Netsoins operates in connected mode: every action by a caregiver on a tablet goes through a remote server before being recorded in the computerized user file. For an EHPAD administrator, configuring this connection is not limited to creating identifiers. It involves the traceability of care, regulatory compliance, and the daily fluidity of teams.
Ice Break Procedure in Netsoins: a Parameter Most Configurations Overlook
The principle of least privilege requires that each professional only accesses the data necessary for their mission. Netsoins’ authorization profiles allow views to be segmented by function: nursing assistant, nurse, coordinating physician, administrative staff.
However, restricting access is not enough. An emergency situation may require a caregiver to consult information that is normally hidden for their profile. This is the ice break procedure: an exceptional, time-limited access whose activation is logged in the software’s journal.
The CNIL recommends formalizing this procedure in the configuration of the computerized user file. The administrator must define who validates the ice break, under what circumstances it applies, and how the event is recorded. Mastering the connection to Netsoins for administrators thus requires configuring this mechanism from the deployment phase, not after the first incident.
- Designate by name the individuals authorized to trigger an ice break (health manager, coordinating physician).
- Limit the duration of expanded access to the current session, with automatic return to the restricted profile.
- Archive each event in a timestamped log, accessible during a CNIL audit or ARS inspection.
Verification of HDS Scope: What the Administrator Must Check Before Opening Access
A resident file management software hosts health data. French regulations require that this hosting be provided by a certified Health Data Host (HDS). Netsoins relies on hosted infrastructure, but the administrator’s role does not stop at confirming the existence of a certification.
The scope of HDS certification covers specific activities: provision of infrastructure, administration and operation of the system, data backup. A certificate may cover some of these activities without covering them all.
Concrete Control Points for the Administrator
The administrator should request the exact name of the host, the validity date of the certificate, and the list of covered activities. An expired or partial HDS certificate exposes the establishment in case of an inspection or data leak.
This documentary verification is done before any access is opened to the teams. It also conditions compliance with the digital ESMS program, which ties the funding of the deployment to the use of a referenced DUI.
Ségur Referencing of the DUI: An Administrative Step Before Technical Configuration
The Ségur digital health program structures the deployment of computerized user files in medico-social establishments. For an EHPAD to benefit from associated funding, the DUI used must be listed among the solutions referenced by the Digital Health Agency.
Referencing conditions the software’s ability to exchange structured health documents with external actors: hospitals, city doctors, pharmacies. In practice, the administrator checks the referencing sheet on the ANS website, ensuring that the functional scope meets the establishment’s needs.
Interoperability and External Transmissions
A referenced Ségur DUI must allow the sending and receiving of documents via standards such as the medical summary or hospitalization report. The administrator configures these flows in the settings module, entering the identifiers of partner structures.
Without this configuration, the software operates in silos. Transmissions remain internal, coordination with the attending physician or the affiliated hospital occurs through untracked channels (phone, paper mail), which weakens the resident’s care pathway.
Securing the Netsoins Administrator Connection: Network Parameters and Authentication
The administrator connection provides access to all modules: profile settings, resident file management, care planning, transmission configuration. Protecting this access requires specific measures beyond a simple password.
- Enable two-factor authentication if the module offers it, or alternatively, enforce a password of at least twelve characters with regular renewal.
- Restrict administrator access to identified workstations (fixed IP addresses of the establishment’s network) to prevent access from an uncontrolled network.
- Check Wi-Fi coverage in care areas: an unstable connection causes data entry losses and duplicates in the computerized user file.
- Log administrator sessions in a separate audit log, distinct from the caregivers’ log.
Account Management After Departure or Position Change
An active administrator account after the departure of the holder constitutes a security breach. The establishment must have a procedure for immediate deactivation, coupled with a transfer of rights to the successor. No generic account shared among multiple people should exist for the administrator profile: traceability of configuration changes requires it.
Securing the connection to Netsoins for an EHPAD administrator relies on both documentary and technical work. Verifying the HDS certificate, checking Ségur referencing, formalizing the ice break procedure: these steps precede the configuration of caregiver profiles. A solid configuration at this level avoids emergency corrections once the teams are in production.
