Our governance

The reform of the governance of shared health information systems began in April 2009, when the main lines of the operational relaunch of the electronic health record (DMP) and shared health information systems were announced. The aim of this reform is to consolidate the management of public projects and thus create the ideal conditions for the emergence and development of shared health information systems, to meet the growing challenges of public health. This has led to the establishment of ASIP Santé, an agency whose guiding principle for action is consultation with health stakeholders. Aware that shared consultation is one of the key factors for successfully achieving its missions, ASIP Santé designed governance tools with governance tools designed to facilitate the consultation process.

A streamlined executive for greater efficiency

The management board

The management board is the guarantor of ASIP Santé's general policy. Its head is the president of the group, a qualified public figure appointed by the Minister for Health. All members are represented on the board. The state is represented by the three main government health bodies: the General Directorate of Health, the General Directorate of Healthcare Organization, and the Social Security Directorate. The French national health insurance fund for salaried employees and the national solidarity fund for autonomy are the two other members of the management board.

The president of the management board, Michel Gagneux, also chairs the tenders committee, the healthcare professions liaison and cooperation committee and the ASIP Santé conference.

The director of ASIP Santé, appointed by the management board, is Jean-Yves Robin.

The main consultative bodies involving e-health stakeholders

The ethics and professional conduct council

To assist the management board and the director, the ethics and professional conduct council formulates opinions and recommendations, in a fully independent manner, on questions of ethical and professional conduct relating to projects and services managed or supervised by ASIP Santé. The ethics and professional conduct council produces an annual report for the management board which is also published. The council consists of representatives of healthcare profession associations, patient representatives and qualified public figures, all appointed by the management board at the suggestion of its president. It is chaired by the representative of the French Medical Association. The vice presidency is assumed by a users' representative.

The liaison and cooperation committee

The liaison and cooperation committee links up representatives of the healthcare professions with the people responsible for implementing the projects initiated by ASIP Santé. As well as representatives of healthcare profession associations, the committee's other members come from the national union of healthcare professions, specialist societies, and medical committees attached to health institutions. This committee is chaired by Michel Gagneux. He is kept informed of the group's activities and is consulted on general strategies, and projects that specifically affect the healthcare professions. The liaison and cooperation committee, along with healthcare professionals, issues advice on subjects referred to it by the director or the president of the management board.

The ASIP Santé conference

The ASIP Santé conference (which meets at least once a year) brings together a wide variety of representatives of shared health information systems stakeholders; it is presented with information, and debates ASIP Santé's general strategies, its programme of activities, and the methods for successfully implementing its projects.

Subject-specific consultation committees

Subject-specific consultation committees are created to explore specific subjects requiring action or discussion, and have a fixed lifespan.

The shared directory of healthcare professionals (RPPS) joint management committee

In its capacity as an administrative and certification authority, ASIP Santé brings together the RPPS management body, healthcare professions associations and registration authorities within the RPPS joint management committee.
This committee is chaired by a representative of the healthcare professions associations who is either designated by consensus or nominated by the president of the ASIP Santé management board. The rules on the composition and running of the joint management committee are set out in an agreement between the director of ASIP Santé and representatives of the organizations involved.

The director of medical information (DIM)

This new role has been created within ASIP Santé. The DIM is a doctor who appears in the register of a French Medical Association departmental council. Under conditions set out in the internal regulations of the management board, and after receiving advice from the ethics and professional conduct committee, this doctor is entitled to access personal health data in cases where monitoring is necessary. When carrying out his duties, the DIM acts in compliance with medical confidentiality and France's medical ethics code.