{ "article": { "LEGIARTI000043321481": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "6", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000043321481", "URL": "article/LEGI/ARTI/00/00/43/32/14/LEGIARTI000043321481.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000043322763", "@num": "13", "#text": "Arrêté du 30 avril 2003 - art. 13 (M)", "@sens": "source", "@cidtexte": "JORFTEXT000000602745", "@nortexte": "SANH0321568A", "@typelien": "MODIFIE", "@naturetexte": "ARRETE", "@datesignatexte": "2003-04-30" }, { "@id": "LEGIARTI000006690871", "@num": "L6132-2", "#text": "Code de la santé publique - art. L6132-2", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000043311462", "@nor": "SSAH2100359A", "@nature": "ARRETE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Arrêté du 29 mars 2021 modifiant l'arrêté du 30 avril 2003 relatif à l'organisation et à l'indemnisation de la continuité des soins et de la permanence pharmaceutique dans les établissements publics de santé et dans les établissements publics d'hébergement pour personnes âgées dépendantes", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000043311462", "@c_titre_court": "Arrêté du 29 mars 2021" }, { "@fin": "2999-01-01", "#text": "Arrêté du 29 mars 2021 modifiant l'arrêté du 30 avril 2003 relatif à l'organisation et à l'indemnisation de la continuité des soins et de la permanence pharmaceutique dans les établissements publics de santé et dans les établissements publics d'hébergement pour personnes âgées dépendantes", "@debut": "2021-04-02", "@id_txt": "LEGITEXT000043321469", "@c_titre_court": "Arrêté du 29 mars 2021" } ], "@ministere": "Ministère des solidarités et de la santé", "@date_publi": "2021-04-01", "@date_signature": "2021-03-29", "@num_parution_jo": "0078" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000043321481", "@fin": "2999-01-01", "@num": "6", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000043311479", "@fin": "2999-01-01", "@num": "6", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A modifié les dispositions suivantes :

