{"id":452,"date":"2025-03-31T10:28:53","date_gmt":"2025-03-31T08:28:53","guid":{"rendered":"https:\/\/heva-data.com\/?page_id=452"},"modified":"2026-10-07T17:37:38","modified_gmt":"2026-10-07T15:37:38","slug":"heva-bureau-detudes-et-responsable-de-traitement","status":"publish","type":"page","link":"https:\/\/heva-data.com\/en\/heva-bureau-detudes-et-responsable-de-traitement\/","title":{"rendered":"Heva: Design office and data controller"},"content":{"rendered":"

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Heva : Bureau d\u2019\u00e9tudes et responsable de traitement<\/h2>\n

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–<\/span><\/p>\n

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Accueil<\/a> > Heva : Bureau d\u2019\u00e9tudes et responsable de traitement<\/span><\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.24.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_enable_image=\u00a0\u00bboff\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb5vw||5vw||false|false\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row make_equal=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.24.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.24.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bbgcid-07fd6007-ae25-4e13-bbf0-52acc155a8b2″ text_font_size=\u00a0\u00bb18px\u00a0\u00bb header_text_align=\u00a0\u00bbcenter\u00a0\u00bb header_2_font=\u00a0\u00bb|300|||||||\u00a0\u00bb header_2_text_align=\u00a0\u00bbcenter\u00a0\u00bb header_2_text_color=\u00a0\u00bbgcid-07fd6007-ae25-4e13-bbf0-52acc155a8b2″ header_2_font_size=\u00a0\u00bb36px\u00a0\u00bb header_2_line_height=\u00a0\u00bb1.2em\u00a0\u00bb header_3_font=\u00a0\u00bb|300|||||||\u00a0\u00bb header_3_text_color=\u00a0\u00bbgcid-07fd6007-ae25-4e13-bbf0-52acc155a8b2″ header_3_font_size=\u00a0\u00bb24px\u00a0\u00bb header_3_line_height=\u00a0\u00bb1.4em\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|true\u00a0\u00bb custom_css_free_form=\u00a0\u00bbselector span{|| color:#1aa6a6;||}\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-07fd6007-ae25-4e13-bbf0-52acc155a8b2%22:%91%22text_text_color%22,%22header_2_text_color%22,%22header_3_text_color%22,%22text_text_color%22,%22header_2_text_color%22,%22header_3_text_color%22%93}\u00a0\u00bb]<\/p>\n

CNIL et transparence<\/strong><\/h3>\n

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La France dispose de bases de donn\u00e9es m\u00e9dico-administratives regroupant des informations centralis\u00e9es de fa\u00e7on exhaustive et permanente, renseign\u00e9es par les organismes de protection sociale ou par les \u00e9tablissements hospitaliers.<\/em><\/p>\n

Ces bases de donn\u00e9es m\u00e9dico-administratives sont des bases de donn\u00e9es de remboursement. Elles ont \u00e9t\u00e9 cr\u00e9\u00e9es dans un objectif de suivi des d\u00e9penses de sant\u00e9 (paiement de prestations, calculs d\u2019allocations budg\u00e9taires, etc.), mais elles constituent cependant une ressource inestimable pour r\u00e9aliser des activit\u00e9s vari\u00e9es de recherche en sant\u00e9. En effet, elles couvrent de fa\u00e7on exhaustive et permanente l\u2019ensemble de la population dans divers domaines et permettent de recueillir individuellement et prospectivement les donn\u00e9es de sant\u00e9 afin de d\u00e9velopper une meilleure compr\u00e9hension des parcours de soins et des co\u00fbts cumul\u00e9s de diff\u00e9rentes pathologies \u00e0 l\u2019\u00e9chelle nationale ou r\u00e9gionale. Peu de pays disposent de ce type de syst\u00e8mes d\u2019informations \u00e0 l\u2019\u00e9chelle nationale qui permettent d\u2019obtenir des connaissances du syst\u00e8me de sant\u00e9 et d\u2019en am\u00e9liorer le fonctionnement.<\/span><\/p>\n

