With this agreement, which will revolutionize the existing traditional framework, the signatories hope to continue working to improve access to diabetic patients and the quality of medical care.
The text also aims to support coordinated campaigns through the promotion of tools, information systems and organizational methods, so that chiropodists-podiatrists can interact with other players in the health system through the establishment of a modernized and computerized assistance package.
Diabetic patients: taking into account the complexity of clinical situations
The first recognition of the essential role of private podiatrists in prevention was introduced in 2007, with the general nomenclature of professional activities of trauma prevention sessions for diabetic patients who are at high risk of ulcers or recurrent ulcers.
Upgrade of the initial session of the prevention package (POD)
In order to encourage the quality of prevention and care for diabetic patients, Amendment 4 of the National Convention stipulates that for patients on medical prescription, a set of preventive measures for high-risk foot injuries of grade 2 or 3 should be launched in 2002. From now on, the value for diabetics is 32 euros (instead of 27 euros).
In addition, even if the patient's assessment makes the pediatrician believe that the patient is not eligible for the package, the value of the first phase of the prevention package (POD) will reach 27 euros. (Not in 2 or 3 levels).
Increase in the maximum amount of maximum preventive measures supported annually
In order to improve the care of diabetic patients, this plan increases the maximum number of preventive measures implemented by podiatrists:
For high-risk grade 2 patients, the annual foot injury prevention plan (POD) may include up to 5 preventive care treatments, instead of the previous 4;
For high-risk Level 3 patients with diabetic foot healing, the annual Foot Prevention Package (POD) may include up to 8 preventive care sessions instead of the previous 6.
Revaluation of the management of rehabilitation procedures and foot messages
To expand the scope of intervention of orthopedists, this provides for an upgrade of 4 acts after massage and rehabilitation operations:
- Functional rehabilitation of the foot, involving surgical intervention on the forefoot, 30-minute session, AMP 13.65;
- Rehabilitation of both feet, involving forefoot surgery, each session lasts 30min, AMP 20.50;
- Foot massage, in relation to the intervention of the forefoot, AMP 6.80;
- Massage of both feet, linked to forefoot surgery, AMP 10.20;
These measures come into effect on May 15.
Establishment of a package of assistance for modernization and computerization
Health insurance is continuing its efforts to help healthcare professionals invest in the modernization and computerization of medical practices.
The agency also hopes to support new digital uses, to this end, as for other specialties, a package of assistance for the modernization and computerization of the professional office is set up for chiropodists and podiatrists and will replace the auxiliary tools currently paid for remote transmission and maintenance.
This package is 490 euros and is paid according to a number of criteria, including:
- Use commercial software compatible with shared medical records;
- Use the SCOR solution;
- Have a safe and healthy email address;
- Achieve a remote transmission rate greater than or equal to 70%.
- The package will be paid for the first time in 2021.
