{ "article": { "LEGIARTI000036505516": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "21", "ETAT": "VIGUEUR", "TYPE": "PARTIELLEMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2018-01-19" } }, "META_COMMUN": { "ID": "LEGIARTI000036505516", "URL": "article/LEGI/ARTI/00/00/36/50/55/LEGIARTI000036505516.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000036515918", "@num": "L6111-6-1", "#text": "Code de la santé publique - art. L6111-6-1 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036515901", "@num": "L6112-2", "#text": "Code de la santé publique - art. L6112-2 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036515898", "@num": "L6113-7", "#text": "Code de la santé publique - art. L6113-7 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036507911", "@num": "L6114-1-1", "#text": "Code de la santé publique - art. L6114-1-1 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000036515887", "@num": "L6116-3", "#text": "Code de la santé publique - art. L6116-3 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000036505451", "@fin": "2999-01-01", "#text": "Chapitre Ier : Etablissements de santé", "@debut": "2018-01-19" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000036505458", "@fin": "2999-01-01", "#text": "Titre V : ÉTABLISSEMENTS ET SERVICES DE SANTÉ", "@debut": "2018-01-19" } ] }, "@cid": "JORFTEXT000036504646", "@nor": "ARMD1726559R", "@num": "2018-20", "@nature": "ORDONNANCE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Ordonnance n° 2018-20 du 17 janvier 2018 relative au service de santé des armées et à l'Institution nationale des invalides", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000036504646", "@c_titre_court": "Ordonnance n° 2018-20 du 17 janvier 2018" }, { "@fin": "2999-01-01", "#text": "Ordonnance n° 2018-20 du 17 janvier 2018 relative au service de santé des armées et à l'Institution nationale des invalides", "@debut": "2018-01-19", "@id_txt": "LEGITEXT000036505450", "@c_titre_court": "Ordonnance n°2018-20 du 17 janvier 2018" } ], "@ministere": "Ministère des armées", "@date_publi": "2018-01-18", "@date_signature": "2018-01-17", "@num_parution_jo": "0014" } }, "VERSIONS": { "VERSION": [ { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000036505516", "@fin": "2999-01-01", "@num": "21", "@etat": "VIGUEUR", "@debut": "2018-01-19", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000036504684", "@fin": "2999-01-01", "@num": "21", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Organisation des activités des établissements de santé

A modifié les dispositions suivantes :

- Code de la santé publique\n
\n Art. L6111-6-1, Art. L6112-2, Art. L6113-7, Art. L6116-3\n
\n

\n
\n

A créé les dispositions suivantes :

- Code de la santé publique\n
\n Art. L6114-1-1\n
\n

\n
\n

" } }, "LEGIARTI000036507911": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6114-1-1", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2018-01-19" } }, "META_COMMUN": { "ID": "LEGIARTI000036507911", "URL": "article/LEGI/ARTI/00/00/36/50/79/LEGIARTI000036507911.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000036505516", "@num": "21", "#text": "Ordonnance n°2018-20 du 17 janvier 2018 - art. 21", "@sens": "cible", "@cidtexte": "JORFTEXT000036504646", "@nortexte": "ARMD1726559R", "@numtexte": "2018-20", "@typelien": "CREE", "@naturetexte": "ORDONNANCE", "@datesignatexte": "2018-01-17" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171447", "@fin": "2009-07-23", "#text": "Chapitre IV : Contrats pluriannuels conclus par les agences régionales de l'hospitalisation.", "@debut": "2003-09-06" }, { "@id": "LEGISCTA000020886579", "@fin": "2999-01-01", "#text": "Chapitre IV : Contrats pluriannuels d'objectifs et de moyens", "@debut": "2009-07-23" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155106", "@fin": "2999-01-01", "#text": "Titre Ier : Organisation des activités des établissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140636", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006125350", "@fin": "2999-01-01", "#text": "Sixième partie : Etablissements et services de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006103419", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "2000-06-22" } ] }, "@cid": "LEGITEXT000006072665", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la santé publique", "@debut": "1953-10-07", "@id_txt": "LEGITEXT000006072665", "@c_titre_court": "Code de la santé publique" } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000036507911", "@fin": "2999-01-01", "@num": "L6114-1-1", "@etat": "VIGUEUR", "@debut": "2018-01-19", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Le contrat pluriannuel d'objectifs et de moyens mentionné à l'article L. 6114-1 qui comporte des clauses relatives à une contribution au soutien sanitaire des forces armées en application des articles L. 1435-3-1 et L. 6147-10 est signé, après accord du ministre de la défense, pour une durée de cinq ans.
\n
\n Le ministre de la défense est consulté préalablement à la modification ou à la résiliation de ce contrat. Lorsque le ministre de la défense fait valoir que cette modification ou cette résiliation serait susceptible de compromettre la mission prioritaire de soutien sanitaire des forces armées mentionnée à l'article L. 6147-7, celle-ci ne peut intervenir qu'après expiration d'un délai suffisant pour assurer la continuité de cette mission.
\n
\n Un décret en Conseil d'Etat précise les conditions d'application du présent article.

