Telehealth
Telehealth is a key area for improving access to care and the quality of care.
Getting started
Telehealth is undergoing a continuous process of rapprochement with usual medical and nursing practices, making it a form of care like any other in the existing healthcare offering.
In addition, the common law regime applies in terms of professionals' responsibilities and patients' rights.
Telehealth contributes to the development of coordinated, multi-professional care. The range of initial and continuing training courses is being structured, and telehealth is now included in national CPD guidelines and in hospital civil service guidelines.
Telehealth is part of the development of coordinated, multi-professional care.
In 2018, against the backdrop of the boom in telemedicine and changes to its regulatory framework, the Agence du Numérique en Santé was commissioned by the DGOS to define a telemedicine core functional repository, as part of the study it conducted to support the deployment of telemedicine.
The telemedicine functional repository describes all the functionalities expected of telemedicine software, necessary or useful for carrying out the various steps enabling the practices of a teleconsultation or tele-expertise act.
The telemedicine functional repository is referred to as a "base", because it is intended to frame the fundamental functions of telemedicine software, and to evolve according to the regulatory or doctrinal contexts that are systematically recalled in the repository.
The repository is intended to guide any player wishing to develop or acquire a teleconsultation or tele-expertise IS.
In practice
A first version of the telemedicine functional repository, confined to teleconsultation and tele-expertise, was published in June 2020.
https://esante.gouv.fr/projets-nationaux/telemedecine
Work is currently underway on the development of a core functional repository for telecare.
When ?
I am a manufacturer who wants to develop a telemedicine IS (TLC and TLE): I am familiar with the telemedicine core functional repository from the start of my project.
I am a healthcare provider wishing to acquire a telemedicine IS (TLC and TLE): I am acquainted with the telemedicine base functional repository
.Compliance
Telehealth includes
- Telemedicine, as defined in Article L6316-1 of the French Public Health Code: "a form of remote medical practice using information and communication technologies", telemedicine comprises 5 acts .
Consult article L6316-1 of the public health code
- Telecare, as defined in article L6316-2 of the public health code: "form of remote care practice using information and communication technologies"
Coverage of teleconsultation and téexpertise procedures
is set by :
- the order of August 1, 2018 approving rider no. 6 to the national agreement organizing relations between private practitioners and health insurance signed on August 25, 2016;
Consult the order of August 1, 2018
- the notice of June 13, 2019 (JORF) relating to rider no. 6 to the national agreement for self-employed nurses, signed on June 22, 2007;
Consult the notice of June 13, 2019
- the order of September 2, 2019 approving rider no. 15 to the national agreement of May 4, 2012, organizing relations between pharmacy owners and health insurance;
ANS publications
The ANS has published a core repository for telemedicine platforms as well as a CI-SIS Témédecine content component in connection with health data exchanges involved in telemedicine:
Frequently asked questions
Training
Documentation
Roadmap
Next steps in the project:
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In progress
Continued deployment of telehealth and equipment for players in the territories.
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2021
Continued deployment of ETAPES remote monitoring experiments and definition of a target remote monitoring organization scheme.
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2021
Defining the regulatory framework for telecare and supporting its deployment.
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Late 2021
Definition of evaluation processes that will enable remote monitoring services to be referenced in the ENS and the professional services package.
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2022
Definition of evaluation processes that will enable telecare services to be referenced in the ENS and the professional services package (by professional, progressively).
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2022
Referencing the first digital telehealth services to the Espace numérique de santé and the bouquet of services for professionals.
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