What does value-based healthcare mean to the French market?


Posted on: May 21, 2018 by Nicolas Tricot

Today the French healthcare system is under pressure.

Across the board, public and private healthcare institutions are facing lower investment combined with rising costs. The reasons for this should be celebrated: a population living longer, healthier lives and the improved treatment of chronic diseases as well as the emergence of new medical technologies.

Facing this challenge, there are two major trends:

  • on the one hand, the move to a patient-centric way of managing care; looking at the patient holistically.
  • on the other hand, a grouping of establishments, both public, due to GHTs, and private, notably through the birth of large groups of private clinics.

These structural transformations for the French healthcare system will be supported by the emergence of thinking around a better metric, the goal of which is not to minimize costs but to maximize “value”, defined as patient outcomes divided by costs: value-based healthcare.

Consolidations and their organizational impacts for healthcare groups

The healthcare sector uses mergers and rationalization to lower operating costs while attracting new patients. In the private sector, this has created very large groups such as RAMSAY Générale de Santé or ELSAN, the two leading private healthcare groups in France. The CAPIO and VIVALTO groups are also adopting dynamic acquisition strategies.

These mergers obviously have a complex impact on the information systems of the clinics involved.

This trend is also seen in the public sector, especially since it is framed by a law. From 850 public hospitals, the public authorities wished to rationalize by organizing 135 Hospital Groups of Territories (GHT), which allow better equality of access to care and lower costs thanks to cooperation between public healthcare establishments on the scale of a territory.

One of the objectives assigned to GHTs by the public authorities is to implement a convergent information system for each hospital group in France by the end of 2020.

Until now, each hospital was independent in its IT choices, so we can imagine the impact of these mergers and the associated costs to achieve this homogeneity objective.

It is estimated that there are more than 450 software providers dedicated to healthcare in France, often specialized on a targeted expertise. Unlike in other sectors, major international organisations or software providers did not penetrate the healthcare market in France. The work of aligning information systems, should it be linked with patient management, administrative, financial or even human resources processes, is therefore very complex.

From patient file to patient journey

Electronic Health Records are the technology foundation that will make healthcare innovations possible for the patient.

Electronic Health Records have been at the heart of projects conducted by healthcare institutions and we have worked on more than forty deployment and implementation in recent years. The issue of EHR management and integration is raised by institutions of all sizes, from the largest university hospitals to SSR establishments.

While operational excellence and security are must-haves and no longer key differentiators, healthcare groups need deals with technology providers that go the extra mile with added-value uses and innovation towards an improved patient journey.

4P medicine for a patient-centric approach

The evolution of healthcare will now be with the patient journey at the centre. Now, flow between clinical staff & patients and the process of information are the keys to build up a digital customer journey.

In the French market, value-based healthcare is often associated with the 4P medical revolution. Healthcare becomes:

  • Personalized: delivery of a patient-centric protocol
  • Predictive: risks assessment carried out according to genome
  • Participatory: collaboration between doctors and social care as well as with the patient themselves with appropriate tools, promoting equal access to care
  • Preventive: prevention of a patients forgetting a visit included in his protocol, essential improvement of compliance, population-based healthcare

Artificial Intelligence and Big Data are the main technologies that will support this new approach.

This 4P medicine cannot be implemented without partnership agreements with data providers such as healthcare institutions globally. Indeed, only the combination of data and innovative solutions around the patient journey will enable France to reach 4P medicine.

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About Nicolas Tricot

Healthcare Market Client Executive for France
Nicolas TRICOT is Healthcare Market Client Executive for France and has been totally dedicated to healthcare since the end of 2014 and involved in Healthcare since 2005. At that time, based at Atos IS Regional Division in Lyon, he was involved, among other projects, in the Atos Electronic Health Record deployment with Cristal-Net. Nicolas started his career at Marben which later joined Atos. After obtaining an engineering degree from INSA Lyon IT Department, he was a developer and then a project manager in banking and finance in Paris. Based in Lyon since 1997, he launched the IT Management activity, held management positions, before holding various sales positions from 2003 to 2009.