L’équipe d’appui à la coordination des réseaux de santé devra disposer d’un logiciel dont les fonctionnalités répondent aux exigences métier des professionnels qui la composent et connecté selon ces besoins au DMP et à la MSS. Décliné dans une offre logicielle du marché éventuellement fourni en mode SaaS , pouvant être mutualisée pour plusieurs réseaux de santé (adaptation à différentes configurations organisationnelles territoriales), ou plusieurs types d’organisation de coordination (MAIA, CLIC, plateforme d’appui…)
Ce logiciel métier:
o crée, gère et pilote au quotidien le Plan Personnalisé de Santé, appuyé par un système d’aide à la décision : paramétrage de contraintes de suivi, fonctions d’analyse croisée entre actions planifiées et réalisées, fonctions de recueil journalier des contacts (identification de l’appelant, motif d’appel,..) notification d’événements sur le DMP, alerte sur les non événements , …
o intègre des outils méthodologiques d’évaluation multidimensionnelle des besoins et des problèmes qui prennent en compte les recommandations de pratiques professionnelles et les protocoles de prise en charge (ex. protocoles HAS, ..).
o s’interface avec le Référentiel des Acteurs Santé Social (RASS) et le Répertoire Opérationnel des Ressources (ROR) de la région concernée pour l’identification et l’authentification des professionnels mobilisés dans le cadre d’une prise en charge complexe donnée. Intègre le répertoire de l’offre de service de proximité.
o dispose de fonctions de gestion d’agenda/planning de l’équipe d’appui à la coordination.
o propose des fonctions support de gestion administrative et comptable : gestion des aides à la prise en charge de soins hors nomenclatures ; analyse et production des tableaux de données d’activité.
Source : http://www.sante.gouv.fr/les-reseaux-de-sante.html
dimanche 17 mars 2013
samedi 16 mars 2013
Personnes en rééduction thérapeutique et robots au Japon
Une étude japonaise menée pendant deux ans par l'Université de Tsukuba a montré que 90 % des patients qui ne peuvent plus se déplacer de manière autonome, à la suite de lésions de la moelle épinière, ont retrouvé un certain degré de mobilité, après avoir subi un programme de réadaptation à l'aide du "costume robotisé" HAL (Hybrid Assistive Limb), qui est un exosquelette développé conjointement par l'Université de Tsukuba et la société de robotique Cyberdyne.
Les patients ont porté HAL deux fois par semaine, pendant 16 séances, pour des sessions de formation de 20 minutes. A l'issue de cette rééducation, les chercheurs ont constaté une amélioration chez 25 des 27 patients de l'étude. "Nous avons confirmé par ces travaux que l'utilisation de HAL permettait aux patients d'améliorer sensiblement et durablement leurs fonctions motrices et de récupérer une partie de leur autonomie", souligne Kiyoshi Eguchi, qui dirige ces recherches.
A la suite de ces bons résultats, les hôpitaux et les centres de rééducation japonais ont décidé de lancer des essais cliniques étendus chez l'homme pour évaluer les possibilités thérapeutiques de HAL dans la prise en charge des principales pathologies neurodégénératives ou musculaires affectant la mobilité.
Article rédigé par Georges Simmonds pour RT Flash
IBM endorses PEPPOL
During a recent Commission hosted workshop on the Digital Single Market, IBM announces the roll-out of PEPPOL based solutions across Europe, while OpenPEPPOL presents e-Invoicing developments and key stakeholders’ roles for the ongoing maintenance of the network.
Niels Pagh-Rasmussen, Executive Architect, IBM
On February 21, 2013, at the event ‘Build, Connect, Grow: Make Business in the Digital Single Market’ (www.epractice.eu/events/lsp) the status of the Large Scale Pilots (LSPs) was presented in relation to the European Commission’s new initiative, the Connecting Europe Facility (CEF), a key instrument to promote growth, jobs and competitiveness through targeted infrastructure investment.
The conference served as the launching pad for IBM to announce the provision of an IBM PEPPOL Access Point and services related to the PEPPOL network and infrastructure.
“There is huge room for improvement in electronic procurement to establish a common standard across the EU, reaping significant operational benefits. IBM can now support all PEPPOL users with full solutions and value added services, down to the single components that help customers to manage their basic infrastructure.” – stated Niels Pagh-Rasmussen, Executive Architect at IBM.
