Remote Monitoring : 24th of September - News Digest
The SNITEM (French national union of the medical technology industry) published recommendations for widespread use of remote monitoring:
These 8 recommendations were drawn up by a digital Think Tank made up of a dozen people: patient representatives, doctors, health system and digital experts, medical device company managers.
In its document the SNITEM advises to:
1. ENCOURAGE ALL CONCERNED STAKEHOLDERS BY STARTING FROM A USAGE LOGIC (patients, healthcare professionals, companies, funders).
2. KEEP THE OBJECTIVE AT THE HEART OF THE PROJECT: TO STRENGTHEN ACCESS TO HEALTH CARE THROUGHOUT THE COUNTRY
because "the generalization of remote monitoring is part of the arsenal of urgent measures to be taken to win back the isolated territories in terms of health supply"
3. NOT TO CREATE A GAP BETWEEN THE END OF ETAPES EXPERIMENTS AND THE GENERALIZATION UNDER COMMON LAW
The Ministry envisages a transitional period of 6 months, with the general law coming into force on 1 July 2022
4. NOT TO LIMIT THE SOLUTION TO THE FIVE CHRONIC PATHOLOGIES OF ETAPES AND TO OPT FOR A DIRECT INTEGRATION OF THE SOLUTION INTO COMMON LAW
5. DO NOT START FROM SCRATCH AND BUILD ON THE CONTRIBUTIONS OF THE ETAPES EXPERIMENTS
6. MAKE AN IMPERATIVE EFFORT TO ENSURE FLUIDITY AND SIMPLICITY OF IMPLEMENTATION
7. REALLY WANT THE SYSTEM TO SUCCEED
"If telemonitoring is insufficiently remunerated, it will not be used or will be used very little and the expected benefits will not be achieved", he warns, calling for "an economic model that is sustainable for companies and health professionals".
8. ACCOMPANY THE GENERALIZATION OF REMOTE MEDICAL MONITORING WITH A HIGH LEVEL OF COMMUNICATION
"A real effort of education and explanation must therefore accompany the generalization of remote medical monitoring among users, particularly patients and healthcare professionals, to make them aware of the benefits of remote monitoring and its coverage under common law.
These recommandations are in line with the Healthcare Ministry's "main guidelines" to make the remote monitoring part of common law:
The public authorities are committed to making remote monitoring part of common law in 2022. A "temporary measure" will be put in place so that patients involved in ETAPES Experiment can continue to be monitored while waiting for the application texts: a transition period of 6 months, which would imply that reimbursement will come into effect on July 1, 2022.
The goal of the upcoming reform is to "take over from the ETAPES program" without disrupting the monitoring of patients involved in the program and "to have a common law, based on evidence, that can take care of all future pathologies that will have to be taken care of" when the technologies allow it.
The basis of telemonitoring will include "the prescription, the reception of data, the analysis and processing of data, an initial sorting of data, a call to the patient and the decision to take medical care".
Concerning the question of their evaluation: If the impact of the device is clinical, it will go through "a classic evaluation". If it is organizational, it will be a matter of evaluating "how to enhance the value of the innovation in relation to existing organizations", based on "medical-economic studies and studies of the impact on the care system".
The ministry is considering the creation of five core reference systems "adapted from the specifications and lessons learned from ETAPES" that will allow "new pathologies" that existing technologies do not yet allow to be monitored remotely to arrive.
The idea is, "from the first arrivals, to create benchmarks for the following ones, to avoid them going through the evaluation milestones again and to allow them a faster access to the market".
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