A toolbox to support the implementation of coordination support mechanisms (DAC)

The CNSA publishes 3 sheets to support regional health agencies and teams of coordination support systems (DAC) in their installation and the implementation of their support mission.

The 3 missions of a coordination support mechanism:

  • Ensure the global response to requests for support from professionals which includes reception, analysis of the person’s situation, orientation and networking, access to specialized resources, monitoring and enhanced support for situations as well as planning of care . This mission is carried out in consultation with the attending physician.
  • Contribute, with other actors and in a coordinated manner, to meeting the needs of people and their caregivers in terms of reception, identification of risky situations, information, advice, guidance, networking and support.
  • Participate in territorial coordination which contributes to the structuring of health courses.

The 3 sheets in the toolbox offer recommendations and feedback for the implementation of the 3 DAC missions by focusing on 2 key aspects:

  • the internal organization of the process and skills,

  • the DAC’s link with its partners.

How to ensure a global response to requests for support from professionals for complex health pathways?

This sheet sheds light on the process of responding to requests for support for a complex situation: taking it into account, deciphering and identifying the person’s needs, processing responses by being reactive while ensuring continuity of follow-up. The home visit and the multidimensional forms are tools at the service of this specific mode of intervention to support a situation.

How can we contribute in a coordinated fashion to meeting people’s needs?

This sheet specifies the characteristics of the DAC team. It provides benchmarks on the internal organization, the development of skills towards versatility, the evaluation of the service rendered to be provided. Interaction with the professionals of the territory is essential for the success of its action: it describes the articulation of the DAC with the attending physician and the work in subsidiarity.

How to participate in the territorial coordination in the service of the structuring of health courses?

In particular, this fact sheet suggests the tools and methods to be deployed to anchor the DAC at the territorial level.

The toolkit was produced by a working group bringing together representatives of DAC, the national federation of resource and support mechanisms for the coordination of health pathways, regional health agencies, departmental councils and users of DACs, under the aegis of the CNSA and the General Directorate of Social Cohesion.

It complements the tools already available to regional health agencies, departmental councils and DACs, such as the ANAP publication “Installing and coordinating the governance of support systems for the coordination of complex health care pathways” and the guide “Coordination support systems: guide to activity and steering indicators”.


CNSA – National Solidarity Fund for Autonomy published this content on 17 February 2021 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 17 February 2021 09:22:04 UTC.

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