The main provisions of the amendment
Amendment #1 to the ACIP includes several key measures:
- Care teams coordinated with the patient (ESCAP) : Definition of the implementation methods for this experiment, aiming to encourage the coordination of care around the patient.
- Expansion of the missions of the ACIP monitoring committee : Inclusion of new areas such as the facilitation of fee waivers, activity control methods and the fight against fraud.
- Roadmap for improving prevention pathways : Strengthening access to care through the organization of pathways and development of coordinated exercise, as well as initiatives for the ecological transition of the health system.
Objectives of ESCAP
ESCAPs are designed as a flexible, patient-centered coordination model, aiming to guarantee respect for the patient’s free choice of healthcare professional and to facilitate access to care, particularly for the most complex patients. They also aim to strengthen the link between the city and the hospital, thus reducing hospitalizations and unnecessary visits to the emergency room.
To support this experiment, the UNPS is offering interested manufacturers the opportunity to detail the specifications of the new ESCAP digital tool, intended to improve communication between team members for better home care.
How ESCAPs work
ESCAPs are specifically aimed at four types of patients:
- Chronic polypathological patients over 65 years old
- Diabetic patients on insulin
- Patients who have had a stroke and have been hospitalized
- Palliative care patients
These patients will be included in the ESCAP if they meet the criteria of the inclusion grid. The process of creating an ESCAP begins with the identification of a patient requiring increased coordination, followed by the assessment of their need via a mobile application. If the need is confirmed, the healthcare professional who carried out the assessment contacts the other professionals designated by the patient to create the ESCAP.
Composition et administration
Each ESCAP includes at least three healthcare professionals, systematically including the patient’s treating physician. The other members are selected according to the pathologies and specific needs of the patient. Exchanges between ESCAP members are facilitated by an interoperable digital tool, allowing fluid communications and effective management of home care.
Remuneration terms
The UNPS offers two-part remuneration for health professionals participating in ESCAP:
- Remuneration as part of the structure package or FAMI : Allowing the creation of ESCAPs without waiting for their integration into single-professional agreements.
- Valorization of the use of ESCAP : Although this component is defined by each single-professional agreement, the ACIP provides a general framework to accelerate the adoption of ESCAPs.
In an uncertain political context, the UNPS reaffirms its attachment to the conventional system and its determination to jointly deploy all coordination mechanisms. UNPS members stand ready to collaborate with public authorities and sector players to quickly bring the ESCAP experiment to fruition. The UNPS also welcomes the commitment of the Director General of the CNAM and the services involved, as well as the collaboration with UNOCAM, illustrating a common desire to develop and expand the framework of the ACIP’s work.