- Arrêté du 30 avril 2003
\n Art. 13\n
\n

\n
" } }, "LEGIARTI000006690871": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6132-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2000-12-23", "DATE_DEBUT": "2000-06-22" } }, "META_COMMUN": { "ID": "LEGIARTI000006690871", "URL": "article/LEGI/ARTI/00/00/06/69/08/LEGIARTI000006690871.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6132L02XXAA" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006696130", "@num": "46", "#text": "Loi n°75-534 du 30 juin 1975 - art. 46 (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000000333976", "@numtexte": "75-534", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1975-06-30" }, { "@id": "LEGIARTI000006681743", "@num": "3", "#text": "Loi n°75-535 du 30 juin 1975 - art. 3 (M)", "@sens": "source", "@cidtexte": "JORFTEXT000000699217", "@numtexte": "75-535", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "1975-06-30" }, { "@id": "JORFTEXT000000217229", "#text": "Ordonnance 2000-548 2000-06-15", "@sens": "source", "@cidtexte": "JORFTEXT000000217229", "@nortexte": "MESX0000036P", "@typelien": "CODIFICATION", "@naturetexte": "RAPPORT", "@datesignatexte": "2999-01-01" }, { "@id": "JORFTEXT000000227015", "#text": "Loi 2002-303 2002-03-04 art. 92 JORF 5 mars 2002", "@sens": "source", "@cidtexte": "JORFTEXT000000227015", "@nortexte": "MESX0100092L", "@numtexte": "2002-303", "@typelien": "CODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2002-03-04" }, { "@id": "LEGIARTI000038887247", "@num": "107", "#text": "LOI n°2016-41 du 26 janvier 2016 - art. 107 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000043321481", "@num": "6", "#text": "Arrêté du 29 mars 2021 - art. 6", "@sens": "cible", "@cidtexte": "JORFTEXT000043311462", "@nortexte": "SSAH2100359A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-03-29" }, { "@id": "LEGIARTI000044317184", "@num": "L6113-4", "#text": "Code de la santé publique - art. L6113-4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000043499500", "@num": "L6122-15", "#text": "Code de la santé publique - art. L6122-15 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006690878", "@num": "L6132-3", "#text": "Code de la santé publique - art. L6132-3 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000038886787", "@num": "L6132-7", "#text": "Code de la santé publique - art. L6132-7 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006690886", "@num": "L6133-1", "#text": "Code de la santé publique - art. 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R714-16-12 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171458", "@fin": "2009-07-23", "#text": "Chapitre II : Syndicats interhospitaliers.", "@debut": "2000-06-22" }, { "@id": "LEGISCTA000020892279", "@fin": "2016-01-28", "#text": "Chapitre II : Communautés hospitalières de territoire", "@debut": "2009-07-23" }, { "@id": "LEGISCTA000031929472", "@fin": "2999-01-01", "#text": "Chapitre II : Groupements hospitaliers de territoire", "@debut": "2016-01-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155108", "@fin": "2999-01-01", "#text": "Titre III : Coopération", "@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": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690871", "@fin": "2000-12-23", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2000-06-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690872", "@fin": "2009-07-23", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2000-12-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020892275", "@fin": "2016-01-28", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2009-07-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031929461", "@fin": "2018-01-19", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000036515987", "@fin": "2022-01-01", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2018-01-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038886783", "@fin": "2023-12-29", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2022-01-01", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048691338", "@fin": "2999-01-01", "@num": "L6132-2", "@etat": "VIGUEUR", "@debut": "2023-12-29", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
Le syndicat interhospitalier est un établissement public. Il peut être autorisé, lors de sa création ou par arrêté du directeur de l'agence régionale de l'hospitalisation, à exercer les missions d'un établissement de santé définies par le chapitre 1er du titre 1er du présent livre.
\n
Sa création est autorisée par arrêté du directeur de l'agence régionale de l'hospitalisation du siège du syndicat, à la demande de deux ou plusieurs établissements publics de santé ou privés à but non lucratif participant à l'exécution du service public hospitalier et dont un au moins doit être un établissement public de santé. D'autres organismes concourant aux soins ainsi que les institutions sociales énumérées à l'article 3 de la loi n° 75-535 du 30 juin 1975 relative aux institutions sociales et médico-sociales et les maisons d'accueil spécialisé mentionnées à l'article 46 de la loi n° 75-534 du 30 juin 1975 d'orientation en faveur des personnes handicapées, peuvent faire partie d'un syndicat interhospitalier à condition d'y être autorisés par le directeur de l'agence régionale de l'hospitalisation.
" } }, "LEGIARTI000006690872": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6132-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2009-07-23", "DATE_DEBUT": "2000-12-23" } }, "META_COMMUN": { "ID": "LEGIARTI000006690872", "URL": "article/LEGI/ARTI/00/00/06/69/08/LEGIARTI000006690872.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SPANXXXXXXX1X6132L02XXAB" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000217229", "#text": "Ordonnance 2000-548 2000-06-15", "@sens": "source", "@cidtexte": "JORFTEXT000000217229", "@nortexte": "MESX0000036P", "@typelien": "CODIFICATION", "@naturetexte": "RAPPORT", "@datesignatexte": "2999-01-01" }, { "@id": "JORFTEXT000000227015", "#text": "Loi 2002-303 2002-03-04 art. 92 JORF 5 mars 2002", "@sens": "source", "@cidtexte": "JORFTEXT000000227015", "@nortexte": "MESX0100092L", "@numtexte": "2002-303", "@typelien": "CODIFICATION", "@naturetexte": "LOI", "@datesignatexte": "2002-03-04" }, { "@id": "LEGIARTI000038887247", "@num": "107", "#text": "LOI n°2016-41 du 26 janvier 2016 - art. 107 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000043321481", "@num": "6", "#text": "Arrêté du 29 mars 2021 - art. 6", "@sens": "cible", "@cidtexte": "JORFTEXT000043311462", "@nortexte": "SSAH2100359A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-03-29" }, { "@id": "LEGIARTI000044317184", "@num": "L6113-4", "#text": "Code de la santé publique - art. 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Le syndicat interhospitalier est un établissement public. Il peut être autorisé, lors de sa création ou par arrêté du directeur de l'agence régionale de l'hospitalisation, à exercer les missions d'un établissement de santé définies par le chapitre 1er du titre 1er du présent livre.
