My Health Space: Towards a Real Shared Medical File

“You have control over your health”, announce six advertising spots that will air on television starting in February. The campaign is aimed at My Health Space, the new digital service launched by Health Insurance on the ashes of Shared Medical Records (DMP) with the Ministry of Health and Prevention, which has not found its audience.

This super digital health record allows you to store health information and documents (prescriptions, test results, vaccination history, hospitalization reports, etc.), to share them with a health professional during an appointment. , to manage his medical diary and, finally, to access a catalog of e-health applications specified by the Ministry, while respecting a certain number of criteria of security, privacy and service. This is the great innovation of My Health Space: thus the insured will be able to access screening, prevention (nutrition, stress, sleep) and teleconsultation services aimed at enriching their health journey.

At the same time, all health insurance scheme beneficiaries (employees, self-employed workers, farmers, students) received a letter introducing them to My Health Place and inviting them to activate their profile using the Vitale card. To date, more than 66 million notifications have been sent.

Since the campaign began, 1.5 to 2 million accounts have been opened every day, Health Insurance said

Insureds can object to the creation of their health space: they have six weeks to object. After this time, their space is automatically activated, but they can change their preferences at any time. Thus 1.5 to 2 million accounts are opened every day since the campaign began, Health Insurance indicated.

People who have created and updated their DMP will find all their saved data in My Health Space. Others will discover an empty shell: the success of My Health Place will depend on how the insured and, more so, the health professionals hold it together.

2 billion euros in digital segure

Lack of interest in DMP by health professionals and institutions is the reason for its failure. Good to know Dominique Ponner: Fifteen years ago, this head of the clinic participated in the development of the DMP under the then Minister of Health, Philippe Doust-Blazey. When, at the end of 2018, he was assigned for three years with the ministerial delegation of digital health in charge of building My Health Space (among other things), he decided not to reproduce the mistakes made with the DMP.

Over the years, the state has injected a lot of money and allowed an entire software to be developed without basic rules of security and governance. Dominik Pon explained during the Revy Congress in October 2021. Results: Digital health is an incredible mess. Transferring information from one information system to another, from one professional or health institution to another is always difficult. »

Very important investments have been directed towards the integration and interoperability of information systems, based on a better circulation of data with a homogeneous security framework defined by the National Commission for IT and Freedom (CNIL) and the commitment to host the data in My Health space and France:

Between 2 500 billion euros from Digital Health Segur Millions of euros are intended to help publishers overcome this exchange of information, Explains Sébastien Bachem, who participated in the development of My Health Place with Dominique Pon before joining the social protection group Malakoff Humanis, where he is now director of the e-Health project. Also, although the DMP was designed as a tool for coordination among healthcare professionals, My Health Space is strongly patient-oriented, with a simpler and more accessible rubric. »

Dynamically engaged

Solange, 73, won’t contradict her: following a workshop organized by France Assoc Santé (L)National Union of Affiliated Societiesuser of the healthcare system) to control his health space, he appreciates the difference. “I had a ‘dormant’ DMP that I abandoned because it seemed too complicated to complete and because the healthcare professionals who followed me were no more motivated than I was.Use »

The new device tempts him: My health space is much easier to complete than DMP. Furthermore, I am happy to see some of the health professionals I consult withAlready using it. in my labMedical examination, we mI propose to reuniteresult. »

To date, of the 1.4 million professionals and 3,000 healthcare institutions, few are ready to upload their data to My Health Space.

Solange must be lucky: To date, of the 1.4 million professionals and 3,000 healthcare institutions, very few are ready to upload their data to My Health Space. But the dynamic is engaged: “1,500 Health institutions have applied for the SUN-ES program (Secure Digital Use in Health Institutions), We explain the side of health insurance. They will automatically send health records to their patientshere At the end of the yearthe birthe »

In April, two months after My Health Space launched, the number of files delivered had already tripled compared to the beginning of the year. As for the amount of dumped documents, it has doubled. The course is set: to go from 10 million documents exchanged last year to 250 million by the end of 2023.

Health professionals will undoubtedly be a little more difficult to organize than institutions. I’m tired of doing Social Security for nothing.”Barbara replied to the pediatrician when he asked her if she wanted to send the prescription – which she had written on her computer – to the health site that the young mother had just activated.

For Loïc Brotons, anesthesiologist and co-founder of Galeon, a company specialized in sharing hospital information, the loyalty of health care professionals will depend on the quality of service My Health Place provides them: During their consultations, doctors have very little time to consult their patients’ areas of health. So they need to be able to find the information they need easily and quickly.” explained Loïc Brotons, who would have liked health professionals to be a little more involved in the design of My Health Space.

Potential for innovation

The emergence of this new tool for sharing health information may, however, be accelerated by the deployment of its latest functionality: a catalog of e-health applications approved by the Ministry. Complementary health insurance sees an opportunity to create a new relationship with their policyholders while developing new prevention tools. The App Store creates an opening for new health services, Sébastien Bachem explains. It is a first in Europe, and this is where My Health Space has the greatest potential for innovation. »

This is also the realization of Dominic Pon’s philosophy: “Digital needs to be managed like a city, She believes. The role of public authorities is not to build houses, but to define urban planning rules. Alas, twenty years have turned the state upside down. » With my health space, she has a sense of keeping things in order:

“Sovereign digital channels are provided by the state, which has invested 2 Billions of euros to standardize all healthcare software. It is now up to health and e-health players to create innovative services that Social Security will never be able to innovate. »

E-health players never fail to remember that before spring 2020 took hold, health insurance did not want to hear about teleconsultation. Reality catches up with him in a shock…

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