Paragraph 1: General conditions

I.-When a holder of a home hospital care authorisation and a home autonomy service mentioned in 1° of Article L. 313-1-3 of the Code de l'Action Sociale et des Familles take care of the same patient, medical monitoring and paramedical care are organised and coordinated by the holder of the home hospital care authorisation.

Nursing care is coordinated by the holder of the home hospital care authorisation and is implemented under the following conditions:

1° Care falling within the remit of care assistants is carried out by staff employed by the home autonomy service referred to in 1° of Article L. 313-1-3 of the Code de l'Action Sociale et des Familles (Social Action and Family Code) working with the patient prior to admission to home hospital care;

2° When the home autonomy service mentioned in 1° of Article L. 313-1-3 of the Code de l'action sociale et des familles, which initially cared for the patient, had recourse to a private nurse or a nursing health centre mentioned in Article L. 6323-1 to carry out this care, the holder of the home hospital care authorisation proposes to the private nurse or nursing health centre that it continue to work with the patient. In this case, the holder of the home hospital care authorisation and the private nurse or nursing health centre sign an agreement;

II.Prior to the implementation of the first joint intervention provided for in I, the holder of the home hospital care authorisation and the home autonomy service referred to in 1° of article L. 313-1-3 of the Code de l'Action Sociale et des Familles (Social Action and Family Code) sign an agreement which provides in particular for:

1° The conditions for organising the joint intervention of the holder of the home hospital care authorisation and the home autonomy service referred to in 1° of article L. 313-1-3 of the Code de l'Action Sociale et des Familles;

2° The procedures for organising care, in particular in the event of a worsening of the patient's condition;

3° The procedures for transmitting and monitoring information between the teams of the two structures and the procedures for tracing procedures;

4° the arrangements for informing patients and obtaining their consent;

5° the organisation of the medication circuit;

6° the arrangements for reporting and managing undesirable events, and the related procedures;

7° the arrangements for evaluating the organisation thus defined.

The agreement is sent to the relevant regional health agency and local health insurance organisation.

III - In an emergency, the joint intervention provided for in I may be carried out without the agreement referred to in II having been signed. In this case, the number of joint interventions carried out may not exceed three.