Key Benefits:
Minister of Defence and Minister of Social Affairs, Health and Women's Rights,
Vu le Public Health Codearticles L. 1434-7, L. 6111-1, L. 6112-1, L. 6141-2, L. 6147-7, L. 6147-8 and R. 6147-113;
Vu le Social Security Codein particular article R. 174-34;
Considering the amended decision of 2 April 2013 setting out the list provided for inArticle L. 6147-7 of the Public Health Code,
Stop:
The list provided for in Article L. 6147-7 referred to the nine military training hospitals, the designation of which is shown in the attached tables.
These hospitals provide, subject to the satisfaction of the priority mission of health support of the armed forces, short-term care or serious illnesses during their acute phase in medicine, surgery, obstetrics, odontology or psychiatry, as well as ongoing follow-up or rehabilitation care in the context of medical treatment or supervision and for reintegration.
These hospitals carry out research and teaching activities for the benefit of military personnel, health care personnel and any other person in charge of one or more of the public service missions defined in section L. 6112-1 above; for this they have a complete educational organization. As such, pursuant to the above-mentioned article R. 6147-113 they are considered to be hospital centres referred to in the above-mentioned article L. 6141-2.
For the purpose of the tasks set out in section 2, these hospitals have facilities in which they implement the care activities cited in the attached tables and have the heavy equipment listed in the same tables.
Pursuant to the above-mentioned article R. 174-34, missions of general interest carried out by the military health service are specified, for each of these hospitals, in the attached tables, without prejudice to the clauses in the multi-year protocol of objectives and means.
The Minister of Defence's decisions on care activities or the number of heavy equipment and the replacement of these devices are brought promptly to the attention of the Minister of Health and the Director General of the relevant regional health agency.
For the purposes of Article L. 6147-8 referred to above, in the establishment of the care organization scheme referred to in Article L. 1434-7, the director of the regional health agency shall, at his request, receive data relating to care structures, care activities, heavy equipment and data relating to the evolution of the multi-year objectives of providing care
These multi-year care delivery targets can be modified based on defence requirements. In this case, except in exceptional circumstances or in emergency cases, the Minister of Defence shall notify the Minister of Health and the Director General of the regional health agency concerned with the nature and, possibly, of the duration of the changes in the care offer.
The assessment of the adequacy of the existing care offer and its evolution, in relation to the health needs of the population referred to in the above-mentioned article L. 1434-7, takes into account the location of these hospitals as well as the care activities, heavy equipment and multi-year objectives referred to in Article 7.
The above-mentioned decision of 2 April 2013 setting out the list under section L. 6147-7 of the Public Health Code is repealed.
The Central Director of the Armed Health Service, the Director General of the Care Offer, and the general guidelines and directors general of the regional health agencies are responsible, each with respect to him, for the execution of this Order, which will be published in the Official Journal of the French Republic.
Annex
TABLE I
Region of Aquitaine
Name: Robert-Picqué Army Training Hospital.
Address : 351, route de Toulouse, CS 80002, 33882 Villenave-d'Ornon Cedex.
Years 2015-2016
I. - Elements taken into account for SROS (in the sense of Articles L. 1434-7 to L. 1434-10 of the Public Health Code)
A. - Care activities within the meaning ofArticle R. 6122-25 of the Public Health Code
| Medicine, including alternative to hospitalization: | 114 | |
| Surgery, including as an alternative to hospitalization: | 81 | |
| Psychiatry: | 16 | |
| Continuous care and functional rehabilitation including alternative to full hospitalization in: | 18 | |
| - locomotor affections; | ||
| - diseases of the nervous system; | ||
| - respiratory conditions; | ||
| - oncology; | ||
| - indifferent or versatile follow-up and rehabilitation. | ||
| Emergency medicine: | UHCD: 4 | |
| Animation : | 9 | |
| Cancer treatment: | Activities subject to threshold.at least thresholds applicable to ES (average activity over three years) | |
| Cancer surgery: | ||
| - urological pathologies: | 30 interventions/year | |
| - Digestive pathologies: | 30 interventions/year | |
| - ORL and maxillo-facial pathologies: | 20 interventions/year | |
| Chemotherapy and other specific medical treatments: | 80 patients per year of at least 50 ambulatory | |
| Support care: palliative approach (with dedicated medical beds) in: | ||
| - Internal medicine: | 2 | |
| - gastroenterology: | 1 | |
| - oto-rhino-laryngology: | 1 | |
| - pneumology: | 2 |
B. - Equipment, heavy equipment in the sense ofArticle R. 6122-26 of the Public Health Code
| Medical imaging apparatus by magnetic resonance: | 1 |
| Medical use scanner: | 1 |
II. - Other activities or facilities Public Health Code)
Odontology including emergencies.
Pharmacy for internal use (art. L. 5126-1, L. 5126-2 and L. 5126-7 the Public Health Code) exercising:
- the retrocession activity;
- sterilization of hospital medical devices;
- sterilization in subcontracting to other health institutions;
- the preparation necessary for clinical trials or trials.
Medical Biology Laboratory.
Organ removal (art. L. 1235-7 and R. 1233-12 the Public Health Code).
International Immunization Centre (Traveller Consulting)art. R. 6147-119 of the Public Health Code).
III. - Missions of general interest (indicated to articles L. 162-22-13 and R. 174-34 the Social Security Code, articles D. 162-6 et seq. of the Social Security Code and at the decision of 30 April 2015 setting out the list of missions of general interest referred to in the articles D. 162-6 and D. 162-7 Social Security Code)
Activity Objectives: Targets for WMP.
