A new identity for the National Health Identifier

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Key identifier of the health system, the National Health Identifier (INS) is gradually being rolled out and has a new identity. Presentation.

In 2020, we presented this National Health Identifier (INS), the key to the health system, which makes it possible to make the referencing of health data and users’ administrative data more reliable. It thus facilitates exchange and sharing. It is an essential prerequisite for the development of e-health in France.

To give more visibility to this identifier, the Agence du Numérique en health, after having gathered the opinions of nearly a thousand players involved in digital health, is proposing a new visual identity which incorporates a slogan, “Well identified” , well cared for ”, recalling the importance of identitovigilance in the quality of care and the collective interest of good identification.

The logo is supplemented by a communication kit shared with the actors, including in particular visuals intended for patients (visuals ‘find the error’, ‘no doubt possible’, ‘secure route’), explaining the importance of presenting an identity document, at least during one of their visits.

As a reminder, the National Health Identity (INS) is one of the foundation projects of the digital health roadmap. The use of the INS to reference health data has been compulsory since January 1, 2021. This referencing of health data with the INS is essential in order to avoid errors in the identification of the people supported.

Having a unique and lasting identity for the person also makes it possible to facilitate the exchange and sharing of health data between all the actors involved in the health care and medico-social monitoring of the person. This contributes to the quality of care and the safety of care.

The INS comes from national reference databases. It includes all the digital information returned by the INSi teleservice and is made up of:

  • The INS number (corresponds to the individual’s NIR or NIA).
  • The five INS traits: name of birth, first name (s) of birth, date of birth, sex, place of birth.

For the vast majority of users, the INS registration number corresponds to the social security number used for reimbursement of care. However, in some cases, for children for example, the social security number used for reimbursement of care generally corresponds to that of one of the parents and not to their own registration number.

A gradual implementation

Around 100 digital software solutions are now authorized by the national deposit and approval center (CNDA) to call the INSi teleservice, of which around half have already been deployed in different types of actors (health and medical establishments. -social, private professional offices, dispensary pharmacies, etc.). About a hundred other solutions are currently in the process of being approved.

The INSi teleservice call indicators, which will soon be the subject of a regular publication for stakeholders, show a significant increase since the beginning of the year. About 40,000 calls are made each week, with a continuous increase for several months. 15% of calls come from liberal professionals. 80% of INS searches are carried out using the patient’s identity traits and 20% using their Vitale card.

The ARS, GRADeS and DCGDR coordinate regional action plans to further accelerate the deployment of the INS, with an overall objective that the INS be included in at least 80% of communications between health actors by the end of 2022.

Three departments have been identified to organize an experiment on close support for the liberal sector in the convergence towards the INS: Val-de-Marne, Dordogne and Bouches du Rhône. It will involve reinforced exchanges between the primary health insurance funds and liberal professionals on the integration of the INS and identitovigilance.

The INS has been selected as a priority of the digital Segur: software solutions wishing to obtain the Ségur label will have to prove that they comply with the associated requirements (INS standard, national RNIV identity and vigilance standard, implementation guide and integration guide of the INSi teleservice), a new version of which will be published shortly, following the consultation and opinion of the National Commission for Informatics and Freedoms (CNIL).

Source: Digital Health Agency

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