set up throughout 2010. Supported by the new regional health agencies (ARS), which will be responsible for national health policy in the regions, the ENRS will strengthen the robustness and operational intervention framework of the regional projects.


A new financial framework


Strengthening the partnership framework that was put in place when the regional projects were set up also means strengthening the financial framework. Since December 2009, ASIP Santé has been able to grant funding to regional projects which aim to encourage the development of shared health information systems and the deployment of the electronic health record (DMP). This funding for new regional projects is intended to be an integral part of the gradual implementation of the ENRS.

The goal of the legislation was to help ASIP Santé successfully achieve its missions by giving it the ability to "allocate funding, under conditions fixed by decree of the ministers responsible for health and social security, aimed at fostering the development of shared health information systems" (cf. article L.1111-24 of France's public health code).
The decree stipulating the methods for the allocation by ASIP Santé of funding aimed at fostering the development of shared health information systems was published in France's Official Journal of 19 December 2009 (Official Journal of the French Republic no 0294 of 19 December 2009).

Chiefly designed for regional projects, the "Instruction framework for projects financed by ASIP Santé" drawn up by the agency specifies the eligibility conditions for project funding, as well as the selection and monitoring procedure for these projects. This framework must, in particular:
  • foster the integration of the RFR (security, interoperability, etc)
  • promote the development of new services
  • help to consolidate and professionalize the management of regional projects.


The next calls for tenders


Calls for tenders will soon be launched by ASIP Santé to support regional initiatives, with the aim of:
  • reinforcing their organization to enable stakeholders to become more closely involved in the projects: call for Emergence projects – 1st half of 2010
  • trialling new services
    • Healthcare office software: 1st half of 2010
    • Telemedicine: 1st half of 2010
  • deploying the DMP
    • Beginning : 2nd half of 2010
    • rollout: 1st quarter of 2011