Experimental care activities or dispensation of care not covered by nomenclatures and rates:
- dental acts, biology acts and anatomocyto-pathology acts not listed in the listArticle L. 162-1-7 of the Social Security Code ;
- medications benefiting or benefiting from an ATU pending their approval.
Intervention of multidisciplinary teams for the management of certain pathologies:
- transverse quality actions of cancer care practices;
- the use of psychologists or social assistants in the care services provided by national public health plans, with the exception of the cancer plan;
- structures of study and treatment of chronic pain;
- hospital consultations of adidictology.
Health prevention and education missions:
Prevention and therapeutic education activities related to chronic diseases, including respiratory diseases, cardiovascular disease, kidney failure, diabetes and HIV infection.
Participation in public health missions:
The acquisition and maintenance of the zonal means of health facilities for the management of risks related to exceptional circumstances.
Urgent medical assistance:
Emergency medical assistance services referred to inArticle L. 6311-2 of the Public Health Code including emergency education centres.
Specific care for patients in precarious situations:
Specific expenses related to the care of patients in precarious situations by hospital teams.
Permanence of health care:
Expenses for the care and care of health care workers.
IV. - Specific activity
Pre-hospital chemical decontamination module.
Radio-contaminated wounded treatment centre.
Level 3 Biological Safety Laboratory
Centre for Medical Expertise of Airborne Personnel (Military and Civil Aviation).
TABLE II
Region of Brittany
Name: Clermont-Tonnerre Army Training Hospital.
Address: Colonel Fonferrier Street, CC 41, 29240 Brest Cedex 9.
Years 2015-2016
I. - Elements taken into account for SROS (in the sense of Articles L. 1434-7 to L. 1434-10 of the Public Health Code)
A. - Care activities within the meaning ofArticle R. 6122-25 of the Public Health Code
| Medicine, including alternative to hospitalization: | 97 | |
| Surgery, including as an alternative to hospitalization: | 61 | |
| Psychiatry: | 29 | |
| Continuous care and functional rehabilitation including alternative to full hospitalization in: | 8 | |
| - locomotor affections; | ||
| - diseases of the nervous system; | ||
| - cardiovascular conditions; | ||
| - respiratory conditions; | ||
| - indifferent or versatile follow-up and rehabilitation. | ||
| Emergency medicine: | UHCD: 4 | |
| Animation : | 10 | |
| Continuous Monitoring Unit: | 4 | |
| Cancer treatment: | Minimum threshold activities for health facilities (average activity over three years) | |
| Cancer surgery: | ||
| - Digestive pathologies: | 30 interventions/year | |
| - ORL and maxillo-facial pathologies: | 20 interventions/year | |
| Chemotherapy and other specific medical treatments: | 80 patients/year, including at least 50 in outpatients | |
| Support care: palliative approach (with dedicated medical beds) in: | ||
| ORL: | 1 | |
| Internal medicine: | 2 | |
| - pneumology: | 1 | |
| - gastroenterology: | 1 | |
| - neurology: | 1 |
B. - Equipment, heavy equipment in the sense ofArticle R. 6122-26 of the Public Health Code
| Medical imaging apparatus by magnetic resonance: | 1 |
| Medical use scanner: | 1 |
II. - Other activities or facilities Public Health Code)
Centre of competence for Pompe disease.
Odontology.
Pharmacy for internal use (art. L. 5126-1 and L. 5126-7 the Public Health Code) exercising:
- the retrocession activity;
- sterilization of hospital medical devices;
- the realization of cytotoxic preparations;
- the preparation necessary for clinical trials or trials.
Medical Biology Laboratory.
International Immunization Centre (Traveller Consulting)art. R. 6147-119 of the Public Health Code).
III. - Missions of general interest (indicated to articles L. 162-22-13 and R. 174-34 the Social Security Code, articles D. 162-6 et seq. of the Social Security Code and at the decision of 30 April 2015 setting out the list of missions of general interest referred to in the articles D. 162-6 and D. 162-7 Social Security Code)
Activity Objectives: Targets for WMP.
Research, education, training, expertise, coordination and evaluation of care related to certain highly specialized pathologies and activities:
- reference centres for the management of rare diseases;
- resource centers on occupational diseases.
Experimental care activities or dispensation of care not covered by nomenclatures and rates:
- dental acts, biology acts and anatomocyto-pathology acts not listed in the listArticle L. 162-1-7 of the Social Security Code ;
- medications benefiting or benefiting from an ATU pending their approval.
Training, support, coordination, patient needs assessment:
Mobile palliative care teams.
Facilitate the maintenance of and access to community care:
Telehealth networks, including telemedicine.
Anonymous and free screening activities:
Consultations to conduct the prevention, detection and diagnosis of HIV infection referred to inArticle L. 3121-2 of the Public Health Code/CDAG.
Health prevention and education missions:
Prevention and therapeutic education activities related to chronic diseases, including respiratory diseases, cardiovascular disease, kidney failure, diabetes and HIV infection.
Participation in public health missions:
The acquisition and maintenance of the zonal means of health facilities for the management of risks related to exceptional circumstances.
Intervention of multidisciplinary teams for the management of certain pathologies:
- memory consultations;
- hospital consultations of adidictology;
- the use of psychologists or social assistants in the care services provided by national public health plans, with the exception of the cancer plan;
- structures of study and treatment of chronic pain;
- transverse quality actions of cancer care practices.
Specific care for patients in precarious situations:
- specific expenses related to the care of patients in precarious situations by hospital teams;
- access to health care, referred to inArticle L. 6112-6 of the Public Health Code, including the care of patients in precarious situations by hospital teams outside health facilities.
Urgent medical assistance:
Emergency medical assistance services referred to inArticle L. 6311-2 of the Public Health Codeincluding emergency education centres.
Permanence of health care:
Expenses for the care and care of health care workers.
