{"id":3372,"date":"2023-09-29T20:27:54","date_gmt":"2023-09-29T18:27:54","guid":{"rendered":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/?p=3372"},"modified":"2023-09-29T20:28:01","modified_gmt":"2023-09-29T18:28:01","slug":"centres-de-sante-vers-un-renforcement-de-lencadrement","status":"publish","type":"post","link":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/centres-de-sante-vers-un-renforcement-de-lencadrement\/","title":{"rendered":"Centres de sant\u00e9\u00a0: vers un renforcement de l\u2019encadrement"},"content":{"rendered":"<section class=\"container-wrap main-title alternate-color border-bottom breadcrumbs-container\">\n<div class=\"container\">\n<h1 class=\"page-title\"><\/h1>\n<\/div>\n<\/section>\n<section class=\"container-wrap main-color\">\n<div id=\"main-container\" class=\"container\">\n<div class=\"row\">\n<div class=\"template-page col-sm-12 tpl-no with-meta\">\n<div class=\"wrap-content\">\n<article id=\"post-901107111\" class=\"clearfix post-901107111 post type-post status-publish format-standard has-post-thumbnail hentry category-actualites category-actualites-2 category-associations-actualites-2 tag-centre-de-sante tag-encadrement\">\n<div class=\"article-meta\"><span class=\"post-meta\"><small class=\"meta-author author vcard\"><a class=\"url fn n\" title=\"Afficher tous les messages de Colas Amblard\" href=\"https:\/\/institut-isbl.fr\/author\/colasamblard\/\" rel=\"author\"><img loading=\"lazy\" decoding=\"async\" class=\"avatar pp-user-avatar avatar-50 photo \" src=\"https:\/\/institut-isbl.fr\/wp-content\/uploads\/sites\/3\/2019\/04\/colas-AMBLARD-150x150.jpg\" width=\"103\" height=\"103\" data-del=\"avatar\" \/><\/a><\/small><\/span><\/div>\n<div class=\"article-meta\"><span class=\"post-meta\"><small class=\"meta-author author vcard\"><a class=\"url fn n\" title=\"Afficher tous les messages de Colas Amblard\" href=\"https:\/\/institut-isbl.fr\/author\/colasamblard\/\" rel=\"author\"><span class=\"author-name\">Colas Amblard<\/span><\/a><\/small>\u00a0|\u00a0<small><a class=\"post-time\" href=\"https:\/\/institut-isbl.fr\/centres-de-sante-vers-un-renforcement-de-lencadrement\/\" rel=\"bookmark\"><time class=\"entry-date\" datetime=\"2023-09-27T20:00:34+02:00\">27 septembre 2023<\/time><\/a><\/small><\/span><\/div>\n<div class=\"article-content print-only\">\n<div class=\"pf-content\">\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.legifrance.gouv.fr\/jorf\/id\/JORFTEXT000047561943\/\" target=\"_blank\" rel=\"noopener\"><strong>La loi n\u00b02023-378 du 19 mai 2023<\/strong>\u00a0<\/a><strong>relative aux centres de sant\u00e9 (JO du 20 mai) est entr\u00e9e en vigueur le 21 mai 2023. Elle vient notamment renforcer l\u2019encadrement des centres ayant une activit\u00e9 dentaire, ophtalmologique ou orthoptique.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Sur demande des Agences r\u00e9gionales de Sant\u00e9 (ARS), tous les Centre de sant\u00e9 doivent imp\u00e9rativement d\u00e9poser une nouvelle demande d\u2019agr\u00e9ment avant le 21 novembre 2023.<\/p>\n<p><a href=\"https:\/\/www.legifrance.gouv.fr\/jorf\/id\/JORFTEXT000047561943\/\" target=\"_blank\" rel=\"noopener\">La loi du 19 mai 2023 visant \u00e0 am\u00e9liorer l\u2019encadrement des centres de sant\u00e9<\/a>\u00a0n\u00e9cessite la mise en place d\u2019un mode op\u00e9ratoire concernant la d\u00e9livrance d\u2019un agr\u00e9ment pour les activit\u00e9s dentaires, ophtalmologiques ou orthoptiques pour les deux types de centres de sant\u00e9 :<\/p>\n<ul>\n<li>Pour les centres de sant\u00e9 d\u00e9j\u00e0 existants avant le 21 mai 2023, avec la n\u00e9cessit\u00e9 d\u2019information des gestionnaires du d\u00e9p\u00f4t du dossier d\u2019agr\u00e9ment d\u2019ici au 21 novembre 2023.