What's an NPI ?
The NPIS Registry: why ?
Who is this platform for?
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I am a citizen, a patient, a caregiver or a professional on a first visit
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I will be able to easily find information on interventions that are actually INMs. I will also be able to provide feedback on usage. If I want to go further, I will be directed to the conditions for accessing all the data and features of the INM Repository.
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I am a healthcare professional wishing to access all INM files
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I will be able to find complete information on INM protocols to deepen my knowledge and practices. I will be able to provide feedback on use.
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I am a representative of an authority, institution or organization related to health
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If my practice organization is a partner of the NPIS, I will be able to access all the data and functionalities of the INM Repository.
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I would like to submit a proposal for a new INM in the Repository
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If my project meets the definition of an INM and if it is sufficiently supported by scientifically conducted studies, I will be directed to a form which will allow me to write the INM file relating to my project.
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I am an expert selected under the INM file validation procedure
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If I have received an email from NPIS accrediting me as an Expert in a defined field, I will be able to register to participate in the expert procedure for which I have been requested.
Become a Submitter
Learn more about NPIS and NPI :
NPIS Questions and Answers
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Does the NPIS Registry mandate the choice and implementation of an NPI?
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The choice and implementation of an NPI at a given moment in a person's prevention and care journey do not depend on the NPI Registry, nor on the mission of the NPIS. These decisions are influenced by individual health situations, preferences, the availability of professionals, the qualifications of practitioners, accessibility in a given area, and socio-cultural contexts. The art of combining NPI with each other and with other health solutions at the right time lies with professionals, expert systems, interdisciplinary organizations, and the healthcare system in place in a specific country. The NPI Registry highlights essential practices that have proven effective and continue to evolve through research and feedback analysis. The NPIS has no authority to impose a choice of NPI. Each professional is free to follow them, to pursue others, or to create new ones. The same applies to each healthcare organization.
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What is the added value of the NPIS Registry for a healthcare professional?
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Accessible Protocols in Consultation
- Enhanced Quality and Safety: Strengthens the quality and safety of existing practices through formalization, harmonization, and securitization.
- Integration with Professional Software: Codified NPI can be integrated into healthcare management software.
- Digital Documentation: Access to documentation from computers, tablets, or smartphones for ease of use.
- Broad Validation: Extends validation to all relevant professionals in the region.
- Quick and Easy Access: Facilitates rapid access to information at critical decision-making moments for prevention and care.
- Simplicity in Tracking: Eases the follow-up and evolutionary process of best implementation practices (e.g., identifying barriers, professional leadership, availability of training and support).
Quality Control and Adherence to Protocols
- Traceability: Utilizes unique coded protocols for tracking.
- Strengthened Care Link: Enhances the relationship between care provision and patient support.
- Monitoring Relevant Indicators: Provides tools for tracking key performance indicators.
- Continuous Education Tool: Serves as a resource for ongoing professional development.
- Regular Updates: Incorporates regular updates based on user feedback.
Means of Valuation
- Response to Identified Multidisciplinary Issues: Addresses problems identified by healthcare teams in a specific territory.
- Extended Roles for Various Professionals: Expands the roles of many professionals, particularly non-physicians.
- Elimination of Ineffective Protocols: Phases out protocols that are ineffective, hazardous, or costly.
- Reduction in Meeting Time: Decreases the need for multiple meetings focused on intervention planning.
- Support for Innovation: Encourages professionals to experiment with new practices, boosting their confidence.
- Financial Valuation: Ensures appropriate financial and resource allocation for effective implementation.
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What is a prototypical study?
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Before evaluating an NPI, it is essential to describe it. Sometimes, health practices may involve a combination of diagnostic methods and treatments, as seen in osteopathy. An NPI is not intended to identify or diagnose a health problem; rather, it serves as a preventive or therapeutic solution to address it, sometimes in conjunction with other treatments. A common confusion lies in distinguishing between an NPI and an approach or technique. An approach is too vague and does not accurately describe the content of the NPI, while a technique is too specific, representing only one ingredient of an NPI. A prototypical study allows for the comprehensive description of all characteristics of an NPI, including its health objectives, target population, mechanisms of action, content, implementation context, and the prerequisites for the professional involved.
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Is the NPIS creating a new value chain?
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Immaterial practices of prevention and care have existed since ancient times. However, the diversification of practices, the multiplication of professions at the intersection of prevention, care, and social assistance, and the globalization of information systems have leveled these services and obscured them at a time when medicine has made significant advances in the early detection and diagnosis of health issues. The interdisciplinary and multisectoral approach of the NPIS generates a value chain, from the design of practices to their implementation, regulation, and financing.
Innovative economic model initiatives are emerging worldwide, including fee-for-service, bundled payments, social economy provisions, offers promoting sustainable development, e-health economy, human innovation bundles, and long-term economy (World Economic Forum, 2024). The NPIS Prospective Pole, led by Michel Noguès, documents these initiatives in books (Noguès, 2022; Noguès, 2024). The NPIS Forums invite all innovators to share their experiences. -
What is an evidence-based data point for an NPI?
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An evidence-based data point is a theoretical or practical knowledge acquired through rigorous and integrated scientific methods and reasoning. The NPIS Model follows this logic in the health field (see Figure 3). It provides specific methodological and ethical recommendations for NPI for studies focusing on their mechanisms and explanatory processes (mechanistic study), their content (prototypical study), their evolution over time (observational study), their benefits and risks (interventional study), and their application and personalization modalities (implementation study).
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How to use the NPIS Registry in practice?
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An independent healthcare professional or a multidisciplinary team from a multi-professional health center, a care network, a hospital, a medico-social establishment, a medico-educational facility, a nursing home, a prevention center, an occupational health service, a school/university service, or a palliative care service can select one or more NPI to integrate into an individual's personalized health pathway. This applies to individuals facing loss of autonomy (e.g., a frail person over 90 years old), at increased risk of illness (e.g., a smoker), living with a disability (e.g., loss of autonomy due to paraplegia), or suffering from an illness (e.g., a neurodegenerative disease). Given that health issues are now multifactorial and complex, the solutions available to improve each person's health are diverse and depend on local availability. Multiple NPI can be offered in prevention, care, and support by a physician, any authorized healthcare professional (e.g., pharmacist, nurse, midwife, physiotherapist), or a team. They are cataloged in a centralized digital platform, the NPI Registry. These NPI complement other health solutions provided at various points in a person's life journey (e.g., medication, medical devices, hospitalization, social assistance). They evolve over time based on the individual's health status, fragility, and needs (Figure 4).
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