IBMs services are ready and will see a roll out in spring 2013 and target public and private organisations, using the PEPPOL network for both business-to-business and business-to-government transactions, for the exchange of electronic documents based on the PEPPOL specifications.
“The success criteria for growing the PEPPOL community is that governmental authorities decide to mandate the use of PEPPOL as their framework and technical infrastructure for pan-European electronic procurement, while the ICT industry needs to take responsibility to deliver solutions and services that meet PEPPOL requirements.” – concluded IBM’s Executive Architect.
In the morning session of the event, Sven Rasmussen, Leader of the OpenPEPPOL Transport Infrastructure community provided an overview of developments in Europe, focusing on electronic invoicing. Norway, Denmark, Sweden, Austria, Ireland, Italy and other countries are rolling out PEPPOL-based solutions, with growing commitment from Member States that are planning the implementation of their e-Procurement national infrastructure.
The European Commission’s DG DIGIT, has announced their commitment to the long-term sustainability of PEPPOL, by providing support for the maintenance of the sample implementations of the PEPPOL Transport infrastructure through CIPA (Common Infrastructure for Public Administrations). DIGIT will handle change requests from OpenPEPPOL, through a joint process for release planning and support.
OpenPEPPOL expressed strong support for the next phase of the CEN/BII (Business Interoperability Interfaces for Public Procurement in Europe) Workshop to build up on the results already achieved, as the PEPPOL Business Interoperability Specifications (BIS) represent the implementation guidelines of the CEN/BII profiles for public procurement.
The OpenPEPPOL community is growing steadily, with a number of European governments planning to become PEPPOL Authorities and taking a leading role in the governance of the PEPPOL network. Currently, PEPPOL Authorities are present in Norway (Difi), Denmark (DIGST), Sweden (ESV) and France (SGMAP).
With the commitment from a major ICT industry actor like IBM to build an open European e-Procurement infrastructure and the long-term focused initiatives of the European Commission through the LSPs and CEF, both the public and private sectors have now the confidence to adopt PEPPOL based-solutions to realise the savings and efficiencies of a standardised and integrated e-Procurement market.
The presentation of the conference “Build, Connect, Grow: Make Business in the Digital Single Market’ are available at:www.epractice.eu/events/lsp
From Russia with PEPPOL
OpenPEPPOL marks progress during the first international forum “Electronic commerce: challenges of Eurasian integration”.
On February 27th and 28th, in Ufa, the event on the future of E-commerce in Eurasia took place, organised by the Government of the Republic of Bashkortostan, the Chamber of Commerce and Industry of the Russian Federation. The main topics discussed included the challenges of electronic commerce, the different approaches to development of standards for cross-border trading, issues with cross-border use of electronic digital signature and the set up of trusted third parties.
André Hoddevik, Secretary General of OpenPEPPOL, reported on the importance of PEPPOL for international electronic trade. He emphasized that the results of the PEPPOL project favourably contributed to the development of integration processes within the European Union adding that: “Today, the OpenPEPPOL Association moves forward in the same direction, broadening the boundaries and reaching Russia”.
OpenPEPPOL held meetings with several Russian representatives to strengthen cooperation, resulting in a better understanding of how the public procurement market is developed in Russia, in particular, the different business models, the scope of contracts tendered and possible synergies from a standardisation perspective. The Russian e-Procurement model supports e-Notification through a joint platform and e-Submission with use of e-Signatures through five alternative platforms. Suppliers pay initial fees to submit tender offers and additional success fees if they win a contract.
As a first action to mark the progress, Andre Hoddevik suggested that AETP (Association of Electronic Trading Platforms) and the Eurasian Economic Committee become members of the CEN BII 3 Workshop*, while the EU Publication Office could provide further information on their experiences with e-Notification. The Russian organisations expressed interest in the e-Invoicing approach used by PEPPOL and further discussions took place with Irish, Swedish and Lithuanian companies, also present at the event.
“The forum was important from the viewpoint of functional aspects in the sphere of electronic commerce in Russia and abroad. The dialogue with Russian and foreign partners is indispensable. There is no race and no leaders but there are questions to solve. That is why everybody wins when somebody gets new experience to share”, highlighted Deputy Chairman of the committee of State Duma on economic policy, innovation development and entrepreneurship, Viktor Klimov.