IV. - Specific activity
Pre-hospital chemical decontamination module.
Centre for the Treatment of Radio Wounded.
Level 3 Biological Safety Laboratory
TABLE III
Ile-de-France region
Name: Val-de-Grâce military training hospital.
Address: 74, boulevard de Port-Royal, 75230 Paris Cedex 05.
Years 2015-2016
I. - Elements taken into account for SROS (in the sense of Articles L. 1434-7 to L. 1434-10 of the Public Health Code)
A. - Care activities within the meaning ofArticle R. 6122-25 of the Public Health Code
| Medicine, including alternative to hospitalization: | 151 | |
| Surgery, including as an alternative to hospitalization: | 113 | |
| Psychiatry: | 22 | |
| Interventional activities under medical imaging, endovascular, and for other adult heart disease mentioned in the adultarticle R. 6123-128 (3°) of the Public Health Code. | 350 angioplasties/year | |
| Neurosurgery: | 40 | 100 craniotomies/year |
| Animation : | 12 | |
| Intensive Heart Care Unit: | 6 | |
| Centre for treatment of chronic renal insufficiency by extra-renal purification: | 18 | |
| Continuous Monitoring Unit: | 6 | |
| Cancer treatment: | Activities subject to threshold. Minimum thresholds for health facilities (average activity over three years) | |
| Cancer surgery: | ||
| - Digestive pathologies: | 30 interventions/year | |
| - urological pathologies: | 30 interventions/year | |
| - ORL and maxillo-facial pathologies: | 20 interventions/year | |
| Chemotherapy and other specific medical treatments: | 80 patients/year, including at least 50 in outpatients | |
| External radiotherapy (normal technical platform equipped with a patient simulator, two particle accelerators and a scanograph dedicated to centers for radiotherapic treatment of hospitalized patients): | 600 patients/year | |
| Therapeutic use of radioelements in unsealed sources (ambulatory). | ||
| Support care: palliative approach (with dedicated medical beds) in: | ||
| Oncology: | 6 |
B. - Equipment, heavy equipment in the sense ofArticle R. 6122-26 of the Public Health Code
| Medical imaging apparatus by magnetic resonance: | 2 |
| Medical use scanner: | 1 |
| Medical imaging apparatus for interventional radiology: | 1 |
| Scintillation camera not equipped with positon detector: | 2 |
| Positon camera with TEP Scan coupled scan: | 2 |
| Double room hyperbaric chamber : | 1 |
II. - Other activities or facilities Public Health Code)
Hyperbaric medicine.
Odontology.
Pharmacy for internal use (art. L. 5126-1 and L. 5126-7 the Public Health Code) exercising:
- the retrocession activity;
- radiopharmacie;
- sterilization of hospital medical devices;
- the realization of cytotoxic preparations;
- the preparation necessary for clinical trials or trials;
Medical Biology Laboratory.
Organ removal (art. L. 1235-7 and R. 1233-12 the Public Health Code).
III. - Missions of general interest (indicated to articles L. 162-22-13 and R. 174-34 the Social Security Code, articles D. 162-6 et seq. of the Social Security Code and at the decision of 30 April 2015 setting out the list of missions of general interest referred to in the articles D. 162-6 and D. 162-7 Social Security Code)
Activity Objectives: Targets for WMP.
Education, research, innovation:
Clinical Investigation Centre.
Experimental care activities or dispensation of care not covered by nomenclatures and rates:
- medications benefiting or benefiting from an ATU pending their approval;
- dental acts, biology acts and anatomocyto-pathology acts not listed in the listArticle L. 162-1-7 of the Social Security Code.
Health prevention and education missions:
Prevention and therapeutic education activities related to chronic diseases, including respiratory diseases, cardiovascular disease, kidney failure, diabetes and HIV infection:
- Therapeutic education of diabetic patients;
- education of heart failure patients;
- therapeutic education for chronic kidney failure;
- therapeutic education for a change in treatment against multiple sclerosis.
Vigilance, epidemiological monitoring, assessment of practices and expertise:
Cancer care coordination centres.
Intervention of multidisciplinary teams for the management of certain pathologies:
- memory consultations;
- the use of psychologists or social assistants in the care services provided by national public health plans, with the exception of the cancer plan;
- structures of study and treatment of chronic pain;
- transverse quality actions of cancer care practices.
Training, support, coordination, patient needs assessment:
Mobile palliative care teams.
Participation in public health missions:
The acquisition and maintenance of the zonal means of health facilities for the management of risks related to exceptional circumstances.
Urgent medical assistance:
Emergency education center.
Permanence of health care:
Expenses for the care and care of health care workers.
IV. - Specific activity
Pre-hospital chemical decontamination module.
TABLE IV
Ile-de-France region
Name: Percy Army Training Hospital.
Address: 101, avenue Henri-Barbusse, BP 406, 92141 Clamart Cedex.