\n
Sa création est autorisée par arrêté du directeur de l'agence régionale de l'hospitalisation du siège du syndicat, à la demande de deux ou plusieurs établissements publics de santé ou privés à but non lucratif participant à l'exécution du service public hospitalier et dont un au moins doit être un établissement public de santé. D'autres organismes concourant aux soins ainsi que les institutions sociales énumérées aux articles L. 312-1, L. 312-10 et L. 312-14 du code de l'action sociale et des familles et les maisons d'accueil spécialisé mentionnées aux articles L. 344-1 et L. 344-7 du code de l'action sociale et des familles, peuvent faire partie d'un syndicat interhospitalier à condition d'y être autorisés par le directeur de l'agence régionale de l'hospitalisation.
" } }, "LEGIARTI000020892275": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6132-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2016-01-28", "DATE_DEBUT": "2009-07-23" } }, "META_COMMUN": { "ID": "LEGIARTI000020892275", "URL": "article/LEGI/ARTI/00/00/20/89/22/LEGIARTI000020892275.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000020881260", "@num": "22", "#text": "LOI n°2009-879\n du 21 juillet 2009 - art. 22 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000020879475", "@nortexte": "SASX0822640L", "@numtexte": "2009-879", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2009-07-21" }, { "@id": "LEGIARTI000038887247", "@num": "107", "#text": "LOI n°2016-41 du 26 janvier 2016 - art. 107 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000043321481", "@num": "6", "#text": "Arrêté du 29 mars 2021 - art. 6", "@sens": "cible", "@cidtexte": "JORFTEXT000043311462", "@nortexte": "SSAH2100359A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-03-29" }, { "@id": "LEGIARTI000044317184", "@num": "L6113-4", "#text": "Code de la santé publique - art. 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R713-2-21 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006803346", "@num": "R714-16-12", "#text": "Code de la santé publique - art. R714-16-12 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006171458", "@fin": "2009-07-23", "#text": "Chapitre II : Syndicats interhospitaliers.", "@debut": "2000-06-22" }, { "@id": "LEGISCTA000020892279", "@fin": "2016-01-28", "#text": "Chapitre II : Communautés hospitalières de territoire", "@debut": "2009-07-23" }, { "@id": "LEGISCTA000031929472", "@fin": "2999-01-01", "#text": "Chapitre II : Groupements hospitaliers de territoire", "@debut": "2016-01-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006155108", "@fin": "2999-01-01", "#text": "Titre III : Coopération", "@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": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690871", "@fin": "2000-12-23", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2000-06-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006690872", "@fin": "2009-07-23", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2000-12-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020892275", "@fin": "2016-01-28", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2009-07-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031929461", "@fin": "2018-01-19", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000036515987", "@fin": "2022-01-01", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2018-01-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038886783", "@fin": "2023-12-29", "@num": "L6132-2", "@etat": "MODIFIE", "@debut": "2022-01-01", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048691338", "@fin": "2999-01-01", "@num": "L6132-2", "@etat": "VIGUEUR", "@debut": "2023-12-29", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "La convention de communauté hospitalière de territoire est préparée par les directeurs et les présidents des commissions médicales des établissements et approuvée, après information des comités techniques d'établissement, par les directeurs des établissements après avis de leurs conseils de surveillance ou, dans le cas visé au 4° de l'article L. 6143-1, par les conseils de surveillance des établissements.
\n
Elle est ensuite soumise à l'approbation du directeur général de l'agence régionale de santé compétente.
\n
Cette double approbation entraîne création de la communauté hospitalière de territoire.
\n
La convention de communauté hospitalière de territoire définit :
\n
― le projet médical commun de la communauté hospitalière de territoire et les compétences et activités qui seront déléguées ou transférées entre les établissements partenaires ainsi que, le cas échéant, les cessions ou échanges de biens meubles et immeubles liés à ces délégations ou transferts ;
\n
― les modalités de mise en cohérence des contrats pluriannuels d'objectifs et de moyens, des projets d'établissement, des plans globaux de financement pluriannuels et des programmes d'investissement des établissements ;
\n
― les modalités de coopération entre les établissements en matière de gestion et les modalités de mise en commun des ressources humaines et des systèmes d'information hospitaliers ;
\n
― en tant que de besoin, les modalités de fixation des frais pour services rendus acquittés par les établissements en contrepartie des missions assumées pour leur compte par certains d'entre eux ;
\n
― le cas échéant, les modalités d'articulation entre les établissements publics de santé signataires de la convention et les établissements médico-sociaux publics participant aux actions menées dans le cadre de la convention de communauté hospitalière de territoire ;
\n
― la composition du conseil de surveillance, du directoire et des organes représentatifs du personnel de l'établissement siège de la communauté hospitalière de territoire, qui comprennent chacun des représentants des établissements parties à la convention.
