Cold water on France's EHR programme
"As it's presently conceived, the EHR programme could well become an industrial scale catastrophe." That's the view of one senior French civil servant on France's national electronic health record, the dossier médical personnel (DMP), according to an article in French informatics magazine 01.net. The piece reports that most of the main actors in the programme - industry, health service management and clinicians - are saying, on the side, that the funding model for the programme just isn't viable.
The test and deployment phases are too short. The budgets inadequate. The number of hospitals equipped with an EPR that can link to the national spine is too few. The content of the electronic record is still to be decided.
Yannick Motel, chief executive of France's health and social care IT suppliers' organisation, Lessis, reckons that it will be at least five years before France has even a basic core record, and between ten and fifteen years before it has a comprehensive electronic health record. He told 01: "Building and managing the EHR will take between €500 million and €1 billion a year, not the €15 million currently allocated."
The French government currently plans to launch the EHR in July this year. None of the shortlisted consortia have yet run prototypes of the new software. The government is aiming for ten percent of the population to be registed with the new electronic record by the end of this year. This is a timetable that is provoking open derision from those close to the programme.
It appears that members of the six shortlisted consortia are pushing for the price per patient to be increased from the current €12 to €400. Meanwhile, Lessis wants the whole EHR programme to become one of the country's first public private partnerships (PPP), as a way to increase funding, and free its members from an unrealistic, politically-driven timetable.
01net. - Coup de froid sur le dossier médical personnel
The test and deployment phases are too short. The budgets inadequate. The number of hospitals equipped with an EPR that can link to the national spine is too few. The content of the electronic record is still to be decided.
Yannick Motel, chief executive of France's health and social care IT suppliers' organisation, Lessis, reckons that it will be at least five years before France has even a basic core record, and between ten and fifteen years before it has a comprehensive electronic health record. He told 01: "Building and managing the EHR will take between €500 million and €1 billion a year, not the €15 million currently allocated."
The French government currently plans to launch the EHR in July this year. None of the shortlisted consortia have yet run prototypes of the new software. The government is aiming for ten percent of the population to be registed with the new electronic record by the end of this year. This is a timetable that is provoking open derision from those close to the programme.
It appears that members of the six shortlisted consortia are pushing for the price per patient to be increased from the current €12 to €400. Meanwhile, Lessis wants the whole EHR programme to become one of the country's first public private partnerships (PPP), as a way to increase funding, and free its members from an unrealistic, politically-driven timetable.
01net. - Coup de froid sur le dossier médical personnel
