Health

#SPRH2307770AOrder on Funding for Active File and Quality Coding in Psychiatry

🇫🇷France··Other·High Impact·View source ↗

AI-generated summary for informational purposes only. Not legal advice. See the original source for the authoritative text.

🇬🇧 English

This law establishes a framework for funding psychiatric care in France through a new system of allocations based on patient categorization and care level. It outlines different levels of funding for various types of psychiatric services, both in full-time and part-time care, as well as for outpatient services. The funding model aims to improve quality coding practices within psychiatric institutions by tying financial allocations to specific performance indicators.

AI-generated summary. May contain errors. Refer to official sources for legal decisions.

Key Changes

  • Implementation of a new funding framework for psychiatric care
  • Establishment of performance-based funding tied to quality coding indicators
  • Inclusion of various service categories for both children and adults in full-time and part-time care

Obligations

What this law requires

high

Psychiatric establishments (types A, B, C, D, E) must apply the specified weighting grids (Annexes 1-4) to calculate funding allocations based on patient categorization, care level (full-time/part-time), age class, and activity form.

Psychiatric care establishments classified as types A, B, C, D, or E
operational
high

Establishments must implement outpatient care funding using the forfait weighting grid (Annexe 5) with activity level tiers (1-7) corresponding to specific patient visit thresholds ranging from 1-2 visits to over 52 visits.

Psychiatric care establishments providing ambulatory services
operational
high

Establishments must track and report acts (Accompaniment, Interview, Group) and intervener types (Physician, Nurse, Advanced Practice Nurse, Psychologist, Rehabilitation staff, Educational staff, Healthcare workers, Social workers) for active file weighting calculations in outpatient care.

Psychiatric care establishments providing ambulatory services
reporting
medium

Establishments must calculate and apply the 20% supplementary allowance for outpatient activities conducted outside the facility premises, multiplied by the proportion of out-of-facility activity and the applicable forfait weighting.

Psychiatric care establishments providing ambulatory services
operational
medium

Establishments must apply coordination supplements for outpatient care based on the number of coordination acts (Démarches/Réunion): 1-2 acts (0.070), 3-6 acts (0.280), 7-12 acts (0.631), or ≥13 acts (1.402).

Psychiatric care establishments providing ambulatory services
operational

Affected Parties

Psychiatric care institutionsHealth care providers+1 more…

Tags

psychiatry,healthcare funding,quality coding