\n
La désignation de l'établissement siège est approuvée par les deux tiers au moins des conseils de surveillance représentant au moins les trois quarts des produits versés par l'assurance maladie au titre de l'activité de médecine, chirurgie et obstétrique des établissements parties à la convention. En l'absence d'accord, le directeur général de l'agence régionale de santé désigne l'établissement siège.
\n
La convention de communauté hospitalière de territoire peut également prévoir la création d'instances communes de représentation et de consultation du personnel, selon des modalités déterminées par voie réglementaire.
\n
Elle prévoit l'établissement de comptes combinés.
\n
La commission de communauté, composée des présidents des conseils de surveillance, des présidents des commissions médicales d'établissement et des directeurs des établissements partenaires, est chargée de suivre l'application de la convention et, le cas échéant, de proposer aux instances compétentes des établissements les mesures nécessaires pour faciliter cette application ou améliorer la mise en œuvre de la stratégie commune définie par la convention.
\n
Les présidents des conseils de surveillance des établissements publics de santé peuvent proposer au directeur général de l'agence régionale de santé la conclusion d'une convention de communauté hospitalière de territoire.
" } }, "LEGIARTI000031929461": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6132-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2018-01-19", "DATE_DEBUT": "2016-01-28" } }, "META_COMMUN": { "ID": "LEGIARTI000031929461", "URL": "article/LEGI/ARTI/00/00/31/92/94/LEGIARTI000031929461.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000031916348", "@num": "107", "#text": "LOI n°2016-41 du 26 janvier 2016 - art. 107", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000038887247", "@num": "107", "#text": "LOI n°2016-41 du 26 janvier 2016 - art. 107 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031912641", "@nortexte": "AFSX1418355L", "@numtexte": "2016-41", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2016-01-26" }, { "@id": "LEGIARTI000043321481", "@num": "6", "#text": "Arrêté du 29 mars 2021 - art. 6", "@sens": "cible", "@cidtexte": "JORFTEXT000043311462", "@nortexte": "SSAH2100359A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2021-03-29" }, { "@id": "LEGIARTI000044317184", "@num": "L6113-4", "#text": "Code de la santé publique - art. 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I.-La convention constitutive du groupement hospitalier de territoire est élaborée puis transmise à l'agence ou, le cas échéant, aux agences régionales de santé compétentes. Le ou les directeurs généraux des agences régionales de santé compétentes apprécient la conformité de la convention avec les projets régionaux de santé et peuvent demander que lui soient apportées les modifications nécessaires pour assurer cette conformité. Ils approuvent la convention ainsi que son renouvellement et sa modification. Le cas échéant, cette approbation vaut confirmation et autorisation de changement de lieu d'implantation des autorisations mentionnées à l'article L. 6122-1.
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II.-La convention constitutive du groupement hospitalier de territoire définit :
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1° Un projet médical partagé de l'ensemble des établissements parties à la convention de groupement hospitalier de territoire. Ce projet médical est transmis à l'agence ou aux agences régionales de santé territorialement compétentes avant la conclusion de la convention constitutive ;
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2° Les délégations éventuelles d'activités, mentionnées au II de l'article L. 6132-3 ;
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3° Les transferts éventuels d'activités de soins ou d'équipements de matériels lourds entre établissements parties au groupement ;
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4° L'organisation des activités et la répartition des emplois médicaux et pharmaceutiques, résultant du projet médical partagé et pouvant être prévues par voie d'avenant, ainsi que les modalités de constitution des équipes médicales communes et, le cas échéant, des pôles interétablissements ;
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5° Les modalités d'organisation et de fonctionnement du groupement, notamment :
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a) La désignation de l'établissement support chargé d'assurer, pour le compte des autres établissements parties au groupement, les fonctions et les activités déléguées. Cette désignation doit être approuvée par les deux tiers des conseils de surveillance des établissements parties au groupement. A défaut, l'établissement support est désigné par le directeur général de l'agence régionale de santé concernée, après avis du comité territorial des élus locaux prévu à l'article L. 6132-5 ;
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b) La composition du comité stratégique chargé de se prononcer sur la mise en œuvre de la convention et du projet médical partagé. Il comprend notamment les directeurs d'établissement, les présidents des commissions médicales d'établissement et les présidents des commissions des soins infirmiers, de rééducation et médico-techniques de l'ensemble des établissements parties au groupement. Le comité stratégique peut mettre en place un bureau restreint auquel il délègue tout ou partie de sa compétence ;
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c) Les modalités d'articulation entre les commissions médicales d'établissement pour l'élaboration du projet médical partagé et, le cas échéant, la mise en place d'instances communes ;
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d) Le rôle du comité territorial des élus locaux, chargé d'évaluer les actions mises en œuvre par le groupement pour garantir l'égalité d'accès à des soins sécurisés et de qualité sur l'ensemble du territoire du groupement. A ce titre, il peut émettre des propositions et est informé des suites qui leur sont données.
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La convention constitutive du groupement hospitalier du territoire nouvellement constitué est publiée par l'agence régionale de santé sur son site internet, au moment de l'entrée en vigueur du groupement.
\n
\n