<\/li>\n<li>Pour les nouveaux centres de sant\u00e9 : les centres de sant\u00e9 ayant d\u00e9j\u00e0 d\u00e9pos\u00e9 leur dossier d\u2019engagement de conformit\u00e9 sans r\u00e9c\u00e9piss\u00e9 avant le 21 mai 2023 ou ceux qui d\u00e9poseraient un dossier d\u2019engagement de conformit\u00e9 ou un dossier de demande d\u2019agr\u00e9ment \u00e0 partir du 21 mai 2023 .<\/li>\n<\/ul>\n<p>Conform\u00e9ment \u00e0 cette nouvelle r\u00e9glementation du 19 mai 2023, tous les centres (en projet ou d\u00e9j\u00e0 en fonctionnement) doivent d\u00e9poser une demande d\u2019agr\u00e9ment \u00e0 l\u2019ARS, pour l\u2019exercice de ces seules activit\u00e9s. Cet agr\u00e9ment vaut autorisation de dispenser des soins dans le centre ou l\u2019antenne concern\u00e9.<\/p>\n<p>L\u2019agr\u00e9ment d\u00e9livr\u00e9 par le Directeur g\u00e9n\u00e9ral de l\u2019ARS sera provisoire. Il ne deviendra d\u00e9finitif qu\u2019\u00e0 l\u2019expiration d\u2019une dur\u00e9e d\u2019un an.<\/p>\n<p>Au cours de l\u2019ann\u00e9e suivant la d\u00e9livrance de l\u2019agr\u00e9ment provisoire, l\u2019ARS peut organiser une visite de conformit\u00e9. L\u2019agr\u00e9ment est retir\u00e9 lorsque la visite r\u00e9v\u00e8le des non-conformit\u00e9s ou une incompatibilit\u00e9 de la gestion et de l\u2019offre de soins du centre avec le projet r\u00e9gional de sant\u00e9.<\/p>\n<p>La d\u00e9livrance de l\u2019agr\u00e9ment d\u00e9finitif et son maintien sont conditionn\u00e9s \u00e0 la transmission sans d\u00e9lai au directeur g\u00e9n\u00e9ral de l\u2019ARS et au conseil d\u00e9partemental de l\u2019ordre de la profession concern\u00e9e de la copie des dipl\u00f4mes et des contrats de travail des chirurgiens-dentistes, des assistants dentaires, des ophtalmologistes et des orthoptistes \u00e0 chaque nouvelle embauche, de tout avenant au contrat de travail de l\u2019un de ces professionnels et d\u2019une mise \u00e0 jour de l\u2019organigramme du centre de sant\u00e9 pour toute embauche ou toute rupture du contrat de travail de l\u2019un de ces professionnels.<\/p>\n<p>Ce dossier comprendra n\u00e9cessairement :<\/p>\n<ul>\n<li>Le projet de sant\u00e9\u00a0: voir\u00a0<a href=\"https:\/\/mibc-fr-01.mailinblack.com\/securelink\/?url=https:\/\/www.legifrance.gouv.fr&amp;key=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\">https:\/\/www.legifrance.gouv.fr\/jorf\/id\/JORFTEXT000036658880<\/a>\u00a0;<\/li>\n<li>Les\u00a0<a href=\"https:\/\/institut-isbl.fr\/wp-content\/uploads\/sites\/3\/2023\/09\/2023_124a3.docx\" target=\"_blank\" rel=\"noopener\">d\u00e9clarations des liens d\u2019int\u00e9r\u00eats<\/a>\u00a0de l\u2019ensemble des membres de l\u2019instance dirigeante\u00a0(mod\u00e8le en pi\u00e8ce jointe)\u00a0;<\/li>\n<li>Les contrats liant l\u2019organisme gestionnaire \u00e0 des soci\u00e9t\u00e9s tierces.