[\/et_pb_text][et_pb_text module_class=\u00a0\u00bbtwo_columns\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bbgcid-07fd6007-ae25-4e13-bbf0-52acc155a8b2″ text_font_size=\u00a0\u00bb16px\u00a0\u00bb text_line_height=\u00a0\u00bb1.6em\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_css_free_form=\u00a0\u00bbselector{|| word-break: keep-all;||}\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-07fd6007-ae25-4e13-bbf0-52acc155a8b2%22:%91%22text_text_color%22,%22text_text_color%22%93}\u00a0\u00bb]<\/p>\n

Compte tenu de l\u2019int\u00e9r\u00eat croissant des acteurs de recherche publics et priv\u00e9s pour des \u00e9tudes \u00e9pid\u00e9miologiques ou m\u00e9dico-\u00e9conomiques \u00e0 partir de ces bases et compte tenu d\u2019un risque d\u2019atteinte \u00e0 la vie priv\u00e9e, la loi de modernisation du syst\u00e8me de sant\u00e9<\/strong> a r\u00e9form\u00e9 le dispositif d\u2019acc\u00e8s aux donn\u00e9es de sant\u00e9 m\u00e9dico\u2010administratives en 2016. Cette loi apporte des modifications de l\u2019encadrement juridique, de l\u2019ouverture de ces bases de donn\u00e9es ainsi que de leur gouvernance.<\/p>\n

Les deux principaux objectifs de cette loi concernant les donn\u00e9es sont :<\/p>\n

– D\u2019ouvrir \u00e0 tous l\u2019acc\u00e8s aux donn\u00e9es qui ne pr\u00e9sentent pas de risque de r\u00e9identification en les diffusant sous forme de jeux de donn\u00e9es en Open Data ;<\/p>\n

– De limiter et r\u00e9guler l\u2019acc\u00e8s aux donn\u00e9es indirectement nominatives (risque de r\u00e9identification) avec pour crit\u00e8res : la finalit\u00e9 d\u2019int\u00e9r\u00eat public, la qualit\u00e9 du protocole, le besoin d\u2019acc\u00e9der aux donn\u00e9es, la s\u00e9curit\u00e9 des proc\u00e9dures et la qualit\u00e9 du demandeur.<\/p>\n

Cette loi a permis en 2017 la cr\u00e9ation de l\u2019Institut National des Donn\u00e9es de Sant\u00e9<\/strong> (INDS) ; organisme qui devient le point d’entr\u00e9e unique pour les demandes d\u2019acc\u00e8s aux bases de donn\u00e9es m\u00e9dico-administratives composant le nouveau Syst\u00e8me National des Donn\u00e9es de Sant\u00e9<\/strong>\u00a0(SNDS).<\/p>\n

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La \u00ab Plateforme des donn\u00e9es de sant\u00e9<\/strong>\u00a0\u00bb ou \u00ab Health Data Hub<\/strong> (HDH) \u00bb a \u00e9t\u00e9 cr\u00e9\u00e9e le 30 novembre 2019. Elle vient remplacer l\u2019INDS et \u00e9largir ses pr\u00e9c\u00e9dentes missions afin de permettre de croiser les bases de donn\u00e9es de sant\u00e9 disponibles en France et de faciliter leur utilisation par les nombreuses \u00e9quipes de recherche et de d\u00e9veloppement avec un respect total de la vie priv\u00e9e des usagers du syst\u00e8me de sant\u00e9.<\/p>\n

Ainsi, la soci\u00e9t\u00e9 Heva<\/strong>, en tant que bureau d\u2019\u00e9tudes agr\u00e9\u00e9<\/strong> pour la mise en \u0153uvre du traitement des donn\u00e9es de sant\u00e9, via le HDH et la CNIL, r\u00e9alise des \u00e9tudes sur l\u2019ensemble des bases de donn\u00e9es composant le SNDS et notamment, les bases suivantes :<\/p>\n