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II.-La convention constitutive du groupement hospitalier de territoire définit :

1° Un projet médical partagé de l'ensemble des établissements parties à la convention de groupement hospitalier de territoire, et, le cas échéant, des hôpitaux des armées associés au groupement hospitalier de territoire. Ce projet médical est transmis à l'agence ou aux agences régionales de santé territorialement compétentes avant la conclusion de la convention constitutive ;

2° Les délégations éventuelles d'activités, mentionnées au II de l'article L. 6132-3 ;

3° Les transferts éventuels d'activités de soins ou d'équipements de matériels lourds entre établissements parties au groupement ;

4° L'organisation des activités et la répartition des emplois médicaux et pharmaceutiques, résultant du projet médical partagé et pouvant être prévues par voie d'avenant, ainsi que les modalités de constitution des équipes médicales communes et, le cas échéant, des pôles interétablissements ;

5° Les modalités d'organisation et de fonctionnement du groupement, notamment :

a) La désignation de l'établissement support chargé d'assurer, pour le compte des autres établissements parties au groupement, les fonctions et les activités déléguées. Cette désignation doit être approuvée par les deux tiers des conseils de surveillance des établissements parties au groupement. A défaut, l'établissement support est désigné par le directeur général de l'agence régionale de santé concernée, après avis du comité territorial des élus locaux prévu à l'article L. 6132-5 ;

b) La composition du comité stratégique chargé de se prononcer sur la mise en œuvre de la convention et du projet médical partagé. Il comprend notamment les directeurs d'établissement, les présidents des commissions médicales d'établissement et les présidents des commissions des soins infirmiers, de rééducation et médico-techniques de l'ensemble des établissements parties au groupement et, lorsqu'un hôpital des armées est associé au groupement hospitalier de territoire, les personnels occupant des fonctions équivalentes à celles mentionnées pour les représentants des établissements parties au groupement hospitalier de territoire. Le comité stratégique peut mettre en place un bureau restreint auquel il délègue tout ou partie de sa compétence ;

c) Les modalités d'articulation entre les commissions médicales d'établissement pour l'élaboration du projet médical partagé et, le cas échéant, la mise en place d'instances communes ;

La convention constitutive du groupement hospitalier du territoire nouvellement constitué est publiée par l'agence régionale de santé sur son site internet, au moment de l'entrée en vigueur du groupement.