" } }, "LEGIARTI000036515887": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6116-3", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2018-01-19" } }, "META_COMMUN": { "ID": "LEGIARTI000036515887", "URL": "article/LEGI/ARTI/00/00/36/51/58/LEGIARTI000036515887.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000217229", "#text": "Rapport relatif à l'ordonnance n° 2000-548 du 15 juin 2000", "@sens": "source", "@cidtexte": "JORFTEXT000000217229", "@nortexte": "MESX0000036P", "@typelien": "CODIFICATION", "@naturetexte": "RAPPORT", "@datesignatexte": "2999-01-01" }, { "@id": "JORFTEXT000000227015", "#text": "Loi n°2002-303 du 4 mars 2002", "@sens": "source", "@cidtexte": "JORFTEXT000000227015", "@nortexte": "MESX0100092L", "@numtexte": "2002-303", "@typelien": "CODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2002-03-04" }, { "@id": "LEGIARTI000036505516", "@num": "21", "#text": "Ordonnance n°2018-20 du 17 janvier 2018 - art. 21", "@sens": "cible", "@cidtexte": "JORFTEXT000036504646", "@nortexte": "ARMD1726559R", "@numtexte": "2018-20", "@typelien": "MODIFIE", "@naturetexte": "ORDONNANCE", "@datesignatexte": "2018-01-17" }, { "@id": "LEGIARTI000006690669", "@num": "L6111-1", "#text": "Code de la santé publique - art. L6111-1", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006690711", "@num": "L6113-8", "#text": "Code de la santé publique - art. L6113-8", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006694992", "@num": "L716-7", "#text": "Code de la santé publique - art. L716-7 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171577", "@fin": "2999-01-01", "#text": "Chapitre VI : Contrôle.", "@debut": "2003-09-06" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155106", "@fin": "2999-01-01", "#text": "Titre Ier : Organisation des activités des établissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006140636", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006125350", "@fin": "2999-01-01", "#text": "Sixième partie : Etablissements et services de santé", "@debut": "2000-06-22" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006103419", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "2000-06-22" } ] }, "@cid": "LEGITEXT000006072665", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la santé publique", "@debut": "1953-10-07", "@id_txt": "LEGITEXT000006072665", "@c_titre_court": "Code de la santé publique" } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "ABROGE", "LIEN_ART": { "@id": "LEGIARTI000006690773", "@fin": "2002-01-01", "@num": "L6116-3", "@etat": "ABROGE", "@debut": "2000-06-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031929544", "@fin": "2018-01-19", "@num": "L6116-3", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000036515887", "@fin": "2999-01-01", "@num": "L6116-3", "@etat": "VIGUEUR", "@debut": "2018-01-19", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Les établissements de santé transmettent chaque année leurs comptes à l'agence régionale de santé. Pour les établissements de santé privés, l'agence régionale de santé peut, en complément, demander la transmission des comptes des organismes gestionnaires.

Toutes autres pièces comptables nécessaires au contrôle sont mises à la disposition de l'autorité de tarification et, en tant que de besoin, communiquées par celle-ci aux services chargés de l'analyse économique et financière.

En cas de non-respect de l'obligation de transmission, la sanction prévue à l'article L. 6113-8 est applicable.

Sur la base de ces données comptables, l'agence régionale de santé contrôle l'absence de surcompensation financière sur le champ des activités mentionnées à l'article L. 6111-1 et à l'article L. 6147-10. Elle procède, le cas échéant, à la récupération des sommes indument déléguées.

