The information system for MAIA homes must be integrated with the work done by ASIP Santé

Points de vue | 15 Mar 2012
Points of view of Luc Allaire, director of CNSA (the French national solidarity fund for autonomy).

The social care sector is seeing major changes in its information systems. The example of residential homes for Alzheimer's patients (MAIA) shows the need for interoperability when rolling out health information systems.

The briefs assigned to ASIP Santé and the French national solidarity fund for autonomy (CNSA) mean that these two agencies benefit from sharing their work on health information systems, in the broadest sense. The development of shared information systems in health and social care is essential if those involved in these sectors are to co-ordinate their work. To this end, the CNSA is contributing to ASIP Santé's work, which covers both the health and social care sectors.

Several current projects have benefited from this collaboration, and from the regular exchanges within this "health and social care" working group in 2011.

Listing of professionals and facilities (in the RPPS and RASS) is needed before we can begin to secure exchanges between those involved and a comprehensive listing of services currently offered in health and social care. The CNSA is involved in this, and seeks to raise awareness of the importance of this project in developing shared health and social care information systems. This work is accompanied by reflection on standardization of data that is to be exchanged (shared nomenclatures, interoperability reference standards).

Involvement of the CNSA in all these areas means that the approach will be consistent with the rollout of homes for independence and integration of patients with Alzheimer’s disease (MAIA), which remove barriers between facilities on a local level and ensure continuity of care. Information systems in MAIA homes must be designed to integrate with ASIP Santé projects (directories of professionals, information flow diagrams, computerization and sharing of personalized care plans). The in-depth analysis, carried out by CNSA, of specialist processes and requirements for information systems for MAIA homes, broadly reflects and complements the results seen by ASIP for health networks.

The synergies between these projects will mean that CNSA - which is a member of ASIP's board - can continue, develop and extend these projects in line with changes to its own brief, in close collaboration with the health information systems strategy commission (DSSIS) and the secretariat general, which guarantee the consistency of information systems in social affairs ministries.


The CNSA was created in 2004 and is a public administrative body with the following brief:
• to contribute to funding to help elderly and disabled people to retain their independence: helping with funding for the personalized independence allowance and provision of disability living aids, helping with funding for regional residential homes for disabled people, provision of funding for health and social care facilities;
• to guarantee equality of treatment throughout the country, regardless of age or level of disability, while ensuring that resources are distributed fairly;
• to provide expertise, information and leadership: exchanging information, sharing good practice between regions, support for innovative work, developing evaluation tools, supporting government services in identifying priorities and adapting the range of care that is offered;
• finally, the CNSA provides expertise and research on all issues connected with access to independence, for patients of all ages and levels of disability.

In 2012, the CNSA has a budget of 20.5 billion euros (11 billion for the elderly and 9.5 billion for those with disabilities).

For further information (in French):

Extract from the ASIP Santé's Annual Report 2011.