Years 2015-2016
I. - Elements taken into account for SROS (in the sense of Articles L. 1434-7 to L. 1434-10 of the Public Health Code)
A. - Care activities within the meaning ofArticle R. 6122-25 of the Public Health Code
| Medicine, including alternative to hospitalization: | 153 | |
| Surgery, including as an alternative to hospitalization: | 118 | |
| Psychiatry, including in the form of alternative to hospitalization: | 20 | |
| Continuous care and functional rehabilitation including alternative to full hospitalization in: | 40 | |
| - locomotor affections; | ||
| - diseases of the nervous system; | ||
| - burnt. | ||
| Hematopoietic cell transplant: | ||
| Treatment of large burns: | 18 | |
| Interventional activities under medical imaging, endovascular, and for other adult heart disease mentioned in the adultarticle R. 6123-128 (3°) of the Public Health Code. | 350 angioplasties/year | |
| Interventional activities under medical imaging, endovascular, cardiology and rhythm: | 50 endocavity ablations/year | |
| Neurosurgery | 15 | 100 craniotomies/year |
| Emergency medicine: | UHCD: 5 | |
| Animation : | 14 | |
| Cancer treatment: | Activities subject to threshold. less thresholds for health facilities (average activity over three years) | |
| Cancer surgery: | ||
| - Digestive pathologies: | 30 interventions/year | |
| - chest pathologies: | 30 interventions/year | |
| ORL and maxillo-facial pathologies: | 20 interventions/year | |
| - chemotherapy and other specific medical treatments; | 80 patients/year, including at least 50 in outpatients | |
| Other care activities: | ||
| Intensive Heart Care Units: | 8 | |
| Hematology intensive care unit: | 12 | |
| Continuous Monitoring Unit: | 12 | |
| Support care: palliative approach (with dedicated medical beds) in: | ||
| - digestive: | 2 | |
| - Hematology: | 2 | |
| - Internal medicine: | 1 | |
| - pneumology: | 3 |
B. - Equipment, heavy equipment in the sense ofArticle R. 6122-26 of the Public Health Code
| Medical imaging apparatus by magnetic resonance: | 1 |
| Medical imaging apparatus for interventional radiology: | 1 |
| Medical imaging apparatus for interventional cardiology: | 1 |
| Medical use scanner: | 2 |
II. - Other activities or facilities Public Health Code)
Organ removal (art. L. 1235-7 and R. 1233-12 the Public Health Code).
Cardiac implantology (mono and double room).
Odontology.
Pharmacy for internal use (art. L. 5126-1 and L. 5126-7 the Public Health Code) exercising:
- the retrocession activity;
- sterilization of hospital medical devices;
- the realization of cytotoxic preparations;
- the preparation necessary for clinical trials or trials.
Medical Biology Laboratory.
International Immunization Centre (Traveller Consultation)art. R. 6147-119 of the Public Health Code).
III. - Missions of general interest (indicated to articles L. 162-22-13 and R. 174-34 the Social Security Code, articles D. 162-6 et seq. of the Social Security Code and at the decision of 30 April 2015 setting out the list of missions of general interest referred to in the articles D. 162-6 and D. 162-7 Social Security Code)
Activity Objectives: Targets for WMP.
Education, research, innovation:
Centre for Clinical Investigation
Experimental care activities or dispensation of care not covered by nomenclatures and rates:
- dental acts, biology acts and anatomocyto-pathology acts not listed in the listArticle L. 162-1-7 of the Social Security Code ;
- medications benefiting or benefiting from an ATU pending their approval;
- the use of clinical research technicians and assistants to conduct clinical trials in the care services provided under the National Cancer Control Policy.
Research, teaching, training, expertise, coordination and evaluation of care related to certain diseases and highly specialized activities:
Reference center for osteoarticular infections.
Health prevention and education missions:
Prevention and therapeutic education activities related to chronic diseases, including respiratory diseases, cardiovascular disease, kidney failure, diabetes and HIV infection:
- therapeutic education for a change in treatment against multiple sclerosis;
- Therapeutic education of patients with stomatherapy;
- Therapeutic education of diabetic patients;
- education of heart patients;
- education, rehabilitation and rehabilitation of respiratory insufficient patients;
- hospital consultations of addiction.
Vigilance, epidemiological monitoring, assessment of practices and expertise:
Cancer care coordination centres.
Intervention of multidisciplinary teams for the management of certain pathologies:
- memory consultations;
- the use of psychologists or social assistants in the care services provided by national public health plans, with the exception of the cancer plan;
- structure of study and treatment of chronic pain;
- transverse quality actions of cancer care practices.
Training, support, coordination, patient needs assessment:
Mobile palliative care teams.
Facilitate the maintenance of and access to community care:
Telehealth networks, including telemedicine.
Participation in the definition and implementation of public policies:
The remuneration, the social expenses of the personnel made available to the national trade union organizations representative of the personnel of the health institutions referred to in a, b and c of section L. 162-22-6 of the Public Health Code.
Participation in public health missions:
The acquisition and maintenance of the zonal means of health facilities for the management of risks related to exceptional circumstances.
Urgent medical assistance:
Emergency medical assistance services referred to inArticle L. 6311-2 of the Public Health Codeincluding emergency education centres.
Permanence of health care: care for severe traumatized adult patients, orthopaedic surgery, visceral surgery:
Expenses for the care and care of health care workers.
IV. - Specific activities
Radio-contaminated wounded treatment centre.
Pre-hospital chemical decontamination module.
Level 3 Biological Safety Laboratory
Centre principal d'expertise médical du personnel navigant (aéronautique militaire et civile).
TABLE V
Ile-de-France region
Name: Begin Army Training Hospital.
Address: 69, avenue de Paris, 94165 Saint-Mandé Cedex.
