Section 3: Alternative care structures to hospitalisation

The provisions of this section apply to facilities authorised as alternatives to full hospitalisation as provided for in Article L. 6122-1.

Part-time day or night hospitalisation facilities and facilities providing outpatient anaesthesia or surgery provide the care provided for in article R. 6121-4, lasting twelve hours or less and not including accommodation, for patients whose state of health corresponds to this type of care. The nature, complexity and medical supervision of the services provided are equivalent to those usually provided in the context of full-time hospitalisation. These facilities must be easily…

The care structures and units referred to in Article D. 6124-301-1 are arranged and equipped in such a way as to provide, on the same site, depending on the type, volume and programming of the services provided: 1° The reception and stay of patients and any accompanying persons; 2° The organisation, preparation and optimal implementation of care protocols including pain management; 3° The monitoring and rest required by each patient;…

The number and qualifications of the medical and auxiliary medical staff and the number of care assistants working in the structures and care units mentioned in article D. 6124-301-1 are adapted to the health needs of the patients, the nature and volume of activity carried out, and the technical characteristics of the care provided. During opening hours, a minimum permanent presence is required in the facility for the duration of…

The care structures mentioned in article D. 6124-301 are required to organise continuity of care outside their opening hours, including Sundays and public holidays. To this end, they must equip themselves with a medical device for immediate referral of patients. In the event that the facility is unable to ensure continuity of care itself, it is required to sign an agreement with another health care facility that admits patients with…

An operating charter specific to each care structure referred to in Article D. 6124-301-1 is drawn up and specifies in particular: 1° The organisation of the facility, particularly with regard to staff, opening hours, organisation of care and medical operation; indicators for monitoring activity and quality of care must be provided; 2° The conditions for appointing and qualifying the facility’s coordinating doctor; 3° The general organisation of attendance and continuity…