" } }, "LEGIARTI000038886783": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L6132-2", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2023-12-29", "DATE_DEBUT": "2022-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000038886783", "URL": "article/LEGI/ARTI/00/00/38/88/67/LEGIARTI000038886783.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément à l’article 37 V de la loi n° 2019-774 du 24 juillet 2019, ces dispositions entrent en vigueur à une date fixée par décret, et au plus tard le 1er janvier 2021. L'article 24 de la loi n° 2020-734 du 17 juin 2020 a reporté cette date au 1er janvier 2022. Le décret n° 2021-675 du 27 mai 2021 a confirmé cette date du 1er janvier 2022.

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II.-La convention constitutive du groupement hospitalier de territoire définit :

2° Les délégations éventuelles d'activités, mentionnées au II de l'article L. 6132-3 ;

3° Les transferts éventuels d'activités de soins ou d'équipements de matériels lourds entre établissements parties au groupement ;

5° Les modalités d'organisation et de fonctionnement du groupement, notamment :

b) La composition du comité stratégique chargé de se prononcer sur la mise en œuvre de la convention et du projet médical partagé. Il comprend notamment les directeurs d'établissement, le président de la commission médicale du groupement, les présidents des commissions médicales d'établissement et les présidents des commissions des soins infirmiers, de rééducation et médico-techniques de l'ensemble des établissements parties au groupement et, lorsqu'un hôpital des armées est associé au groupement hospitalier de territoire, les personnels occupant des fonctions équivalentes à celles mentionnées pour les représentants des établissements parties au groupement hospitalier de territoire. Le comité stratégique peut mettre en place un bureau restreint auquel il délègue tout ou partie de sa compétence. Le directeur de l'établissement support est le président du comité stratégique du groupement hospitalier de territoire. Le président de la commission médicale de groupement en est le vice-président ;

c) Les modalités d'articulation entre les commissions médicales d'établissement pour l'élaboration du projet médical partagé et, le cas échéant, la mise en place d'instances communes ;

d) Le rôle du comité territorial des élus locaux, chargé d'évaluer les actions mises en œuvre par le groupement pour garantir l'égalité d'accès à des soins sécurisés et de qualité sur l'ensemble du territoire du groupement. A ce titre, il peut émettre des propositions et est informé des suites qui leur sont données. Il se prononce sur la stratégie du groupement hospitalier de territoire. Il donne notamment un avis sur le projet médical partagé, le projet de soins partagé ainsi que les conventions de partenariat et d'association entre le groupement hospitalier de territoire et des établissements non parties au groupement.

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\n

L'indemnisation de la permanence des soins assurée sur place :

Les périodes de référence pour les indemnités visées ci-dessous sont déterminées conformément aux dispositions du troisième alinéa de l'article 1er du présent arrêté.

La période de nuit peut être divisée en demi-période de permanence sur place et en demi-astreinte opérationnelle dans les conditions ci-après :

- la demi-période donne lieu à une permanence sur place pendant la première moitié de la nuit ;

- pour la seconde partie de la nuit, la demi-période peut être prolongée par une demi-astreinte opérationnelle.

A. - Les praticiens hospitaliers, les praticiens à temps partiel, les assistants des hôpitaux, les praticiens attachés, les praticiens contractuels et les praticiens adjoints contractuels :

1. Indemnité de sujétion correspondant au temps de travail effectué dans le cadre des obligations de service hebdomadaires la nuit, le samedi après-midi, le dimanche ou jour férié :

Montant pour :

- une nuit, un dimanche ou un jour férié : 267,82 € ;

- une demi-nuit ou un samedi après-midi : 133,90 €.

