The Nord-Deux-Sèvres hospital center (CHNDS) is now authorized to support home hospitalization (HAD). The Regional Health Agency (ARS) approved the CHNDS on December 23, 2024 to carry out this new activity from December 1is January 2025.
In fact, since 1is January, the CHNDS, which had submitted its authorization request in June 2024, effectively took over from the HAD Nord 79 association which, since 2009, had operated this service originally created in pairs between the Mutualité française Centre-Atlantique and Home Help in Rural Areas (ADMR) with, at second level, the hospital as a partner.
The active queue capped at thirty patients
“At the time, we were starting to have a strong incentive to stay at home while mutual insurance companies were also asking to promote access to care. We started with an active queue of around twenty patients but the context was difficult and we capped at thirty people in the active queue. And the specifications have expanded, we have notably moved from the coordinating doctor to the prescribing doctor,” explains Pascal Othaburu, general director of Mutualité française Centre-Atlantique.
“The technical operating conditions now require additional resources that the hospital can make available, both in terms of medical continuity and the quality and risk management approach,” confirms the hospital for its part.
Employees taken over by the hospital
While in passing the CHNDS took over seven of the nine employees of the reduced workforce of the HAD Nord 79 association which therefore ceased its activity after fifteen years of operation, the team (until then established on Boulevard Edgar- Quinet in Parthenay) is now based on the Parthenay hospital site with a doctor and his replacement made available by the Nord-Deux-Sèvres hospital.
L’ambition, “it was already about ensuring continuity to make this important healthcare offer work for the population, then trying to develop it… We are not starting from scratch”, poses Bruno Faulconnier, director of the Nord-Deux-Sèvres hospital center. In any case, it will be necessary to increase the workload to reach the regulatory threshold of forty-five patients in active queue.
An alternative between home nursing services (Ssiad) and admission to a hospital center, home hospitalization is obviously governed by precise criteria for very specific pathologies which include, among other things, the monitoring of an athlete in post-operative rehabilitation , for example, to palliative care at the end of life, including chemotherapy treatments.
An agreement between the Nord-Deux-Sèvres hospital and the ADMR extends the partnership with the pool of ADMR nursing assistants who can still be made available for this home care offer. “I am very happy with this collaboration with the Nord-Deux-Sèvres hospital center and it was also important, symbolically, to reassure all partners about the continuity of the service, from pharmacists to private nurses”indicates Rosane Baraton, president of the Deux-Sèvres federation of the ADMR network.
“The CHNDS will continue to work with partners and service providers in the region in order to offer residents of the north of the department an essential service that complements traditional hospitalization, reassures the hospital director, Bruno Faulconnier. We will undoubtedly mobilize even more the entire medical profession, particularly at the Faye-l'Abbesse site. »