Il n'y a de surcompensation que dans le cas où l'établissement de santé dépasse le taux de bénéfice raisonnable.

Les règles d'application et de calcul de la surcompensation s'appliquent au plan national en conformité avec les règles européennes.

Un décret en Conseil d'Etat fixe les règles de calcul et d'application de la surcompensation et détermine les modalités de transmission des comptes et de répartition des charges et des produits entre les activités mentionnées à l'article L. 6111-1, ainsi qu'à l'article L. 6147-10 et les autres activités, les modalités de contrôle et de publicité, ainsi que le mécanisme de récupération.

" } }, "LEGIARTI000036515898": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6113-7", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2018-05-25", "DATE_DEBUT": "2018-01-19" } }, "META_COMMUN": { "ID": "LEGIARTI000036515898", "URL": "article/LEGI/ARTI/00/00/36/51/58/LEGIARTI000036515898.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000037823114", "@num": "53", "#text": "Loi n° 78-17 du 6 janvier 1978 - art. 53 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000000886460", "@numtexte": "78-17", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1978-01-06" }, { "@id": "LEGIARTI000006528201", "@num": "62", "#text": "Loi n° 78-17 du 6 janvier 1978 - art. 62 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000886460", "@numtexte": "78-17", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1978-01-06" }, { "@id": "LEGIARTI000006528202", "@num": "63", "#text": "Loi n° 78-17 du 6 janvier 1978 - art. 63 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000886460", "@numtexte": "78-17", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1978-01-06" }, { "@id": "LEGIARTI000038888757", "@num": "65", "#text": "Loi n° 78-17 du 6 janvier 1978 - art. 65 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000886460", "@numtexte": "78-17", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1978-01-06" }, { "@id": "LEGIARTI000006758227", "@num": "33", "#text": "Loi n°99-1140 du 29 décembre 1999 - art. 33 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000214048", "@nortexte": "MESX9900120L", "@numtexte": "99-1140", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1999-12-29" }, { "@id": "LEGIARTI000006779789", "@num": "6", "#text": "Décret n°2000-794 du 24 août 2000 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000400696", "@nortexte": "MESH0022359D", "@numtexte": "2000-794", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2000-08-24" }, { "@id": "LEGIARTI000021986633", "@num": "3", "#text": "Arrêté du 11 avril 2002 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000228936", "@nortexte": "MESS0220842A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2002-04-11" }, { "@id": "LEGIARTI000006212981", "@num": "2", "#text": "Décret n°2002-960 du 4 juillet 2002 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000592496", "@nortexte": "SANH0221806D", "@numtexte": "2002-960", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2002-07-04" }, { "@id": "LEGIARTI000006212985", "@num": "6", "#text": "Décret n°2002-960 du 4 juillet 2002 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000592496", "@nortexte": "SANH0221806D", "@numtexte": "2002-960", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2002-07-04" }, { "@id": "LEGIARTI000006220641", "@num": "1", "#text": "Arrêté du 25 juin 2003 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006220642", "@num": "2", "#text": "Arrêté du 25 juin 2003 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006220643", "@num": "3", "#text": "Arrêté du 25 juin 2003 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006220644", "@num": "4", "#text": "Arrêté du 25 juin 2003 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006220645", "@num": "5", "#text": "Arrêté du 25 juin 2003 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006220646", "@num": "6", "#text": "Arrêté du 25 juin 2003 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006220647", "@num": "7", "#text": "Arrêté du 25 juin 2003 - art. 7 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006220648", "@num": "8", "#text": "Arrêté du 25 juin 2003 - art. 8 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000412778", "@nortexte": "SANH0322315A", "@typelien": "TXT_SOURCE", "@naturetexte": "ARRETE", "@datesignatexte": "2003-06-25" }, { "@id": "LEGIARTI000006758876", "@num": "34", "#text": "Loi n°2003-1199 du 18 décembre 2003 - art. 34 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000249276", "@nortexte": "SANX0300139L", "@numtexte": "2003-1199", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2003-12-18" }, { "@id": "LEGIARTI000006235049", "@num": "3", "#text": "Arrêté du 8 octobre 2004 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000445129", "@nortexte": "SANH0423370A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2004-10-08" }, { "@id": "LEGIARTI000017886563", "@num": "6", "#text": "Décret n°2004-1539 du 30 décembre 2004 - art. 6 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000805740", "@nortexte": "SANH0424352D", "@numtexte": "2004-1539", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000022153631", "@num": "7", "#text": "Décret n°2004-1539 du 30 décembre 2004 - art. 7 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000805740", "@nortexte": "SANH0424352D", "@numtexte": "2004-1539", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2004-12-30" }, { "@id": "LEGIARTI000006238742", "@num": "1", "#text": "Arrêté du 31 janvier 2005 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000424004", "@nortexte": "SANH0520335A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2005-01-31" }, { "@id": "LEGIARTI000006238744", "@num": "2", "#text": "Arrêté du 31 janvier 2005 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000424004", "@nortexte": "SANH0520335A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2005-01-31" }, { "@id": "LEGIARTI000021414018", "@num": "8", "#text": "Arrêté du 22 novembre 2006 - art. 8 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000610784", "@nortexte": "SANH0624745A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2006-11-22" }, { "@id": "LEGIARTI000045355434", "@num": "77", "#text": "Loi n° 2006-1640 du 21 décembre 2006 - art. 77 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000817095", "@nortexte": "SANX0600163L", "@numtexte": "2006-1640", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2006-12-21" }, { "@id": "LEGIARTI000018195578", "#text": "Arrêté du 25 février 2008 - art. 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Les établissements de santé, publics ou privés, procèdent à l'analyse de leur activité.