2. a) Dès lors que, conformément au schéma régional de la permanence des soins et au projet médical partagé du groupement hospitalier de territoire mentionné au II de l'article L. 6132-2, les établissements parties au groupement ont adopté un schéma territorial de la permanence et de la continuité des soins organisé et coordonné au niveau du groupement hospitalier de territoire, le temps de travail additionnel accompli dans ces établissements est indemnisé comme suit :

Montant pour :

-une période : 319,46 € ;

-une demi-période : 159,72 €.

Les indemnités de sujétion mentionnées au 1 du A du présent article, perçues, le cas échéant, par les praticiens, ne sont pas déduites des montants versés au terme de chaque quadrimestre au titre des indemnités pour temps de travail additionnel.

Ces modalités d'indemnisation s'appliquent à l'Assistance publique-hôpitaux de Paris ainsi que dans les établissements qui, par dérogation prévue au I de l'article L. 6132-1, ne sont pas partie à une convention de groupement hospitalier de territoire à compter du 1er juillet 2017.

b) A défaut de l'adoption du schéma territorial de la permanence et de la continuité des soins mentionné au a du 2 du A du présent article, les dispositions suivantes s'appliquent :

2. Indemnité forfaitaire pour toute période de temps de travail additionnel accompli de jour du lundi matin au samedi après-midi inclus, sur la base du volontariat, au-delà des obligations de service hebdomadaires :

Montant pour :

- une période : 321,37 € ;

- une demi-période : 160,68 €.

Indemnité forfaitaire pour toute période de temps de travail additionnel accompli la nuit, le dimanche ou jour férié, sur la base du volontariat, au-delà des obligations de service hebdomadaires :

Montant pour :

- une période : 479,64 € ;

- une demi-période : 239,83 €.

Les indemnités mentionnées aux 1 et 2 ci-dessus ne peuvent se cumuler pour une même période de temps de travail.

B. - Les personnels enseignants et hospitaliers :

Indemnité de garde correspondant au temps de travail effectué au titre de la permanence sur place, au-delà des obligations de service, le samedi après-midi :

Montant pour une demi-garde : 160,68 €.

Indemnité de garde correspondant au temps de travail effectué au titre de la permanence sur place, au-delà des obligations de service, la nuit, le dimanche ou jour férié :

Montant pour :

- une garde : 479,64 € ;

- une demi-garde : 239,83 €.

C. - Les assistants associés et les praticiens attachés associés :

1. Indemnité de sujétion correspondant au temps de travail effectué dans le cadre des obligations de service hebdomadaires, la nuit, le samedi après-midi, le dimanche ou jour férié :

Montant pour :

- une nuit, un dimanche et jour férié : 220,02 € ;

- une demi-nuit, un samedi après-midi : 110,01 €.

Afin de maintenir la situation indemnitaire de certains praticiens attachés associés et assistants associés présents dans un établissement public de santé ou un établissement de santé privé d'intérêt collectif au 31 décembre 2016 et en fonction à la date du 3 août 2010, le montant de l'indemnité de sujétion mentionné ci-dessus peut, au plus tard jusqu'au 31 décembre 2022, à titre exceptionnel et dérogatoire, être majoré à concurrence d'un montant de 240,86 euros pour une nuit, un dimanche ou jour férié et de 120,43 euros pour une demi-nuit ou un samedi après-midi.

Montant pour :

- une période : 319,46 € ;

- une demi-période : 159,72 €.

Les indemnités de sujétion mentionnées au 1 du C du présent article, perçues, le cas échéant, par les praticiens, ne sont pas déduites des montants versés au terme de chaque quadrimestre au titre des indemnités pour temps de travail additionnel.

Ces modalités d'indemnisation s'appliquent à l'Assistance publique-hôpitaux de Paris, ainsi que dans les établissements qui, par dérogation prévue au I de l'article L. 6132-1, ne sont pas partie à une convention de groupement hospitalier de territoire à compter du 1er juillet 2017.

