Christian Anastasy : "Information systems: the levers of performance"

Points de vue | 20 May 2010
The view of Christian Anastasy (ANAP).
Within the scope of their respective roles, ASIP Santé and ANAP are working together to bring pragmatic, innovative, ICT-based solutions to healthcare and medico-social professionals. 
Christian AnastasyASIP Santé covers areas like infrastructures, interoperability and normalization, while ANAP is tasked with setting up new organizational systems in health institutions. Both agencies share the values of the law on hospital reform and on patients, healthcare and the regions (HPST) which created them; these values include opening hospitals across France and transforming the healthcare system.
This transformation must respond to the current challenges of the healthcare system – controlling costs while responding to new needs associated with the ageing population, the increase in chronic pathologies, and the uneven distribution of healthcare staff. The transformation must be achieved through new organizational structures and new ways of practising medicine, which will be built up in tandem with the information systems. Within this context, these new structures and working methods will facilitate the sharing of the information required to set up the care paths of patients being treated in different institutions within a particular region.
For ANAP – the driving force behind this transformation – the development of information systems is an essential performance lever.

Offering a strategic vision

ANAP works on the basis of the World Health Organization (WHO) definition of performance as applied to health, namely the capacity to improve the health of the population, to respond to people's expectations, and to ensure a fair financial contribution. It has set out an ambitious programme for 2010, structured around 10 major projects. Most of these include an information systems component, and in some projects it is the dominant feature. One example is helping institutions to install information systems solutions. Information systems support and facilitate the introduction of new organizational structures, and help to manage, measure and evaluate their performance. 
Health information systems are very underused, still rarely deployed, and many of the various stakeholders are still not sufficiently trained on how to use them. ASIP Santé and ANAP must work together, each within its own area of expertise, to aid and professionalize the implementation of these solutions. 
The task of ANAP is to support health and medico-social institutions in implementing new organizational structures which are built up in tandem with information systems. As far as ANAP is concerned, "there can be no strategic vision without information systems and no information systems without strategic vision". 
The two agencies – ASIP Santé and ANAP – are to sign a partnership agreement. They will be working closely together on developing information systems in both public and private health and medico-social institutions in their health regions, and/or the organizational consequences of implementing information systems. Each agency will keep the other informed of its plans, and they will agree joint management responsibilities on subjects of common interest. As part of this collaboration, the two agencies will endeavour to guarantee secure, high-quality healthcare information for both patients and medical professionals.

Christian Anastasy, director general of the French agency supporting the performance of health and medico-social institutions (ANAP).