Subsection 18: Hospitalisation at home activities

The provisions of this paragraph apply to any holder of a home hospital care authorisation, regardless of the category, subject to the specific provisions for each category defined in this sub-section.

The general organisation, the staff, the nature and location of the premises and the equipment of the holder of the home hospital care authorisation are adapted to the volume of activity and the nature of the care provided and enable it to carry out its tasks throughout the geographical area defined in III of Article R. 6123-140.

The holder of the home hospital care authorisation has a remote communication system to ensure a permanent link between patients, their relatives and the home hospital care structure. It also has a computerised patient file and an information system guaranteeing access to it by the members of the multidisciplinary team mentioned in Article D. 6124-197.

I.-The holder of the home hospital care authorisation has a multidisciplinary team comprising : 1° At least one doctor; 2° At least one State-qualified or registered nurse; 3° At least one social service assistant, social and family economics advisor or socio-educational assistant; 4° At least one psychologist; 5° As required, at least one care assistant, nursery assistant, medical auxiliary or member of the social and educational professions. II.The multidisciplinary team…

I.-The holder of the home hospital care authorisation appoints, from among the members of the multidisciplinary team, a coordination team comprising at least: 1° A practising home hospital doctor; 2° A State-qualified or registered nurse; 3° A social service assistant, a social and family economics advisor or a socio-educational assistant. II.- The coordination team coordinates the care provided to patients in liaison with the health structures and professionals involved before…

I.-The Hospitalisation at Home doctor organises the medical operation of the facility, in accordance with its medical project where applicable. He ensures that the care and services provided to patients are appropriate and continuous, and that the medical records required for continuity of care are transmitted. He gives his opinion on the admission and discharge of patients. II – When the doctor treating the patient, or failing this the doctor…

I.-The attending physician, or failing this the physician designated by the patient, is the patient’s medical referent during the stay. His or her agreement is sought prior to the patient being cared for. II.- By way of derogation from I, if the doctor is unavailable or if the urgency of the situation justifies it, the patient may be cared for without the agreement of the attending doctor, or the doctor…

The organisation of continuity of care is adapted to the nature and volume of the activity of the holder of the home hospital care authorisation and, where applicable, to its medical project. To this end, the holder of the authorisation: 1° guarantees that a nurse who is a member of the multidisciplinary team mentioned in article D. 6124-197 will always be present in the patient’s home, within a timeframe compatible…

The authorisation holder ensures that data from professional practices is collected and analysed with a view to improving practices and managing risks.

The holder of the home hospital care authorisation draws up internal rules which set out in particular: 1° The general principles of the medical operation of the structure and, in particular, the procedures for implementing internal coordination and coordination with the partners involved in patients’ care pathways; 2° The procedures for compiling and communicating patients’ health information; 3° The procedures for implementing the provisions of Article D. 6124-201, in particular…