425 health establishments "in a feeding dynamic"

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More than 705 accommodation establishments for dependent elderly people (Ehpad) have also signed the agreement to support the deployment of the DMP with their residents, thereby committing to create and maintain emergency liaison files (DLU) ) by the end of 2020, added the Cnam and the DNS.

The announcement came as part of a progress update on the government's digital health roadmap, an exercise in "transparency" designed to be repeated several times a year, said the ministerial official in digital health. , Dominique Pon.

On the professional side, 11,600 generalists supply the DMP, "against 350 in 2016" and 24,790 consult it, "against 840 in 2016".

Creations continue with 8.4 million files opened, more than 2.4 million additional files compared to June.

Several new features are expected in 2020. A proof of concept (Proof of Concept, PoC) for consulting medical imagery via the DMP was developed in November, but no date for integration was mentioned. The vaccination card should also include the DMP in June.

Health insurance said "working with publishers to improve the ergonomics of integrating DMP into business software".

An experiment to access the file without using the health professional card (CPS) was launched in several health establishments. CPS is today "the main obstacle to the use of DMP," said Cnam.

Finally, studies are planned in January to "define the ways in which DMP is linked to the digital health space" (ENS, action n ° 15).

They will concern "the implementation of theopt-out, management of user identification and authentication and user input of enriched data "in the ENS.

The "terms of acquisition of industrial technical bricks for the native functionality of the ENS (messaging, application store, calendar)" will also be defined in January.

Objective "100% use of secure health messaging"

Annie Prévot, director of the Digital Health Agency (ANS, formerly Asip Santé), said that she was aiming for the use of secure health messaging (MSSanté) by "100% of doctors", compared to 60% currently.

In early 2020, the agency will Review MSSanté intended for exchanges between patients and doctors, then for medico-social establishments and services (ESMS).

The "digital ESMS" plan (action n ° 20) is "always in concert", said Dominique Pon. According to him, it will be "like Hop'EN but for ESMS".

The DGOS took stock on Thursday of the seven action levers of the Hop'EN program (action n ° 19), which relate to the governance of hospital information systems (HIS), the development of skills and a " quality industrial offer ", supporting establishments in achieving prerequisites and functional areas, steering and communication on the program, and research and evaluation.

Regarding e-prescription (action n ° 13), the director of the ANS announced that the results of the current experiment are expected "at the end of February".

Finally, the decree finalizing the regulatory framework for the national health identifier (INS, action n ° 6), which will become mandatory on January 1, 2021, is expected "at the latest by the end of the month", assured the Ministerial Delegate for Digital Health, Laura Létourneau.

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