Years 2015-2016
I. - Elements taken into account for SROS (in the sense of Articles L. 1434-7 to L. 1434-10 of the Public Health Code)
A. - Care activities within the meaning ofArticle R. 6122-25 of the Public Health Code
| Medicine, including alternative to hospitalization: | 141 | |
| Surgery, including as an alternative to hospitalization: | 102 | |
| Psychiatry: | 30 | |
| Emergency medicine: | UHCD: 6 | |
| Animation : | 8 | |
| Cancer treatment: | Activities subject to threshold. At least thresholds for ES (average activity over three years) | |
| Cancer surgery: | ||
| - Digestive pathologies: | 30 interventions/year | |
| - urological pathologies: | 30 interventions/year | |
| - mammary pathologies: | 30 interventions/year | |
| - gynaecological pathologies: | 20 interventions/year | |
| Chemotherapy and other specific medical treatments: | 80 patients/year, including at least 50 in outpatients | |
| Other care activities: | ||
| Intensive Heart Care Unit: | 6 | |
| Continuous Monitoring Unit: | 4 | |
| Support care: palliative approach (with dedicated medical beds) in: | ||
| - internal medicine-oncology: | 3 | |
| - hepato-gastroenterology: | 1 | |
| - cardiology: | 1 | |
| - endocrinology: | 1 | |
| Orthogeny activities. |
B. - Equipment, heavy equipment in the sense ofArticle R. 6122-26 of the Public Health Code
| Medical imaging apparatus by magnetic resonance: | 1 |
| Medical imaging apparatus for interventional radiology: | 1 |
| Medical use scanner: | 1 |
| Other equipment: | |
| - digital mammograph: | 1 |
| - osteo-densitometer: | 1 |
II. - Other activities or facilities Public Health Code)
Organ removal (art. L. 1235-7 and R. 1233-12 the Public Health Code).
Cardiac implantology (mono and double room).
Masso-kinesitherapy.
Screening of breast cancer.
Odontology.
Pharmacy for internal use (art. L. 5126-1, L. 5126-2 and L. 5126-7 the Public Health Code) exercising:
- the retrocession activity;
- sterilization of hospital medical devices;
- the realization of cytotoxic preparations;
- the preparation necessary for clinical trials or trials;
- the subcontracting of sterilization to other health institutions.
Medical Biology Laboratory.
International Immunization Centre (Traveller Consulting)art. R. 6147-119 of the Public Health Code).
Anti-rabic treatment center.
III. - Missions of general interest (indicated to articles L. 162-22-13 and R. 174-34 the Social Security Code, articles D. 162-6 et seq. of the Social Security Code and at the decision of 30 April 2015 setting out the list of missions of general interest referred to in the articles D. 162-6 and D. 162-7 Social Security Code)
Activity Objectives: Targets for WMP.
Education, research and innovation:
- biological and tumor resource centres;
- Clinical Investigation Center.
Research, education, training, expertise, coordination and evaluation of care related to certain highly specialized pathologies and activities:
- reference centres for the management of rare diseases;
- resource centers on occupational diseases.
Experimental care activities or dispensation of care not covered by nomenclatures and rates:
- dental acts, biology acts and anatomocyto-pathology acts not listed in the listArticle L. 162-1-7 of the Social Security Code ;
- medications benefiting or benefiting from an ATU pending their approval;
- the use of clinical research technicians and assistants to conduct clinical trials in the care services provided under the National Cancer Control Policy.
Health prevention and education missions:
Prevention and therapeutic education activities related to chronic diseases, including respiratory diseases, cardiovascular disease, kidney failure, diabetes and HIV infection:
- Therapeutic education of diabetic patients;
- education, rehabilitation and rehabilitation of heart patients;
- therapeutic education of psoriasic patients;
- Therapeutic education of patients with stomatherapy;
- HIV patient education;
- Therapeutic education of patients with inflammatory rheumatism.
Vigilance, epidemiological monitoring, assessment of practices and expertise:
Cancer care coordination centres.
Intervention of multidisciplinary teams for the management of certain pathologies:
- transverse quality actions of cancer care practices;
- the use of psychologists or social assistants in the care services provided by national public health plans, with the exception of the cancer plan;
- structures of study and treatment of chronic pain;
- hospital consultations of adidictology.
Training, support, coordination, patient needs assessment:
Mobile palliative care teams.
Participation in the definition and implementation of public policies:
The remuneration, the social expenses of the personnel made available to the national trade union organizations representative of the personnel of the health institutions referred to in a, b and c of section L. 162-22-6 of the Public Health Code.
Participation in public health missions:
The acquisition and maintenance of the zonal means of health facilities for the management of risks related to exceptional circumstances.
Urgent medical assistance:
Emergency medical assistance services referred to inArticle L. 6311-2 of the Public Health Codeincluding emergency education centres.
Permanence of health care: orthopaedic surgery, visceral surgery:
Expenses for the care and care of health care workers.
IV. - Specific activities
Pre-hospital chemical decontamination module.
Level 3 Biological Safety Laboratory
TABLE VI
Region Lorraine
Name: Legouest Army Training Hospital.
Address: 27, avenue des Plantières, BP 9001, 57077 Metz Cedex 3.
Years 2015-2016
I. - Elements taken into account for SROS (in the sense of Articles L. 1434-7 to L. 1434-10 of the Public Health Code)
A. - Care activities within the meaning ofArticle R. 6122-25 of the Public Health Code
| Medicine, including alternative to hospitalization: | 98 | |
| Surgery, including as an alternative to hospitalization: | 53 | |
| Psychiatry: | 28 | |
| Continuous care and functional rehabilitation including alternative to full hospitalization in: | 28 | |
| - locomotor affections; | ||
| - diseases of the nervous system; | ||
| - indifferent or versatile follow-up and rehabilitation. | ||
| Emergency medicine: | UHCD: 6 | |
| Animation : | 8 | |
| Continuous Monitoring Unit: | 4 | |
| Cancer treatment: | Activities subject to threshold. At least thresholds for ES (average activity over three years) | |
| Cancer surgery: | ||
| - Digestive pathologies: | 30 interventions/year | |
| - ORL and maxillo-facial pathologies: | 20 interventions/year | |
| Chemotherapy and other specific medical treatments: | 80 patients/year, including at least 50 in outpatients | |
| Support care: palliative approach (with dedicated medical beds) in: | ||
| - Internal medicine: | 3 | |
| - Digestive pathology: | 1 | |
| - oto-rhino-laryngology: | 1 |
B. - Equipment, heavy equipment in the sense ofArticle R. 6122-26 of the Public Health Code
| Medical imaging apparatus by magnetic resonance: | 1 |
| Medical use scanner: | 1 |
| Double room hyperbaric chamber : | 1 |
II. - Other activities or installation (scheduled to Public Health Code)
Hyperbaric medicine.
