Agence régionale de santé Grand Est

Agence régionale de santé Grand Est
Name	Agence régionale de santé Grand Est
Formed	2016
Preceding1	Agence régionale de santé Alsace
Preceding2	Agence régionale de santé Champagne-Ardenne
Preceding3	Agence régionale de santé Lorraine
Jurisdiction	Grand Est
Headquarters	Strasbourg
Parent agency	Ministère des Solidarités et de la Santé

Agence régionale de santé Grand Est is the regional health authority created in 2016 to coordinate public health policy, healthcare delivery, and health system regulation across the Grand Est territorial collectivity. It operates within the framework set by the French Ministry of Solidarity and Health and implements national laws such as the HPST law and directives from the Cour des comptes and Conseil d'État. The agency interacts with regional institutions including the Région Grand Est, departmental councils like Bas-Rhin, municipal actors such as Strasbourg, and national partners like Santé publique France.

History

The agency was founded following territorial reforms that merged the former regional bodies for Alsace, Champagne-Ardenne, and Lorraine after the 2015 reorganisation enacted by the Acte III de la décentralisation and guided by provisions in the Loi n° 2015-991. Its early years involved integrating administrative structures from institutions such as the former ARS offices in Metz, Nancy, Reims, and Mulhouse while coordinating with hospitals like Hôpitaux Universitaires de Strasbourg and networks including the Fédération Hospitalière de France. During crises such as the COVID-19 pandemic in France, the agency coordinated responses with agencies like ARS Île-de-France and international partners like the European Centre for Disease Prevention and Control.

Organization and Governance

The agency's governance structure aligns with statutory models from the Ministry of Solidarity and Health and oversight by the Préfet de région Grand Est and the Conseil régional Grand Est. Its internal organization includes directorates for public health, hospital policy, regulation of professionals, and emergency preparedness, interacting with local hospital groups such as Groupe Hospitalier de la Région de Strasbourg and professional orders like the Ordre des Médecins. Leadership appointments have been subject to scrutiny by entities including the Cour des comptes and deliberations in the Conseil d'État. The agency liaises with academic institutions like the Université de Strasbourg and research centres including INSERM and CNRS.

Functions and Responsibilities

Mandated functions derive from national statutes including Loi HPST and directives issued by the Ministry of Solidarity and Health; responsibilities encompass licensing of healthcare facilities, accreditation of establishments like Centre Hospitalier Régional de Metz-Thionville, oversight of health professionals linked to orders such as the Ordre des Infirmiers, health promotion initiatives in partnership with Santé publique France, and management of emergency preparedness alongside agencies like Agence nationale de sécurité du médicament et des produits de santé (ANSM). It develops regional health strategies in concert with the Région Grand Est, departmental actors such as Moselle, and municipal centres including Colmar.

Regional Health Programs and Initiatives

Programs address chronic disease management, mental health, elderly care, and maternal-child health, coordinated with networks like the Fédération des Établissements Hospitaliers et d'Aide à la Personne and research hubs such as CHRU de Nancy. Initiatives have included vaccination campaigns aligned with Santé publique France recommendations, telemedicine projects connected to the Agence du Numérique en Santé, and cross-border cooperation with neighbouring states including Germany and Belgium through platforms linked to the European Cross-Border Healthcare Directive. The agency has supported collaborations with universities like Université de Lorraine and professional associations such as the Association des Maires de France.

Funding and Budget

Funding sources stem from national allocations via the Ministry of Solidarity and Health, budgetary supervision by the Direction Générale des Finances Publiques, and transfers related to programs from bodies like the Agence Nationale de la Cohésion des Territoires. Expenditure lines include hospital funding to centres such as CHR de Metz-Thionville, prevention programs developed with Santé publique France, and investments in digital infrastructure coordinated with the Agence du Numérique en Santé. Budgetary performance has been reviewed by the Cour des comptes and audited under procedures of the Trésor public.

Performance and Accountability

Accountability mechanisms include reporting to the Ministry of Solidarity and Health, audits by the Cour des comptes, litigation before the Conseil d'État, and consultation processes with regional stakeholders like the Conseil régional Grand Est and departmental councils such as Haut-Rhin. Performance metrics incorporate indicators used by Santé publique France and hospital quality measures overseen by the Haute Autorité de Santé. Public communication and transparency efforts reference platforms such as the Journal Officiel and partner engagement with civic actors like the Croix-Rouge française and patient associations.

Category:Health in Grand Est Category:Regional health agencies of France