The magazine > GHT and trusted cloud: a strategic alliance for the digital transformation of healthcare 

Groupements Hospitaliers de Territoire (GHT) are at the heart of the reorganisation of the French healthcare system. With challenges such as system interoperability, sensitive data security and increasing budgetary pressure, the trusted cloud is emerging as an essential solution. This technology doesn't just optimise resources: it profoundly transforms the quality of care, while meeting the sector's stringent regulatory requirements.  

What is a GHT and what are its main challenges? 

A legal framework for territorial cooperation 

Created by the law on the modernisation of the healthcare system in 2016, GHTs aim to strengthen cooperation between public establishments in the same region. Their main objective? To guarantee a coherent, accessible and high-quality healthcare offering for all patients, while pooling technical and human resources. 

The technological and organisational challenges facing GHTs 

GHTs face five major challenges if they are to achieve their ambitious objectives: 

  1. Interoperability of information systems 
    Integrating business software remains a colossal technical challenge, particularly when each establishment uses different tools. 
  1. Convergence of Hospital Information Systems (HIS) 
    The law requires harmonisation of HIS to improve care coordination and simplify exchanges between establishments. 
  1. Development of e-health services 
    Digital innovations (teleconsultations, health applications) must be accessible to all GHT players. 
  1. Optimising technical and financial resources 
    In a context of tight budgets, pooling is essential to reduce costs while improving efficiency. 
  1. Enhanced patient data security 
    Protecting sensitive information is an absolute priority in the face of increasing cyber-attacks in the hospital sector. 

These challenges call for robust, appropriate technological solutions. This is where the trusted cloud comes into its own as a strategic lever. 

The trusted cloud: definition and relevance for the healthcare sector 

A trusted cloud is a cloud infrastructure that meets three fundamental requirements:security,sovereigntyandregulatory compliance. In the medical sector, it is based on a specific certification: Health Data Hosting (HDS). This certification guarantees that sensitive patient data is protected to the highest standards. 

By giving healthcare establishments access to the benefits of cloud computing while complying with regulatory constraints (RGPD, recommendations from the Agence du Numérique en Santé), the trusted cloud is becoming an essential ally in meeting the digital challenges facing the hospital sector. 

The 5 strategic advantages of the trusted cloud for GHTs 

1. Reducing costs and optimising resources 

The move to the cloud is fundamentally transforming the financial approach of GHTs: 

  • Transition from a CAPEX model (heavy investments) to an OPEX model (foreseeable operational expenses). 
  • Pooling of infrastructures between establishments. 
  • Significant reduction in the cost of purchasing and maintaining physical equipment. 

Here's a concrete example: Cloud Temple, which specialises in HDS-certified cloud solutions, enables health and social care organisations to reduce their costs while benefiting from enhanced security. Thanks to its trusted PaaS, establishments can effectively pool their IT resources. 

2. Strengthening security and multi-site compliance 

At a time when hospitals are being massively targeted by cyber attacks, the trusted cloud offers : 

  • Advanced encryption to protect sensitive data. 
  • Strong authentication to secure access. 
  • Guaranteed compliance thanks to HDS certification. 
  • An architecture adapted to multi-site requirements. 

Case study: Cloud Temple, which is HDS-certified, offers a trusted PaaS that guarantees the security and sovereignty of medical data, meeting the logical and legal security criteria required by the SecNumCloud label. 

3. Flexibility, scalability and accelerated deployment 

The cloud enables GHTs to rapidly adapt their capacities according to their needs: 

  • Dynamic scalability: rapid increase or reduction in resources without heavy investment. 
  • Accelerated deployment of new applications or services. 
  • Reactivity to fluctuations in activity (epidemic peaks, health crises). 

Example: During the COVID-19 crisis, some establishments were able to deploy teleconsultation solutions in a matter of days thanks to the cloud. 

4. Improving collaboration and accessibility 

The cloud considerably simplifies exchanges between establishments: 

  • Real-time sharing of medical information. 
  • Unified access to patient records from any site. 
  • Continuity of patient care between different establishments. 

Direct impact: Better coordination means faster diagnosis and optimised treatment, as illustrated by the use of an electronic patient record (DPI) in certain hospitals. 

5. Accelerating technological developments 

The cloud is a real catalyst for innovation: 

  • Easier integration of emerging technologies such as artificial intelligence and Big Data. 
  • Increased automation of administrative and clinical processes. 
  • Simplified access to advanced analysis tools to improve medical practices. 

Illustration: The partnership between Cloud Temple and Red Hat enables healthcare establishments to deploy innovative applications while guaranteeing data security and sovereignty, thanks to OpenShift technology. 

Implementing a cloud strategy for your GHT: the key stages 

  1. Initial assessment 
    Carry out a complete mapping of existing systems and identify the group's specific needs. 
  1. Definition of a clear strategy 
    Develop a vision aligned with the GHT's objectives, with a realistic timetable. 
  1. Rigorous selection of partners 
    Working with service providers as a minimum HDS-certified hosting providers with expertise in the medical sector. Choose a SecNumCloud-qualified hosting provider to guarantee the highest standards of data security, compliance and sovereignty.
  1. Gradual migration 
    Prioritise critical applications in a phased approach to limit risks. 
  1. Training and change management 
    Raising awareness of the new digital tools among all teams (administrative and medical). 
  1. Ongoing monitoring and optimisation 
    Set up a steering committee with key indicators to adjust the strategy over time. 

The alliance between GHTs and the trusted cloud marks a decisive step in the digital transformation of the French hospital system. By meeting the challenges of interoperability, security and budgetary efficiency, this technology will not only optimise resources but also offer patients faster, smoother and more secure care. To make this transition a success, it is essential that each GHT adopts a methodical approach, while placing people at the heart of its digital transformation. 

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