Dans le respect du secret médical et des droits des malades, ils mettent en oeuvre des systèmes d'information qui tiennent compte notamment des pathologies et des modes de prise en charge en vue d'améliorer la connaissance et l'évaluation de l'activité et des coûts et de favoriser l'optimisation de l'offre de soins.

Les praticiens exerçant dans les établissements de santé publics et privés transmettent les données médicales nominatives nécessaires à l'analyse de l'activité et à la facturation de celle-ci au médecin responsable de l'information médicale pour l'établissement dans des conditions déterminées par voie réglementaire après consultation du Conseil national de l'ordre des médecins.

Les praticiens transmettent les données mentionnées au troisième alinéa dans un délai compatible avec celui imposé à l'établissement.

Sous l'autorité des chefs de pôle, les praticiens sont tenus, dans le cadre de l'organisation de l'établissement, de transmettre toutes données concernant la disponibilité effective des capacités d'accueil et notamment des lits.A la demande du directeur, ce signalement peut se faire en temps réel.

Le praticien responsable de l'information médicale est un médecin désigné par le directeur d'un établissement public de santé ou l'organe délibérant d'un établissement de santé privé s'il existe, après avis de la commission médicale ou de la conférence médicale. Pour ce qui concerne les établissements publics de santé, les conditions de cette désignation et les modes d'organisation de la fonction d'information médicale sont fixés par décret.

Lorsque les praticiens appartenant au personnel des établissements publics de santé ne satisfont pas aux obligations qui leur incombent en vertu des troisième et quatrième alinéas, leur rémunération fait l'objet de la retenue prévue à l'article 4 de la loi de finances rectificative pour 1961 (n° 61-825 du 29 juillet 1961).

Les modalités selon lesquelles les dispositions de cet article sont applicables aux hôpitaux des armées sont fixées par décret en Conseil d'Etat.

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I.-Les établissements de santé assurant le service public hospitalier et les professionnels de santé qui exercent en leur sein garantissent à toute personne qui recourt à leurs services :

1° Un accueil adapté, notamment lorsque la personne est en situation de handicap ou de précarité sociale, et un délai de prise en charge en rapport avec son état de santé ;

2° La permanence de l'accueil et de la prise en charge, notamment dans le cadre de la permanence des soins organisée par l'agence régionale de santé compétente dans les conditions prévues au présent code, ou, à défaut, la prise en charge par un autre établissement de santé ou par une autre structure en mesure de dispenser les soins nécessaires ;

3° L'égal accès à des activités de prévention et des soins de qualité ;

4° L'absence de facturation de dépassements des tarifs fixés par l'autorité administrative et des tarifs des honoraires prévus au 1° du I de l'article L. 162-14-1 du code de la sécurité sociale.

