As part of the progress of the Ségur du Numérique en Santé, we present our information portal. We are launching a call for expressions of interest in joining a cluster. The form can be found at the bottom of the page just after the article.

1. Advances at Ségur du Numérique en Santé
2. Support for Ségur du Numérique en Santé
3. What is a cluster?
4. Participating in a cluster

1. Advances at Ségur du Numérique en Santé

Since 2020, all the entities (L'ANS, DNS, ASP, L'ARS, CNSA...) have been working together to set up the Ségur du Numérique en Santé.

The Ségur digital health project is an ambitious undertaking that will secure data and enable healthcare professionals and users to share information more widely. This will enable us to provide better support and facilitate care.

To implement Le Ségur du Numérique en Santé, healthcare players can equip themselves with new software versions, if they wish, thanks to government funding. Public authorities and publishers are working together to :

• Closely monitor the operation of these solutions in the field;
• Improve the fluid and secure sharing of healthcare data.

This applies in part to medico-social establishments that provide support for SAADs.

Wave 1 of the Ségur du Numérique en Santé program involves developing core services, respecting certain core businesses and taking stock of the maturity of information systems. The French government is seeking to list ESMSs so that they can benefit from the funding available to upgrade their software.

2. Support for Ségur du Numérique en Santé

The French government has set up a number of subsidies to facilitate access to digital technology for structures in the medico-social sector, in preparation for Wave 1.

• The first is the ESMS Numérique funding scheme, initiated by the CNSA. It is aimed at establishments that need help with the acquisition and renewal of their DUI.
  This program aims to generalize the use of digital technology. To apply for ESMS Numérique funding, it is necessary for several establishments to join forces, in what are known as clusters.

• The second is SONS. The French government funds a system specifically dedicated to updating healthcare information systems, based on a "purchase on account" mechanism. For healthcare providers, the State pays the software publisher directly for the software equipment.

The funding is aimed at ESSMSs equipped with a DUI who want to upgrade their IS. The SONS is therefore used to upgrade the DUI, i.e. to modernize and secure software to integrate the requirements of the Ségur du Numérique.

You don't have to go through a cluster to get it.

3. But what is a cluster?

The cluster will enable structures to group together by region or at national level, around a common project, to benefit from financial support such as ESMS Numérique funding, and support to enable its implementation. Clustering is highly recommended for digital projects. Clusters provide an opportunity for establishments to think collectively about possible solutions for taking the digital turn.

To benefit from ESMS Numérique, there are a number of prerequisites:

• A willingness to join forces to carry out an Information Systems project and to pool resources.
• A minimum of 15 establishments is required to apply.

The cluster allows us to come together as a collective and think about solutions through a common project.

The cluster will thus promote :

• Obtain funding for project management,
• Information systems audits,
• Sharing a common vision and a common goal,
• Work collectively on the same subjects and issues...
• Work collectively on the use of new tools,
• Consult each other on purchasing and new equipment.

4. Participate in a cluster

If you wish, you can take part in a cluster to further the deployment of digital technology. Please fill in the form below.

The digital component of the Ségur de la santé is made up of six "Task Forces", bringing together healthcare professionals, experts, information systems directors, institutional representatives, federations (public hospitals, private hospitals, manufacturers, etc.) and software publishers.

The role of Task Forces

Its Task Forces are working to a tight schedule to analyze practices, identify the data to be exchanged or shared between players and with users to improve their experience, detect technical, organizational and legal obstacles, etc., and identify the levers to be invested to overcome them and develop the massive use of this data. The work to be produced will therefore be co-constructed with all the players involved, to ensure that everyone's stakes in this digital shift are taken into account.

The Task Forces have defined the requirements for the Ségur Numérique component through use cases, and specified the objectives for exchanging and sharing healthcare data.

These requirements were used to draw up the DSR (Dossier de Spécification de Référence) and the REM (Référentiel d'Exigences Minimales) for wave 1 in the medicosocial sector.

For the Medical-Social corridor, sharing a common Electronic User File (DUI) is essential, but faster deployment of health data exchange and sharing in this sector requires a differentiated approach, at least in the short term.

The differentiated approach has led to the proposal of a "Task Force" for each sub-area. Work thus began in May 2021 with 3 dedicated sub-domains:

• Elderly people (e.g. Ephad)
• People with disabilities (e.g. in specialized homes)
• Homecare professionals (e.g. SAAD, SSIAD)

Further discussions will take place in the autumn on child protection and addictology.

The Progisap Senef team in the Task Forces

The aim is to provide broad coverage of "health data", taking into account all the data required for people's lives. The work will be based on existing interoperability components and specifications, in particular the feeding of the DMP with the DLU, the use of the liaison notebook or shared diary, and the transmission of documents such as the personalized project.

Task Forces are held weekly, and publisher meetings are also scheduled every two weeks.

In very concrete terms, our IT and product teams have the privilege of co-hosting these meetings, with a view to co-constructing and forecasting the progress of the project, and in particular of Wave 2 of the Segur, which will be launched later this year.

________

Tariq Hamadouch
CTO
SENEF - PROGISAP

________

Nicolas Fauvel
Product Manager
SENEF - PROGISAP

________

Geoffrey Lovato
Personal Services Expert
SENEF - PROGISAP

PROGISAP , the SENEF solution dedicated to the Personal Services and Senior Services Residences sector, is on its way to being listed by the Ségur du Numérique en santé.

The Segur du Numérique en Santé has been designed to facilitate and secure the exchange of medical data between healthcare professionals and users, with a view to providing better prevention and support.

Our PROGISAP solution, the digital ecosystem dedicated to Personal Services and RSS, adapts to meet the requirements of the DUI (Dossier Usager Informatisé - Computerized User File) referencing specification, to comply with the Ségur du Numérique en Santé (Digital Health Regulations).

To date, where does PROGISAP stand in this process?

• Authentication via PSC (ProSantéConnect) implemented in PROGISAP using your CPS or eCPS card.
• PROGISAP approved by the CNDA (Centre National de Dépôt d'Agrément) for use with INS (Identifiant National de Santé) teleservices.
• Automated deposit of your medical documents directly into the "DMP" (Dossier Médical Partagé) from PROGISAP.
• MSSanté (Messagerie sécurisée de Santé) and Messagerie sécurisée citoyenne to share information via secure exchanges from PROGISAP.

So we're in the home stretch, and our aim is still to support the digital transition of our Personal Services customers and all players in the sector.

We'll be back in touch with you in the coming days and weeks to report on these developments.