French Public Health Code
In forceI.-The shared medical project defines the medical strategy of the regional hospital grouping.
It includes, in particular, with regard to the care sectors identified as priorities:
1° Medical objectives ;
2° Objectives for improving the quality, safety and appropriateness of care;
3° The organisation of a graduated range of care for each sector;
4° The principles for organising activities within each of the sectors, with details for each establishment, and, where applicable, their implementation by a telehealth process, covering :
a) The permanence and continuity of care defined by the territorial plan for permanence and continuity of care, organised and coordinated at the level of the regional hospital grouping in line with the regional aspect of permanence of care mentioned in article R. 6111-41 ;
b) Outpatient activities, in particular advanced consultations;
c) Outpatient, partial hospitalisation and conventional hospitalisation activities;
d) Technical platforms;
e) Emergency and unscheduled care ;
f) Organisation of the response to exceptional health situations;
g) Hospitalisation at home activities;
h) Medico-social care activities;
5° Medical biology, medical imaging, including interventional imaging, and pharmacy projects;
6° The conditions for implementing the association of the hospital and university centre with the missions mentioned in IV of article L. 6132-3;
7° Where applicable, by means of an amendment to the constituent agreement, the distribution of jobs in the medical and pharmaceutical professions resulting from the organisation of activities as set out in 4°;
8° The principles for the territorial organisation of joint medical teams;
9° The specific needs of defence when an army hospital is associated with the territorial hospital grouping;
10° Links with the relevant territorial mental health project(s);
11° Links with local hospitals, coordinated practice structures and territorial psychiatric communities;
12° The procedures for monitoring its implementation and evaluation.
II - The group medical commission draws up the shared medical project. The chairman of the grouping medical commission coordinates its development and implementation in conjunction with the chairman of the strategic committee, in accordance with a procedure that he defines. The medical teams involved in each department mentioned in the shared medical project participate in the drafting of this project.
After consultation with the Strategy Committee, the Chair of the Group Medical Commission and the Chair of the Strategy Committee may ask the Group Medical Commission to amend or supplement its proposal for a shared medical project.
The strategic committee adopts the shared medical project, after receiving the opinions of the medical commissions of the hospitals involved. The project is submitted to the Director General of the Regional Health Agency for approval, under the conditions set out in article R. 6132-6.
III - The implementation of the shared medical project is based, where appropriate, on the regional psychiatric communities in order to involve public health establishments with psychiatric authorisation that are not part of the consortium.