Le patient bénéficie de ces garanties y compris lorsqu'il est transféré temporairement dans un autre établissement de santé ou dans une autre structure pour des actes médicaux.

II.-Les établissements de santé assurant le service public hospitalier sont, en outre, tenus aux obligations suivantes :

1° Ils garantissent la participation des représentants des usagers du système de santé. Pour les établissements de santé privés, cette participation est réalisée par l'intermédiaire de représentants avec voix consultative dans les conditions définies à l'article L. 6161-1-1. En l'absence de conseil d'administration, de conseil de surveillance ou d'organe en tenant lieu, le chef d'établissement est tenu de consulter les représentants des usagers siégeant au sein de la commission des usagers, prévue à l'article L. 1112-3, sur la stratégie et la gestion de l'établissement, dans des conditions fixées par voie réglementaire ;

2° Ils transmettent annuellement à l'agence régionale de santé compétente leur compte d'exploitation.

III.-Les établissements de santé mettent également en œuvre les actions suivantes :

1° Ils peuvent être désignés par le directeur général de l'agence régionale de santé pour participer aux communautés professionnelles territoriales de santé mentionnées à l'article L. 1434-12 ;

2° Ils peuvent être désignés par le directeur général de l'agence régionale de santé en cas de carence de l'offre de services de santé, constatée dans les conditions fixées au III de l'article L. 1434-10 ou, dans le cadre du projet régional de santé mentionné à l'article L. 1434-1, pour développer des actions permettant de répondre aux besoins de santé de la population ;

3° Ils développent, à la demande de l'agence régionale de santé et, pour les établissements de santé privés, après avis des commissions et conférences médicales d'établissement, des actions de coopération avec d'autres établissements de santé, établissements médico-sociaux et établissements sociaux ainsi qu'avec les professionnels de santé libéraux, les centres de santé et les maisons de santé ;

4° Ils informent l'agence régionale de santé de tout projet de cessation ou de modification de leurs activités de soins susceptible de restreindre l'offre de services de santé et recherchent avec l'agence les évolutions et les coopérations possibles avec d'autres acteurs de santé pour répondre aux besoins de santé de la population couverts par ces activités ;

5° Ils développent des actions en matière de santé visant à améliorer l'accès et la continuité des soins, ainsi que des actions liées à des risques spécifiques, dans les territoires isolés des collectivités mentionnées à l'article 73 de la Constitution, à Saint-Barthélemy, à Saint-Martin et à Saint-Pierre-et-Miquelon.

IV. - Les dispositions du I, du 1° du II et du III s'appliquent aux hôpitaux des armées, dans le respect de leur mission prioritaire de soutien sanitaire des forces armées, dans les conditions suivantes :
\n
\n 1° Les représentants des usagers du système de santé sont consultés sur les décisions relatives à la stratégie et à la gestion de l'établissement, dans le cadre d'une commission des usagers dont les missions et la composition sont fixées par décret en Conseil d'Etat ;
\n
\n 2° Les actions mentionnées aux 1°, 2°, 3° et 5° du III ne peuvent être mises en œuvre qu'après accord du ministre de la défense.

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L'Etat participe aux dépenses exposées par les établissements de santé au titre de leurs activités de formation des médecins, des odontologistes, des pharmaciens et des personnels paramédicaux, dans la limite des crédits ouverts chaque année par la loi de finances.

Les dépenses des centres de réception et de régulation des appels sont financées par des contributions qui peuvent notamment provenir des régimes obligatoires d'assurance maladie, de l'Etat et des collectivités territoriales.

L'Etat prend en charge les dépenses exposées par les établissements de santé dispensant des soins aux personnes mentionnées au 4° de l'article L. 6111-1-2.

L'Etat prend en charge les dépenses exposées par les acteurs mentionnés au I de l'article L. 6147-10 au titre de leur contribution au soutien sanitaire des forces armées, dans les conditions et les limites fixées par les conventions conclues sur le fondement du même article.

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Article 21 PARTIELLEMENT_MODIF VIGUEUR, en vigueur depuis le 19/01/2018 (Ordonnance n° 2018-20 du 17 janvier 2018 relative au service de santé des armées et à l'Institution nationale des invalides)