HospiConnect goes beyond rolling out strong authentication
The HospiConnect programme aims to make access to sensitive hospital digital services and national digital healthcare services both more secure and easier for professionals. The French Digital Health Agency, the Agence du Numérique en Santé (ANS), explicitly brings together a reliable national sector identity, appropriate two-factor electronic identification methods, IAM solutions to improve entitlement management, and Single Sign-On (SSO) to simplify access. Choosing a badge, smart card or additional authentication factor is therefore only one part of a much larger identity-to-access programme.
The ANS structures this transformation into five complementary areas: identity lifecycle management, digital service inventory, identity rights and access, electronic identification means, and governance and awareness. These areas need to work together. Strong authentication does not resolve duplicate identities, excessive entitlements or accounts that remain active after a professional leaves an organisation.
For the hospital, the operational objective is to give each professional the access required for their actual duties, at the time they need it, without retaining unnecessary permissions. This balance starts with real clinical workflows, trusted identity sources and the application landscape. Only then can the organisation define processes, connectors, access rules, user journeys and meaningful controls.
Hospital situations that should drive the design
Scroll the table horizontally to see every column.
| Situation | Operational issue | Expected IAM and access response |
|---|---|---|
| A medical resident starts work | The identity and permissions must be ready for the first session | Reliable matching, coordinated account creation and service-specific access |
| An unexpected on-call shift needs cover | Critical access cannot depend on a lengthy enrolment process | A controlled emergency path, time-limited authorisation and rapidly usable identification means |
| A nurse works across several units | Shared workstations and frequent context changes | Smooth sign-in and sign-out, controlled sessions and entitlements aligned with assignments |
| A professional moves to another department | Previous access must not accumulate indefinitely | Recalculate permissions, remove obsolete rights and document exceptions |
| A locum or contractor works for a few days | End dates and ownership of access are essential | A named accountable sponsor, time-bound access and verifiable revocation |
| An electronic identification method is lost | Clinical work must continue without uncontrolled bypasses | A documented fallback process, suspension or revocation, and appropriate re-issuance |
| An administrator accesses a critical system | Higher exposure than standard clinical access | Robust MFA, limited privileges, reviews and appropriate audit trails |
These are illustrative design scenarios drawn from the categories used in ANS operational guidance. They are not customer references or claims of delivered hospital projects.