Section 15: Hospitalisation at home activity

The purpose of home hospital care is to provide continuous, coordinated medical and paramedical care in the patient’s own home. This care differs from that usually provided at home in the complexity and frequency of the procedures.

I.-The holder of the hospital at home authorisation contributes to the assessment and orientation of the patient. If necessary, they provide psychosocial care and therapeutic patient education. It is required to ensure continuity of care seven days a week, twenty-four hours a day, every day of the year. For each patient, it provides care for a limited period, which may be revised according to changes in the patient’s state of…

I.-The home hospital care authorisation includes one or more of the following references: 1° “base”; 2° “rehabilitation”; 3° “ante- and post-partum”; 4° “children under the age of three”. A home hospitalisation authorisation containing one of the terms provided for in 2°, 3° or 4° may only be granted if the holder has a home hospitalisation authorisation containing the term “base” or obtains such an authorisation at the same time. II.-Only…

I-The holder of a hospital-at-home authorisation with the “base” designation is authorised to provide all the types of care provided for in article R. 6123-139, with the exception of those requiring the holder of an authorisation with one of the other three designations in article R. 6123-141, subject to the provisions of II of the same article. II.A hospital at home authorisation bearing the wording “base” may only be granted…

The purpose of hospital at home care with the “rehabilitation” mention is to provide complex, multidisciplinary and coordinated rehabilitation in the patient’s home in order to prevent or reduce functional consequences, deficiencies and activity limitations.

I.-The holder of the authorisation bearing the word “rehabilitation” organises the patient care provided for in the first paragraph of article R. 6123-143 either in-house or jointly under an agreement with a structure authorised to carry out medical and rehabilitation care in the form of full hospitalisation. II.-When the holder of the authorisation organises in-house patient care: 1° It has at least one doctor specialising in physical and rehabilitation medicine…

The purpose of the “ante- and post-partum” hospital at home activity is to provide hospital at home care for women before and after childbirth.

The holder of the “ante- and post-partum” hospital at home authorisation has access, either internally or by agreement, to a facility authorised to carry out obstetric activities, enabling the patient to be transferred if necessary.

The purpose of the “children under three years of age” home hospital care activity is to provide home hospital care for children under three years of age. The holder of an authorisation including the mention “children under three years of age” provides advice and expertise to holders of an authorisation for home hospital care for children aged between three and eighteen years of age or for children in palliative or…

I.-The holder of a hospital at home authorisation for “children under three years of age” has access, either internally or by agreement, to a facility authorised to carry out neonatal intensive care and to a facility authorised to carry out paediatric intensive care, enabling the patient to be transferred if necessary. II.-When the holder of a hospital at home authorisation for “children under the age of three” provides oncohaematology treatment,…