Odontology.
Pharmacy for internal use (art. L. 5126-1 and L. 5126-7 the Public Health Code) exercising:
- the retrocession activity;
- sterilization of hospital medical devices;
- the realization of cytotoxic preparations;
- the preparation necessary for clinical trials or trials.
Medical Biology Laboratory.
International Immunization Centre (Traveller Consulting)art. R. 6147-119 of the Public Health Code).
III. - Missions of general interest (indicated to articles L. 162-22-13 and R. 174-34 the Social Security Code, articles D. 162-6 et seq. of the Social Security Code and at the decision of 30 April 2015 setting out the list of missions of general interest referred to in the articles D. 162-6 and D. 162-7 Social Security Code)
Activity Objectives: Targets for WMP.
Experimental care activities or dispensation of care not covered by nomenclatures and rates:
- medications benefiting or benefiting from an ATU pending their approval;
- dental acts, biology acts and anatomocyto-pathology acts not listed in the listArticle L. 162-1-7 of the Social Security Code.
Facilitate the maintenance of and access to community care:
The provision by the health establishment of means for the benefit of the medical homes mentioned at theArticle L. 162-3 of the Social Security Code.
Health prevention and education missions:
Prevention and therapeutic education activities related to chronic diseases, including respiratory diseases, cardiovascular disease, kidney failure, diabetes and HIV infection.
Participation in public health missions:
The acquisition and maintenance of the zonal means of health facilities for the management of risks related to exceptional circumstances.
Intervention of multidisciplinary teams for the management of certain pathologies:
- hospital consultations of adidictology;
- the use of psychologists or social assistants in the care services provided by national public health plans, with the exception of the cancer plan;
- transverse quality actions of cancer care practices.
Urgent medical assistance:
Emergency medical assistance services referred to inArticle L. 6311-2 of the Public Health Codeincluding emergency education centres.
Permanence of health care:
Expenses for the care and care of health care workers.
IV. - Specific activity
Pre-hospital chemical decontamination module.
Radio-contaminated wounded treatment centre.
Level 3 Biological Safety Laboratory
TABLE VII
Provence-Alpes-Côte d'Azur region
Name: Laveran Army Training Hospital.
Address: 4, boulevard Alphonse-Laveran, BP 60149, 13384 Marseille Cedex 13.
Years 2015-2016
I. - Elements taken into account for SROS (in the sense of Articles L. 1434-7 to L. 1434-10 of the Public Health Code)
A. - Care activities within the meaning ofArticle R. 6122-25 of the Public Health Code
| Medicine, including alternative to hospitalization: | 148 | |
| Surgery, including as an alternative to hospitalization: | 78 | |
| Psychiatry: | 22 | |
| Continuous care and functional rehabilitation including alternative to full hospitalization in: | 19 | |
| - locomotor affections; | ||
| - diseases of the nervous system; | ||
| - cardiovascular conditions; | ||
| - respiratory conditions; | ||
| - indifferent or versatile follow-up and rehabilitation. | ||
| Emergency medicine: | UHCD: 9 | |
| Animation : | 10 | |
| Continuous Monitoring Unit: | 5 | |
| Cancer treatment: | Activities subject to threshold. At least thresholds for ES (average activity over three years) | |
| Cancer surgery: | ||
| - Digestive pathologies: | 30 interventions /year | |
| - ORL and maxillo-facial pathologies: | 20 interventions/year | |
| Chemotherapy and other specific medical treatments: | 80 patients per year of which at least 50 in ambulatory. | |
| Support care: palliative approach (with dedicated medical beds) in: | ||
| - Internal medicine: | 1 | |
| - Digestive pathology: | 1 | |
| - neurology: | 1 | |
| - pneumology: | 2 | |
| - infectious and tropical pathology: | 1 |
B. - Equipment, heavy equipment in the sense ofArticle R. 6122-26 of the Public Health Code
| Medical imaging apparatus by magnetic resonance: | 1 |
| Medical use scanner: | 1 |
II. - Other activities or facilities Public Health Code)
Odontology. Pharmacy for internal use (art. L. 5126-1 and L. 5126-7 the Public Health Code) exercising:
- the retrocession activity;
- the realization of cytotoxic preparations;
- the preparation necessary for clinical trials or trials.
Medical Biology Laboratory.
Organ removal (art. L. 1235-7 and R. 1233-12 the Public Health Code).
International Immunization Centre (Traveller Consulting)art. R.* 6112-12 of the Public Health Code).
III. -Missions of general interest (indicated to articles L. 162-22-13 and R. 174-34 the Social Security Code, articles D. 162-6 et seq. of the Social Security Code and at the decision of 30 April 2015 setting out the list of missions of general interest referred to in the articles D. 162-6 and D. 162-7 Social Security Code)
Activity Objectives: Targets for WMP.
Medical research and innovation:
The biological and tumor resource centers.
Experimental care activities or dispensation of care not covered by nomenclatures and rates:
- dental acts, biology acts and anatomocyto-pathology acts not listed in the listArticle L. 162-1-7 of the Social Security Code ;
- medications benefiting or benefiting from an ATU pending their approval.
Training, support, coordination, patient needs assessment:
Mobile palliative care teams.