2. b) A défaut de l'adoption du schéma territorial de la permanence des soins et de la continuité mentionné au a du 2 du C du présent article, les dispositions suivantes s'appliquent :

Montant pour :

- une période : 263,96 €

- une demi-période : 131,98 €

Montant pour :

- une période : 328,40 €

- une demi-période : 164,19 €

Les indemnités mentionnées aux 1 et 2 ci-dessus ne peuvent se cumuler pour une même période de temps de travail.

D. - Les praticiens associés :
\n
\n1. Indemnité de sujétion correspondant au temps de travail effectué dans le cadre des obligations de service hebdomadaires, la nuit, le samedi après-midi, le dimanche ou jour férié pour les praticiens associés :
\n
\nMontant pour :

\n
\n-une nuit, un dimanche et jour férié : 220,02 € ;
\n
\n-une demi-nuit, un samedi après-midi : 110,01 €.

\n
\n2. Dès lors que, conformément au schéma régional de la permanence des soins et au projet médical partagé du groupement hospitalier de territoire mentionné au II de l'article L. 6132-2 du code de la santé publique, les établissements parties au groupement ont adopté un schéma territorial de la permanence et de la continuité des soins organisé et coordonné au niveau du groupement hospitalier de territoire, le temps de travail additionnel accompli dans ces établissements est indemnisé comme suit :
\n
\nMontant pour :

\n
\n-une période : 263,96 € ;
\n
\n-une demi-période : 131,98 €.

\n
\nLes indemnités de sujétion mentionnées au 1 du D du présent article, perçues, le cas échéant, par les praticiens, ne sont pas déduites des montants versés au terme de chaque quadrimestre au titre des indemnités pour temps de travail additionnel.
\n
\nCes modalités d'indemnisation s'appliquent à l'Assistance publique-hôpitaux de Paris ainsi que dans les établissements qui, par dérogation prévue au I de l'article L. 6132-1, ne sont pas partie à une convention de groupement hospitalier de territoire à compter du 1er juillet 2017.
\n
\nLes indemnités mentionnées aux 1 et 2 ci-dessus ne peuvent se cumuler pour une même période de temps de travail.

\n
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II.-La convention constitutive du groupement hospitalier de territoire définit :

2° Les délégations éventuelles d'activités, mentionnées au II de l'article L. 6132-3 ;

3° Les transferts éventuels d'activités de soins ou d'équipements de matériels lourds entre établissements parties au groupement ;

5° Les modalités d'organisation et de fonctionnement du groupement, notamment :

b) La composition du comité stratégique chargé de se prononcer sur la mise en œuvre de la convention et du projet médical partagé. Il comprend notamment les directeurs d'établissement, le président de la commission médicale du groupement, les présidents des commissions médicales d'établissement et les présidents des commissions des soins infirmiers, de rééducation et médico-techniques de l'ensemble des établissements parties au groupement et, lorsqu'un hôpital des armées est associé au groupement hospitalier de territoire, les personnels occupant des fonctions équivalentes à celles mentionnées pour les représentants des établissements parties au groupement hospitalier de territoire. Le comité stratégique peut mettre en place un bureau restreint auquel il délègue tout ou partie de sa compétence. Le directeur de l'établissement support est le président du comité stratégique du groupement hospitalier de territoire. Le président de la commission médicale de groupement en est le vice-président ;

c) Les modalités d'articulation entre les commissions médicales d'établissement pour l'élaboration du projet médical partagé et, le cas échéant, la mise en place d'instances communes ;

III.-Un établissement partie à la convention d'un groupement hospitalier de territoire peut demander à rejoindre la convention d'un autre groupement existant.

Avec l'accord du directeur de l'établissement et après délibération du conseil de surveillance de ce dernier, la demande est adressée au directeur général de l'agence régionale de santé conjointement par les directeurs des établissements supports des deux groupements hospitaliers de territoire concernés. Cette demande comprend l'avis favorable du comité stratégique et de la commission médicale de ces deux groupements

Au regard de l'amélioration des parcours de soins et dans l'intérêt de la santé publique, le directeur général de l'agence régionale de santé statue sur ces demandes dans un délai de deux mois. Il arrête, le cas échéant, la liste actualisée des groupements hospitaliers de territoire dans la région.

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