Telehealth

Telehealth is a key factor in improving access to care and quality of treatment.

Getting started

Telehealth is in the process of moving closer to conventional medical and nursing practices, making it a form of care like any other in the existing health care system.
In addition, recent legal reforms have clarified the professionals’ responsibilities and patients' rights.

Telehealth contributes to the development of coordinated care across multiple types of professionals. The initial and continuing education system is being built, and telehealth is now integrated into the national guidelines for CPD and the guidelines for the hospital civil service.

In 2018, as telemedicine was booming and its regulatory framework was evolving, the Agence du Numérique en Santé (French eHealth Agency, ANS) was tasked by the Ministry of Health's DGOS division to define a core functional reference base for the field, as part of the study it was conducting to support telemedicine deployment.

The telemedicine functional reference base describes all the features expected of telemedicine software, which are necessary or useful for carrying out the various stages of a teleconsultation or tele-expertise procedure.

The telemedicine functional reference base is said to be a "core” base, because its purpose is to provide a framework for the fundamental functions of telemedicine software, and to evolve with the regulations or framework, which are always mentioned in the base.

The purpose of the base is to guide any player who wishes to develop or acquire a teleconsultation or tele-expertise IS.

In practice

The first version of the telemedicine functional reference base, limited to teleconsultations 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 reference base for telecare.

When ?

If you are a manufacturer who wishes to develop a telemedicine IS (TLC and TLE): Learn about the telemedicine core functional reference base when your project is in the early stages.

If you are a healthcare provider who wishes to develop a telemedicine IS (TLC and TLE): Learn about the telemedicine core functional reference base.

Compliance

Telehealth includes

  • Telemedicine, as defined in Article L6316-1 of the Public Health Code: "a form of remote medical practice using information and communication technologies", and includes 5 procedures

Read article L6316-1 of the Public Health Code

  • Telecare, as defined in Article L6316-2 of the Public Health Code: "a form of remote care practice using information and communication technologies"

Read article L6316-2 of the Public Health Code

Coverage of teleconsultation and tele-expertise procedures

is set by:

  • the order of 1 August 2018 approving amendment No. 6 to the national agreement organising relations between private practitioners and the Health Insurance Fund, signed on 25 August 2016

View the order of 1 August 2018

  • the notice of 13 June 2019 (JORF) on amendment No. 6 to the national agreement of unaffiliated nurses, signed on 22 June 2007

See the notice of 13 June 2019

  • the order of 2 September 2019 approving amendment No. 15 to the national agreement of May 4, 2012, organising the relationship between pharmacy-affiliated pharmacists and the Health Insurance Fund

Read the ministerial order of 2 September 2019

ANS Publications

The ANS has published a core reference base for telemedicine platforms as well as a Telemedicine content section in the interoperability framework for health IT systems (CI-SIS) regarding health data exchanges for telemedicine purposes:

Read the article on the ANS website about telemedicine

Frequently Asked Questions

Learn more

Documentation

Roadmap

Next steps in the project:

  • In progress

    Ongoing deployment of telehealth and acquisition of tools by providers across the nation.

  • 2021

    Ongoing deployment of ETAPES remote monitoring experiments, and defining a target organisational plan for remote monitoring.

  • 2021

    Defining the regulatory framework for telecare and support for its deployment.

  • Late 2021

    Defining the evaluation processes that will allow remote monitoring services to be listed in the Health Data Personal Space (ENS) and the service package for professionals.

  • 2022

    Defining the evaluation processes that will allow telecare services to be listed in the Health Data Personal Space (ENS) and the service package for professionals (for each professional, gradually over time).

  • 2022

    Listing of the first digital telehealth services in the Health Data Personal Space and the service package for professionals.

Our experts on the subject

Louise Pihouee,

Ministry of Health

Christophe Gouel,

Agence du numérique en santé

Yann-Mael Le Douarin,

Ministry of Health

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Finding your way around the technical framework

The technical framework describes the actions in the ministerial roadmap for the eHealth shift.

Access the Framework Compass