Intervention of multidisciplinary teams for the management of certain pathologies:
- memoirs consultations;
- transverse quality actions of cancer care practices;
- structures of study and treatment of chronic pain;
- hospital consultations of adidictology.
Health prevention and education missions:
Prevention and therapeutic education activities related to chronic diseases, including respiratory diseases, cardiovascular disease, kidney failure, diabetes and HIV infection.
Urgent medical assistance:
Emergency and resuscitation mobile services mentioned inArticle R. 6123-10 of the Public Health Code.
Facilitate the maintenance of and access to community care:
The provision by the health establishment of means for the benefit of the medical homes mentioned at theArticle L. 162-3 of the Social Security Code.
Participation in public health missions:
The acquisition and maintenance of the zonal means of health facilities for the management of risks related to exceptional circumstances.
Specific care for patients in precarious situations:
Specific expenses related to the care of patients in precarious situations by hospital teams.
Permanence of health care:
Expenditures for the care and care of health care workers.
IV. - Specific activities
Pre-hospital chemical decontamination module.
Level 3 Biological Safety Laboratory
TABLE VIII
Provence-Alpes-Côte d'Azur region
Name: Sainte-Anne Army Training Hospital.
Address: boulevard Sainte-Anne, BP 20545, 83041 Toulon Cedex 9.
Years 2015-2016
I. - Elements taken into account for SROS (in the sense of Articles L. 1434-7 to L. 1434-10 of the Public Health Code)
A. - Care activities within the meaning ofArticle R. 6122-25 of the Public Health Code
| Medicine, including alternative to hospitalization: | 151 | |
| Surgery, including as an alternative to hospitalization: | 120 | |
| Psychiatry: | 30 | |
| Burning Treatment Centre | 12 | |
| Neurosurgery: | 20 | 100 craniotomies/year |
| Emergency medicine: | UHCD: 11 | |
| Animation : | 10 | |
| Intensive Heart Care Unit: | 8 | |
| Intensive Oncology Care Unit: | 4 | |
| Neurovascular Intensive Care Unit: | 2 | |
| Continuous Monitoring Unit: | 8 | |
| Continuous neurovascular surveillance unit: | 8 | |
| Centre for treatment of chronic renal insufficiency by extrarenal purification: | 8 | |
| Cancer treatment: | At least thresholds for ES (average activity over three years) | |
| Cancer surgery: | ||
| - Digestive pathologies: | 30 interventions/year | |
| - chest pathologies: | 30 interventions/year | |
| - ORL and maxillo-facial pathologies: | 20 interventions/year | |
| Chemotherapy and other specific medical treatments: | 80 patients/year, including at least 50 in outpatients | |
| Support care: palliative approach (with dedicated medical beds) in: | ||
| - pneumology: | 1 | |
| - neurology: | 1 | |
| - oncology: | 1 | |
| - Digestive pathology: | 1 | |
| - oto-rhino-laryngology: | 1 | |
| - urology: | 1 | |
| Interventional activities under medical imaging, endovascular, rythmology and other adult heart disease mentioned inarticle R. 6123-128 (3°) of the Public Health Code : | 350 angioplasties/year 50 endocavity ablations/year | |
| Interventional activities, by endovascular means, in neuroradiology: | 80 interventions/year on the cervico-cephalic and medullo-rachidian region |
B. - Equipment, heavy equipment in the sense ofArticle R. 6122-26 of the Public Health Code
| Medical imaging apparatus by magnetic resonance: | 1 |
| Medical use scanner: | 1 |
| Medical imaging apparatus for interventional radiology: | 1 |
| Scintillation camera not equipped with positon detector: | 2 |
| Positon camera with TEP Scan coupled scan: | 1 |
| Double room hyperbaric chamber : | 1 |
II. - Other activities or facilities Public Health Code)
Hyperbaric medicine.
Odontology.
Pharmacy for internal use (art. L. 5126-1 and L. 5126-7 the Public Health Code) exercising:
- the retrocession activity;
- radiopharmacie;
- sterilization of hospital medical devices;
- the subcontracting of sterilization to other health institutions the realization of cytotoxic preparations;
- the preparation necessary for clinical trials or trials.
Medical Biology Laboratory.
Organ removal (art. L. 1235-7 and R. 1233-12 the Public Health Code).
International Immunization Centre (Traveller Consulting)art. R.* 6112-12 of the Public Health Code).
Anti-rabic treatment center.
III. - Missions of general interest (indicated to articles L. 162-22-13 and R. 174-34 the Social Security Code, articles D. 162-6 et seq. of the Social Security Code and at the decision of 30 April 2015 setting out the list of missions of general interest referred to in the articles D. 162-6 and D. 162-7 Social Security Code)
Activity Objectives: Targets for WMP.
Experimental care activities or dispensation of care not covered by nomenclatures and rates:
- dental acts, biology acts and anatomocyto-pathology acts not listed in the listArticle L. 162-1-7 of the Social Security Code ;
- medications benefiting or benefiting from an ATU pending their approval;
- the use of clinical research technicians and assistants to conduct clinical trials in the care services provided under the National Cancer Control Policy.
Vigilance, epidemiological monitoring, assessment of practices and expertise:
Cancer care coordination centres.
Intervention of multidisciplinary teams for the management of certain pathologies:
- transverse quality actions of cancer care practices;
- the use of psychologists or social assistants in the care services provided by national public health plans, with the exception of the cancer plan;
- hospital consultations of adidictology.
Training, support, coordination, patient needs assessment:
Mobile palliative care teams.
Facilitate the maintenance of and access to community care:
Telehealth networks, including telemedicine.
Health prevention and education missions:
- prevention and therapeutic education related to chronic diseases, including respiratory diseases, cardiovascular disease, kidney failure, diabetes and HIV infection;
- rheumatoid arthritis (internal medicine);
- hepatitis C (gastroenterology);
Chronic lombalgia (MPR).