– Le PMSI<\/strong> (Programme de m\u00e9dicalisation des syst\u00e8mes d\u2019information) qui est une base de donn\u00e9es m\u00e9dico-administratives g\u00e9r\u00e9e par l\u2019Agence Technique de l\u2019Information sur l\u2019Hospitalisation<\/strong> (ATIH) depuis 2000. Il recueille l\u2019ensemble de l\u2019activit\u00e9 des \u00e9tablissements de sant\u00e9 ;<\/p>\n

– Le SNIIRAM<\/strong> (Syst\u00e8me National d\u2019Information Inter R\u00e9gimes de l\u2019Assurance Maladie) qui est une base de donn\u00e9es m\u00e9dico-administratives g\u00e9r\u00e9e par la Caisse Nationale d\u2019Assurance Maladie<\/strong> (CNAM), qui recueille l\u2019ensemble des prestations de remboursement de l\u2019Assurance Maladie ex\u00e9cut\u00e9es en ville, le Datamart Consommation Inter R\u00e9gimes<\/strong> (DCIR) ainsi que les donn\u00e9es d\u2019hospitalisation par cha\u00eenage avec le PMSI ;<\/p>\n

Vous trouverez ci-dessous les diff\u00e9rentes mesures d\u2019information et de transparence sur les \u00e9tudes r\u00e9alis\u00e9es sur les bases m\u00e9dico-administratives dans lesquelles Heva intervient.<\/p>\n

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ADAPT-D\u00e9cision Unique 2019-112<\/h3>\n

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Un traitement unique des donn\u00e9es du PMSI est effectu\u00e9 par la soci\u00e9t\u00e9 Heva afin d\u2019alimenter le site internet ADAPT qui est un outil d\u2019aide \u00e0 la d\u00e9cision permettant d\u2019\u00e9laborer des projets m\u00e9dicaux d\u2019\u00e9tablissements de sant\u00e9, de planifier et de valoriser l\u2019offre de soins au travers d\u2019indicateurs d\u2019activit\u00e9 agr\u00e9g\u00e9s et pr\u00e9calcul\u00e9s.<\/p>\n

Cet outil d\u2019aide \u00e0 la d\u00e9cision vise \u00e0 poursuivre les objectifs principaux suivants :<\/p>\n

    \n
  • \u00c9laboration des projets m\u00e9dicaux des \u00e9tablissements de sant\u00e9 en prenant en compte leur environnement, en termes d\u2019offre de soins et en termes de co\u00fbts, et en r\u00e9pondant \u00e0 leur obligation l\u00e9gale d\u2019analyse de leur activit\u00e9 (article L. 6113-7 du code de la sant\u00e9 publique) ;<\/li>\n
  • Planification de l\u2019offre de soins via l\u2019analyse comparative des activit\u00e9s de soins, l\u2019\u00e9tude des bassins de recrutement (attractivit\u00e9, fuite), l\u2019\u00e9tude de collaboration entre \u00e9tablissements d\u2019un p\u00e9rim\u00e8tre d\u00e9fini ;<\/li>\n
  • Valorisation de l\u2019offre de soins via la r\u00e9alisation d\u2019indicateurs de pilotage et de valorisation des s\u00e9jours.<\/li>\n<\/ul>\n

    <\/p>\n

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    Comme pr\u00e9vu dans la d\u00e9cision unique, vous trouverez ci-dessous le nombre de requ\u00eates r\u00e9alis\u00e9es \u00e0 partir de la solution ADAPT et leur r\u00e9partition par cat\u00e9gorie :<\/span><\/p>\n

    [\/et_pb_text][et_pb_code _builder_version=\u00a0\u00bb4.24.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_enable_color=\u00a0\u00bboff\u00a0\u00bb custom_margin=\u00a0\u00bb0px||40px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px|26px||26px|false|true\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb0px|26px||26px|false|true\u00a0\u00bb custom_padding_phone=\u00a0\u00bb0px|0px||0px|false|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-07fd6007-ae25-4e13-bbf0-52acc155a8b2%22:%91%22text_text_color%22,%22background_color%22%93}\u00a0\u00bb] <\/p>\n