Note on the DMP (National French PHR project)

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Note on the DMP (National French PHR project)

• Breakfast - Press Club Paris - may 22, 2006

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Authors background
Présidence de la République Prime Minister
Ministry of Health Economy Industry
Research
Specialisedmembers of Parliament - Finances and
Social Affairs Commitees
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4 topics

•  
• Context
• Solution
• Present situation
• Proposals 

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Context

• France is ranked number 2 for the Healthcare
  expenses in Europe
• Big concern of budget deficit perspectives, in
  spite of recent progress
• Increasing gap between figures of patient
  longitivity and healthcare professional
  demography

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Topic 2

•  
• Context
• Solution
• Present situation
• Proposals 

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Solution

• Consolidate the coordination between stakeholders
  in order to
• compensate the effects of an increasing demand
  (through a more efficient organization)
• energically work to minimize medical errors and
  lack of quality
• avoid duplication of products and services,
  implicating risk for patient
• Create / reinforce an actual prevention policy

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How ?
  A powerful hospital information system, at the
Nation scale, has to be set up first. All
hospitals will be computerized and linked
together, enabling all medical information and
Personal healthcare records to be accessible from
all places / Telemedicine has to be developped
- Dominique de Villepin (French Prime
minister) - Press Conference Paris, October 27,
2005
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Topic 3

•  
• Context
• Solution
• Present situation
• Proposals 

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Main actors (Part)
ADAE AFSAPPS ARH CNIL CNOM CSTI CGTI DCSSI DGS DHO
S DSS DGAPB DGME
GIE Sesam-Vitale GIP DMP GIP GMSIH GIP
CPS HAS INVS MAINH MEAH MISS MOB MSV URCAM URML
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Outcome ?
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Evolution
ADAE AFSAPPS ARH CNIL CNOM CSTI CGTI DCSSI DGS DHO
S DSS DGAPB DGME
GIE Sesam-Vitale GIP DMP GIP GMSIH GIP
CPS HAS INVS MAINH MEAH MISS MOB MSV URCAM URML
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Topic 4

•  
• Contexte
• Solution
• Etat de lieux
• Propositions 

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Common sense

• Imply all actors thanks to a well controlled
  concertation
• Define and target mid and long term objectives
  instead of working only for show off impact
• Drive in parallel universal service project and
  National PHR pre-figuration
• Launch an audit in Spring 2007 in order to ajust
  the element for the generalization
• Take into account the feed back from foreign
  projects (humility)
• Work on innovative financial scenarios adapted
  to the 7 to 10 years long project development

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Help for all
Personal Healthcare Record Going back to a
concertation politics involving all the actors
NOTE TO THE POLITICAL MANAGERS (PRESENT AND
FUTURE)
(This document either in French or in English -
can be downloaded on both co-signatories websites)
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Contacts
LESISS 120 , avenue Charles de GaulleF- 92200
NEUILLY sur Seinewww.le6.org Contact Yannick
Motel 33 (0)6 30 40 20 36
SNITEM 39 - 41, rue Louis-BlancF- 92400
COURBEVOIEwww.snitem.fr Contact
Jean-Bernard Schroeder 33 (0)1 47 17 68 30