AAP Modeling of expertise and coordination cells for heart failure (CECIC) in town

This unit intervenes in a mirror of hospital cecics. For example, set up in 8 establishments within the framework of an experiment with Article 51, widespread from 2026.

Context : – Aap modeling expertise coordination cells

• 20% of patients insufficient hearts are frequently hospitalized:

  • These severe patients are managed at the exit of hospitalization by the CECICS (Expertise. However, coordination cell of severe cardiac patients) within the framework of an article51 which implicates 8 APHP cardiology services. Nevertheless, The objective of this CECICS is to improve the return home of patients at the exit of hospitalization for cardiac decompensation. However, that is to say to avoid/delay their re-hospitalization, to avoid their transition to emergencies if necessary re-hospitalization, to reduce their mortality, to improve their quality of life. Furthermore, This CECICS is based on the ISPIC (IDE trained in the Cooperation Protocol Insufficient Heart) which make tithing consultations. However, emergency aap modeling expertise coordination cells consultations, remote monitoring with connected scales, inscribe patients in ETPs, in Prado, in geriatrics assessments, etc. Consequently, common law in 2026. Nevertheless,

  • At the same time. For example, 23 other establishments (public outside APHP, ESPIC, private) are involved in the regional project (ARSIF) “Improve the care of the elderly insufficient cardiacs to avoid their transition to emergencies” as part of measure 5 of the emergency refoundation pact. Consequently, This project started in 2022. Consequently, it was financed up to 2 million euros per year: each health facility receives between 50,000 and 100,000 euros per year and in a sustainable manner for the case, recruiting an IDE of coordination between the hospital and the city, setting up consultations dedicated to heart failure, training ideas in the cardiac insufficient cooperation protocol. This project is followed regularly by meetings with the health establishment, and in association with health insurance. This project allows aap modeling expertise coordination cells health establishments which do not participate in article 51 to set up competence to be able to set up a CECICS. finance it by the packages during the common law of said project (see above).

  • At the same time, 80% of patients insufficient cardiacs have not yet been hospitalized and are followed exclusively in town. The objective of the AAP cited as an object is to set up in city structures (health center. multi -professional health houses, group offices) of CECICs which would mobilize the same devices as hospital cecics. The objective of this CECIC is to improve the care in town of patients insufficient cardiac. that is to say to avoid/delay their 1 ° hospitalization, avoid their transition to emergencies if necessary hospitalization, reduce their mortality, improve their quality of life. These CECICs (city) would be linked to the CECICS (hospital) of the territory (when they exist). with the aap modeling expertise coordination cells benefit of the benefit of a break of course, by being able to move from one cell to another depending on the aggravation or the improvement of their disease. We understand that CECICS + CECIC could constitute a territorial organization for improving the management of chronic cardiac insufficiency. The CECIC is the model that is expected to test as part of this AAP.

• At the same time, 80% of patients insufficient cardiacs have not yet been hospitalized and are followed exclusively in town. The objective of the AAP cited as an object is to set up in city structures (health center. multi -professional health houses, group offices) of CECICs which would mobilize the same devices as hospital cecics. The objective of this CECIC is to improve the care in town of patients insufficient cardiac. that is to say to avoid/delay their 1 ° hospitalization, avoid their transition to emergencies if aap modeling expertise coordination cells necessary hospitalization, reduce their mortality, improve their quality of life. These CECICs (city) would be linked to the CECICS (hospital) of the territory (when they exist). with the benefit of the benefit of a break of course, by being able to move from one cell to another depending on the aggravation or the improvement of their disease. We understand that CECICS + CECIC could constitute a territorial organization for improving the management of chronic cardiac insufficiency. The CECIC is the model that is expected to test as part of this AAP.

Aap modeling expertise coordination cells

Goals

The 1st objective of this AAP is to imagine. model a new organization (named CECIC) in city health professionals Exeroning in CDS, MSPs or group firms, to improve the city’s care of chronic cardiac patients, decrease/control the worsening of their disease, reduce cardiac decompensations and hospitalizations, reduce mortality, improve quality of life, aap modeling expertise coordination cells increase direct hospitalizations without going through emergencies when hospitalization is necessary.

The 2nd objective is to create a link between city CECICs. hospital cecics or other hospital organizations for improving the care of patients with chronic cardiacs, to build a territorial organization.

Who is this call for?

This AAP is aimed at Multiprofessional health homes. health centers and group firms with at least one cardiology consultation and who wish to participate in a project to improve the management of chronic heart failure in the city by setting up a CECIC.

Calendar

Application files are to be submitted at the latest the September 15. 2025, with Arsif, with the following two addresses:

The selection of projects will be made before September 30, 2025 By a selection committee made up of ARSIF professionals, health insurance and qualified personalities.

Notifications will be sent before October 15, 2025.

Projects will be able to start from the aap modeling expertise coordination cells December 1, 2025 And for 1 year.

The projects will be followed by bilateral meetings Collective exercise structures/Group-Arsif-Assurance disease firms for 1 year every 3 months.

An end -of -project webinar will take place early 2027.

Conditions of candidates

Can apply exclusively Multiprofessional health homes, health centers and group firms having at least one cardiology consultation.