Our Strategy

The legislature wants the GMSIH to continue beyond the first seven years of its existence and has clearly indicated its intention, not only for the GMSIH to continue the work accomplished during the first period, but also for it to become more involved in the development of the health information system. This is why it has extended its missions beyond health care institutions to health networks to coordinate care in collaboration with family medical providers and medical social workers.

This new mission in addition to the above missions obliges the GMSIH to define its action, not only in relation to federations of health care institutions, which, the legislature reminds us, play a major role in the governance of the GMSIH, but also in relation to government authorities, in particular the French Ministry of Health (DHOS) with regard to the management of hospitalization and the organization of care.

The latter has specified its expectations in a letter that Ms. Annie Podeur, Director of the DHOS, sent to the President of the GMSIH on 27 October 2006 and which anticipated the following priority orientations :

  • Support institutions in their efforts to adapt their information systems (IS) to the reforms ;
  • Contribute to the preparation of the future modernization plan for Hospital Information Systems (HIS) ;
  • Delve more deeply and adapt the works to interoperability references.

On this basis, and in keeping with the expectations expressed by the representatives of federations of health care institutions, the general assembly of the GMSIH has validated the following plan of action.

With regard to the first orientation, the GMSIH will be conducting projects on :

  • The implementation of the confidentiality decree and the expansion of the Health Professional Card (CPS) system ;
  • A test run of direct invoicing of health care to health insurance funds ;
  • Providing information for and access to the Personal Medical Record (DMP) ;
  • The implementation of the piloting tools required to establish a casemix-based hospital financing system (T2A), the projection of receipts and expenses and the new governance ;
  • The implementation of the decree on contracts regarding proper usage of medication and medical devices.

For the second orientation, the GMSIH will work :

  • On strategies to computerize the medication system and links with the computerization of health care processes ;
  • On implementing functional and technical infrastructures to ensure secure exchanges within both hospital information systems and with the Health Information System (SIS) (especially in terms of directories) ;
  • On adapting the capabilities of the "information system" of the different hospital players, distributing knowledge and experience and coordinating professional networks in relation to information systems ;
  • On the specific problems faced by small and medium-sized institutions ;
  • On implementing a knowledge base for hospital information systems.

With regard to the third orientation, the GMSIH’s first objective is to implement actions to extend standardization to the majority of the components of health care institutions’ information systems. The second objective is to effectively implement the results of the standardization, on the one hand in the specifications of the health care institutions and, on the other hand, in their urbanization projects and master plan. The third objective is to ensure that developers actually apply the constraints imposed on them by standardization in the development of their products, whatever the versions.

The projects planned with regard to this issue and described below fulfill these objectives :

  • Study of functional and technical architectures fulfilling the needs of coherent and progressive urbanization ;
  • Exchanges between health care institutions and networks ;
  • Adaptation to the work conducted by the DGME (French General Directorate for State Modernization) on the RGI (General Interoperability Database) and RGS (General Security Database) in the environment of health information systems.

To successfully carry out this strategy, the GMSIH has a budget of 5 million euros for a staff of 20 persons for the year 2007.