Development director of JSC (Sberbank-AST) Julia Obalyaeva, pointed out at the closing of the forum, that directions of development which were planned in 2012 and aimed at the efficient cooperation of Russia, Belorussia and Kazakhstan remain the same in 2013. In her opinion the outcome of the conference provides the basis for further collaboration at an international level and willingness to continue joint discussions on unified standards of electronic commerce in 2014.
Participation of Russian organisations as members and observers in OpenPEPPOL is currently being discussed and will be evaluated on the basis of mutual cooperation to foster e-Procurement standardisation and connectivity.
*The third phase of the CEN Workshop on Business Interoperability Interfaces for Public Procurement in Europe (CEN BII 3) will have its kick-off meeting on March 21st, 2013, in Barcelona: http://www.cenbii.eu/
French Healthcare Goes Digital with PEPPOL e-Catalogues
B.Braun Medical, CHU Hospital of Montpellier and CARTENA report a successful pilot on the post-award healthcare e-Catalogue in conformity with the PEPPOL specifications, aiming at interoperability in the healthcare industry.
The CHU hospital of Montpellier and B. Braun Medical successfully started a PEPPOL pilot on the 14th of December 2012 based on the exchange of electronic catalogues and updates on medical device categories of items. B.Braun Medical and the CHU Hospital of Montpellier have exchanged e-Procurement data catalogues via the PEPPOL Network with the support of CARTENA, an e-Procurement specialist in the healthcare industry.
The solution was designed and developed as part of the PEPPOL project (Pan European Public Procurement On-Line), the EU co-funded public procurement initiative aimed at expanding open standards with greater interoperability. The development of the pilot was launched following the Connection to PEPPOL ceremony one year ago and while the PEPPOL project ended on August 31st, 2012, the PEPPOL components are being maintained by the OpenPEPPOL Association.
PEPPOL components include, among others, a secure, standards-based European transport infrastructure reachable through access points, and standardised electronic document formats for e-Procurement. The solution complies with PEPPOL Business Interoperability Specifications (BIS) that incorporate the CEN/BII e-Catalogue profiles and UBL syntax binding. This CEN/BII 1a catalogue is the format recommended for the European public sector with the objective to ensure interoperability between European service providers.
This first PEPPOL healthcare pilot was led by the French University Hospital of Montpellier (member of GCS Uni.HA buying Group and head of e-Procurement) and B. Braun Medical, a global leading company for medical devices, implants and pharmaceutical specialties in the fields of surgery, infusion therapy, intensive care and anaesthesia which provides a catalogue with over 40 000 references. The data management and infrastructure was provided by CARTENA, a PEPPOL service provider focusing on healthcare data.
In addition to providing a PEPPOL access point service, CARTENA included in its solution, a Master Data Management (MDM) system to ensure conformance to the standard formats for data and messages. The MDM functionality permitted the establishment of business rules to control formats, accuracy and uniqueness of data, which, in addition, provides better control over its own data to the manufacturer in order to mitigate the risk of populating incorrect information in a field were data is highly regulated.
A key part of the initiative included the integration of GS1* standards within the PEPPOL scope. CARTENA implemented the GS1® data structure in its core data model to make the PEPPOL pilot a success.
This PEPPOL e-Catalogue solution allows any provider or manufacturer to send detailed information on product specifications – e.g. chemical content, parcel, packaging etc. It also allows the update of any type of information into the ERP system of the hospital. Every time an update is made on the supplier’s side, the information can be updated and possibly dispatched to all purchasers. Since the data can be directly imported from the e-Catalogue, a key objective is to offer the comprehensive dematerialization of workflow, avoiding manual re-typing or re-sizing of orders.
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*GS1 is the worldwide non-profit organization developing and deploying standards for data and messages between suppliers and customers. In addition to the move towards GS1® barcoding structures on drugs in many countries, GS1® based standard has been chosen by the American Food and Drug Administration (FDA) authority for medical devices: the UDI identification, which requires suppliers to use unambiguous code numbers to identify goods and services and barcodes (linear, 2D or RFID) to enable automated processing of the supply chain. This regulation will also require suppliers to send their product characteristics in a standard format in a database to manage traceability and products recalls.
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