Traceability in a nursing home within the DomusVi network relies on a Netsoins configuration that goes beyond simple data entry. Before the consolidation deadline for Ségur flows set for 2026, several technical components condition the compliance of establishments and, above all, the maintenance of funding associated with the software’s certification.
INS Configuration and DMP Flows in Netsoins: the Technical Lock to Prioritize
The feeding of the DMP (My Health Space) from Netsoins only works properly if each resident’s National Health Identity is qualified. A poorly linked or unverified INS blocks the sending of medical summary sheets, reports, and ongoing treatments to My Health Space.
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We observe that the majority of establishments failing DMP feeding controls have a defect in the same area: the INS was not verified via the INSi tele-service at the time of admission. The resident enters the care circuit, the acts are traced locally, but nothing is sent to the DMP.
Netsoins automatically sends documents to My Health Space provided that the INS and professional identifiers are correctly entered. To use Netsoins DomusVi with Senior News, we recommend treating INS qualification as an admission prerequisite, not as a deferred administrative task.
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The financial risk is direct. Nursing homes equipped with a certified Ségur software must achieve a minimum DMP feeding rate to retain Ségur funding. An establishment that tracks its care internally but does not feed the DMP loses the benefit of certification.
Named Traceability of Netsoins Connections: End of Identifier Sharing
DomusVi has technically prohibited the sharing of identifiers among caregivers on its Netsoins platform. Each connection and action is linked to an individual account. This locking changes the game for legal traceability.
A care act traced under a shared identifier has no evidential value in case of litigation. MACSF reminds us in its jurisprudence analyses: traceability only protects the caregiver if it allows identifying who did what, and when.
Points of Vigilance for IDEC
- Ensure that each caregiver, including temporary and substitute staff, has a named account before their first shift
- Immediately deactivate accounts of personnel who have left the establishment, to avoid any entry under an orphan identifier
- Monthly check the connection log to spot inactive accounts or suspicious simultaneous connections
A shared account nullifies the legal value of traceability, even if the entered clinical data is accurate. The issue is not only regulatory: it is an individual professional protection.
HDS Compliance and NIS2 Constraints for Resident Data
Netsoins hosts data according to HDS standards (Health Data Host) and GDPR regulations. The NIS2 directive, progressively transposed into French law, adds a layer of requirements regarding the security of information systems in the health sector.
For a DomusVi nursing home, this translates concretely into three operational obligations:
- Document access procedures to resident data (who accesses, what data, with what level of authorization)
- Establish a security incident log, even for minor incidents (failed connection attempts, unauthorized access to a file)
- Ensure that the backups of care files are regularly tested, not just scheduled
We recommend not waiting for an injunction from the ARS to formalize these procedures. Establishments that document their compliance in advance pass controls without mobilizing urgent resources.
Training Care Teams on Netsoins Entry: What Really Blocks Progress
The software offers comprehensive features (electronic medical record, care plan, traceability of acts, targeted transmission). The problem is almost never the tool. The blockage comes from the partial or delayed entry of acts by the on-duty caregivers.
A nursing assistant who postpones their entry until the end of their shift reconstructs from memory. The timings are approximate, and clinical observations are impoverished. Traceability formally exists but loses its reliability.
Priority Training Areas
Training for real-time entry, at the resident’s bedside or immediately after the act, produces a measurable quality gain in transmissions. IDECs who have implemented short sessions (less than thirty minutes, on a concrete case from the service) report faster adoption than long classroom training.
The other neglected point concerns external attending physicians. Not accustomed to the Netsoins interface, they often bypass entry by dictating their prescriptions over the phone. Each prescription not entered directly into Netsoins creates a break in traceability. Planning simplified access and dedicated support for liberal practitioners working in the establishment significantly reduces these breaks.
Ségur Indicators and Traceability Management in Nursing Homes
The Ségur certification of Netsoins involves monitoring usage indicators: DMP feeding rate, volume of documents sent to My Health Space, INS qualification rate. These indicators are not decorative. They condition the sustainability of funding.
We recommend extracting this data monthly from Netsoins and integrating it into the establishment’s quality dashboard. A declining DMP feeding rate signals a configuration or practice issue before it becomes a financial risk.
Traceability in nursing homes is not a documentary issue. It is a technical assembly (INS, DMP flows, named accounts), regulatory (HDS, GDPR, NIS2), and human (real-time entry, ongoing training). DomusVi establishments that align these three dimensions before the 2026 deadline secure both their Ségur funding and the legal protection of their teams.