Participation in public health missions:
The acquisition and maintenance of the zonal means of health facilities for the management of risks related to exceptional circumstances.
Urgent medical assistance:
Emergency medical assistance services referred to inArticle L. 6112-5 of the Public Health Codeincluding emergency education centres.
Permanence of health care:
Expenditures for the care and care of health care workers.
IV. - Specific activities
Pre-hospital chemical decontamination module.
Radio-contaminated wounded treatment centre.
Level 3 Biological Safety Laboratory
Centre for Medical Expertise of Airborne Personnel (Military and Civil Aviation).
Centre of expertise for diving.
TABLE IX
Rhône-Alpes
Name: Desgenettes Army Training Hospital.
Address: 108, boulevard Pinel, 69275 Lyon Cedex 3.
Years 2015-2016
I. - Elements taken into account for SROS (in the sense of Articles L. 1434-7 to L. 1434-10 of the Public Health Code)
A. - Care activities within the meaning ofArticle R. 6122-25 of the Public Health Code
| Medicine, including alternative to hospitalization: | 141 | |
| Surgery, including as an alternative to hospitalization: | 91 | |
| Psychiatry: | 22 | |
| Continuous care and functional rehabilitation including alternative to full hospitalization in: | 16 | |
| - locomotor affections; | ||
| - diseases of the nervous system; | ||
| - cardiovascular conditions; | ||
| - respiratory conditions; | ||
| - Onco-hematological affections; | ||
| - indifferent or versatile follow-up and rehabilitation. | ||
| Emergency medicine: | UHCD: 4 | |
| Animation : | 8 | |
| Continuous care: | 4 | |
| Cancer treatment: | Activities subject to threshold. Minimum thresholds for health facilities (average activity over three years) | |
| Cancer surgery: | ||
| - Digestive pathologies: | 30 interventions/year | |
| - ORL and maxillo-facial pathologies: | 20 interventions/year | |
| Chemotherapy and other specific medical treatments: | 80 /year patients with at least 50 in outpatients | |
| Support care: palliative approach (with dedicated medical beds) in: | ||
| Oncology: | 6 |
B. - Equipment, heavy equipment in the sense ofArticle R. 6122-26 of the Public Health Code.
| Medical imaging apparatus by magnetic resonance: | 1 |
| Medical use scanner: | 1 |
II. - Other activities or facilities Public Health Code)
Odontology.
Pharmacy for internal use (art. L. 5126-1, L. 5126-2 and L. 5126-7 the Public Health Code) exercising:
- the retrocession activity;
- sterilization of hospital medical devices;
- the realization of cytotoxic preparations;
- the preparation necessary for clinical trials or trials.
Subcontracting sterilization to other health institutions.
Medical Biology Laboratory.
International Immunization Centre (Traveller Consulting)art. R. 6147-119 of the Public Health Code).
III. - Missions of general interest (indicated to articles L. 162-22-13 and R. 174-34 the Social Security Code, articles D. 162-6 et seq. of the Social Security Code and at the decision of 30 April 2015 setting out the list of missions of general interest referred to in the articles D. 162-6 and D. 162-7 Social Security Code)
Activity Objectives: Targets for WMP.
Education, research, innovation.
Research, education, training, expertise, coordination and evaluation of care related to certain highly specialized pathologies and activities:
- reference centres for the management of rare diseases;
- biological and tumor centres;
- PHRCK (Clinical cancer research program);
- the use of clinical research technicians and assistants to conduct clinical trials in the care services provided under the National Cancer Control Policy.
Experimental care activities or dispensation of care not covered by nomenclatures and rates:
- dental acts, biology acts and anatomocyto-pathology acts not listed in the list provided for inArticle L. 162-1-7 of the Social Security Code ;
- medications benefiting or benefiting from an ATU pending their approval.
Intervention of multidisciplinary teams for the management of certain pathologies:
- transversal quality actions of cancer care practices;
- structures of study and treatment of chronic pain;
- the use of psychologists or social assistants in the care services provided by the national public health plans, with the exception of the cancer plan.
Intervention of multidisciplinary teams for the management of certain pathologies:
- consultations for the prevention, detection and diagnosis of HIV infection referred to inArticle L. 3121-2 of the Public Health Code / CDAG;
- prevention and therapeutic education related to chronic diseases, including respiratory diseases, cardiovascular disease, kidney failure, diabetes and HIV infection;
- memory consultations;
- structures of study and treatment of chronic pain;
- hospital consultations of addiction.
Participation in the definition and implementation of public policies:
The remuneration, the social expenses of the personnel made available to the national trade union organizations representative of the personnel of the health institutions referred to in a, b and c of section L. 162-22-6 of the Public Health Code.
Participation in public health missions:
The acquisition and maintenance of the zonal means of health facilities for the management of risks related to exceptional circumstances.
Urgent medical assistance:
Emergency medical assistance services referred to inArticle L. 6311-2 of the Public Health Code including emergency education centres.
Specific care for patients in precarious situations:
Specific expenses related to the care of patients in precarious situations by hospital teams.
Permanence of health care:
Expenses for the care and care of health care workers.
IV. - Specific activity
Pre-hospital chemical decontamination module.
Radio-contaminated wounded treatment centre.
Level 3 Biological Safety Laboratory (starting in 2013).
Done on June 30, 2015.
Minister of Defence,
For the Minister and by delegation:
Central Director of the Armed Health Service,
J. Debonne
Minister of Social Affairs, Health and Women ' s Rights,
For the Minister and by delegation:
The Director General of Care Supply,
J. Debeaupuis