<\/li>\n<li>Il doit \u00eatre adress\u00e9 \u00e0 l\u2019ARS territorialement comp\u00e9tente, en utilisant l\u2019outil d\u00e9marches simplifi\u00e9es \u00a0\u00a0<a href=\"https:\/\/mibc-fr-01.mailinblack.com\/securelink\/?url=https:\/\/www.demarches-simplifiees.fr&amp;key=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\">https:\/\/www.demarches-simplifiees.fr\/commencer\/agrement-centres-de-sante<\/a><\/li>\n<\/ul>\n<p>Le centre de sant\u00e9 prend la forme de la structure gestionnaire (<a href=\"https:\/\/mibc-fr-01.mailinblack.com\/securelink\/?url=https:\/\/www.legifrance.gouv.fr&amp;key=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\">cf. article L.6323-1-3 du CSP<\/a>). Ainsi, dans le cas d\u2019un centre sous forme associative loi 1901, ce sont tous les membres de cette association exer\u00e7ant une fonction de direction (CA Nancy, 20 d\u00e9cembre 2017, n\u00b015\/02727\u00a0: RJDA 10\/2018, n\u00b0744) qui devront remplir des\u00a0<a href=\"https:\/\/institut-isbl.fr\/wp-content\/uploads\/sites\/3\/2023\/09\/2023_124a3.docx\" target=\"_blank\" rel=\"noopener\">d\u00e9clarations d\u2019int\u00e9r\u00eats<\/a>.<\/p>\n<p>L\u2019ARS instruira le dossier \u00e0 r\u00e9ception et d\u00e9livrera un agr\u00e9ment provisoire, au plus tard le 21 novembre 2024 (conform\u00e9ment aux dispositions de la loi du 19 mai 2023).<\/p>\n<p>Pr\u00e9cision importante\u00a0: les ARS, sollicitant des documents dont la liste peut \u00eatre diff\u00e9rente selon les r\u00e9gions, il importe de se rapprocher de son autorit\u00e9 de tutelle pr\u00e9alablement \u00e0 la date de d\u00e9p\u00f4t du dossier.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Colas Amblard, docteur en droit, avocat associ\u00e9<\/strong><\/p>\n<p><strong>En savoir plus :\u00a0<\/strong><\/p>\n<p><a href=\"https:\/\/institut-isbl.fr\/wp-content\/uploads\/sites\/3\/2023\/09\/2023_124a3.docx\" target=\"_blank\" rel=\"noopener\">D\u00e9claration des liens d\u2019int\u00e9r\u00eats<\/a><\/p>\n<\/div>\n<\/div>\n<\/article>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<p><!--more--><\/p>\n<p><!--more--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Colas Amblard\u00a0|\u00a027 septembre 2023 &nbsp; La loi n\u00b02023-378 du 19 mai 2023\u00a0relative aux centres de sant\u00e9 (JO du 20 mai) est entr\u00e9e en vigueur le 21 mai 2023. Elle vient notamment renforcer l\u2019encadrement des centres ayant une activit\u00e9 dentaire, ophtalmologique ou orthoptique. &nbsp; Sur demande des Agences r\u00e9gionales de Sant\u00e9 (ARS), tous les Centre de [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3],"tags":[382,10,313,479,378,478,453],"class_list":["post-3372","post","type-post","status-publish","format-standard","hentry","category-actualites","tag-ars","tag-association","tag-avocat-en-droit-des-associations","tag-best-lawyer","tag-centre-de-sante","tag-centre-dentaire","tag-sante"],"_links":{"self":[{"href":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/wp-json\/wp\/v2\/posts\/3372","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/wp-json\/wp\/v2\/comments?post=3372"}],"version-history":[{"count":2,"href":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/wp-json\/wp\/v2\/posts\/3372\/revisions"}],"predecessor-version":[{"id":3374,"href":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/wp-json\/wp\/v2\/posts\/3372\/revisions\/3374"}],"wp:attachment":[{"href":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/wp-json\/wp\/v2\/media?parent=3372"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/wp-json\/wp\/v2\/categories?post=3372"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.npsconsulting-avocats.fr\/NPS\/wp-json\/wp\/v2\/tags?post=3372"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}