For example
A radiologist delegates ultrasound procedures to a previously trained medical electroradiology technologist. The protocol defines the scope of application, training requirements, as well as safety conditions. This increases the team's patient care capacity. The radiologist then focuses on procedures requiring their exclusive expertise.
1M+
patients treated each year under active national protocols
117+
*
local and national protocols deployed for all specialties
<0.001%
Adverse event rate — no serious incidents recorded
60%
of protocols deployed in outpatient care and community medicine
Compliance. Handled.
Automatically.
Implementing a cooperation protocol requires monitoring 5 mandatory indicators, submitting reports to the ARS according to a defined schedule, and maintaining an immutable audit trail for each delegated act. Coopo's digital solution was designed specifically for this purpose, rather than being adapted from a generic tool.
Registration of the deed
Each delegated act is recorded via a guided 4-step form: timestamped, digitally signed, and immutable.
No patient data is collected. Each act constitutes legal proof.
Real-time indicators
The 4 mandatory HAS (French National Authority for Health) indicators tracked automatically — as well as immediate notification of serious adverse events. No manual calculations, no spreadsheets, no missed thresholds.
Proactive alerts
Protocol expiration at D-30, D-15, D-7. Intervention threshold at 80% and 100%. ARS report expected within 15 days.
No omissions possible.
Regulatory reporting
One-click ARS export — server-signed PDF. Your next report is already finalized.
Integration of your protocols
Integrate your existing cooperation protocols directly from the platform. Coopo reviews and validates them before activation.
HDS
Certified
Multi-factor authentication required
TOTP mandatory for all roles.
Single session, single user, single role — strict isolation of access by establishment.
Natively
GDPR-compliant
AES-256 encryption at rest, TLS 1.3 in transit. No patient data. Limited retention, documented erasure.
The Coopo digital solution
already enjoys the trust of the Grenoble Alpes University Hospital
What is a cooperation protocol?
A cooperation protocol is a regulated framework that allows a healthcare professional to formally delegate part of their clinical activity to another qualified member of the care team. It defines the scope of the delegation, the training requirements for the delegated professional, as well as the safety conditions under which the acts can be performed. Once uploaded to the official government platform, the protocol is operational — the care team can immediately begin practicing within this new framework.
Is cooperation between healthcare professionals secure?
Yes — and the data confirms it. In France, more than one million patients are cared for every year under active national cooperation protocols, with an adverse event rate of less than 0.001% and no serious incidents recorded. Cooperation protocols are not experimental. They are a regulated and proven mechanism, deployed on a large scale for more than a decade across 57 nationally authorized protocols.
How does a cooperation protocol differ from an informal delegation?
Informal delegation exists within every healthcare team: it is undocumented, lacks legal protection, and is impossible to scale up. A cooperation protocol formalizes this delegation: it precisely defines everyone's roles, the conditions of execution, and the required training, while ensuring full traceability of each action. The professional performing the delegated task is thus legally covered. The institution is protected. The data is measurable. Informal cooperation is a workaround. The cooperation protocol constitutes its infrastructure.
Who can initiate a cooperation protocol?
Any healthcare professional who identifies an opportunity to reorganize the distribution of procedures within their care team can initiate a cooperation protocol — whether they are a radiologist, a healthcare manager, a medical radiographer, or a department head. The protocol defines a delegating professional and a delegated professional. Both must be qualified, voluntary, and practice within the framework defined by the HAS (French National Authority for Health). The institution must support this initiative. Coopo collaborates simultaneously with all these stakeholders to bring the project to fruition.
What is the time required to develop and deploy a cooperation protocol?
This depends on the complexity of the protocol and the institution's level of readiness. Coopo's feasibility audit takes three hours on-site and delivers a Go/No Go recommendation within seven days. After that, the timeline for preparing the complete dossier, submission, and deployment varies depending on the project — but Coopo's methodology is designed to accelerate the process compared to the timelines of an institution without dedicated support. Each phase has a defined deliverable and a clear next step.
What is the precise activity of Coopo — is it a consulting firm, a software, or both?
Both — and that is precisely the whole point. Coopo provides the methodological expertise to design and secure the cooperation protocol, as well as the digital solution to deploy it and ensure its operational follow-up. Most organizations that try to develop a protocol without dedicated guidance run up against regulatory complexity or lose momentum after submitting their application. Coopo covers the entire journey — from the initial feasibility audit to the active and measurable protocol on the digital solution — in order to avoid any disruption in the process.
What is the difference between a local cooperation protocol and a national cooperation protocol?
A local cooperation protocol is developed by professionals practicing within a specific healthcare facility — hospital, clinic, GHT (territorial hospital group), or ambulatory care structure — and is only valid within that structure. It is designed based on specific patient flows, available skills, and the organizational context of the team implementing it. The local protocol must be declared on the dedicated ministerial platform and becomes operational on the date of its declaration. A national cooperation protocol is designed just once, authorized by ministerial decree upon the proposal of the CNCI, and made available across the entire country. Any qualified team can adopt it by declaring its implementation — on the same platform and following the same declarant process — without having to redevelop the protocol locally. In 2024, 57 national protocols are authorized. These two pathways reflect two distinct approaches to the evolution of the healthcare system. National protocols deploy a uniform framework on a large scale. Local protocols structure cooperation around the actual capabilities of each healthcare team within its specific context. Both are legal. Both are operational. They respond to different operational and strategic objectives.
Does Coopo develop local protocols, national protocols, or both?
Coopo's model relies on local cooperation protocols. We develop cooperation frameworks tailored to the specific care needs and competency requirements of each facility — this is where the operational complexity lies, and where our methodology delivers the most measurable value. Coopo does not actively pursue national protocols. National protocols fall under a different mechanism — initiated by the CNCI, supported by the HAS, and authorized at the ministerial level. This pathway is intended for facilities and professional associations wishing to propose a framework for national deployment. This is not Coopo's core offering. If your goal is to unlock the specific action capacity of your own care team — this falls under the local level, and that is precisely Coopo's area of intervention.
Can a local protocol subsequently become a national protocol?
Yes. A proven local protocol can be proposed for national deployment in accordance with Article L. 4011-4-6 of the French Public Health Code. The National Committee for Interprofessional Cooperations (CNCI) evaluates the local protocol against the requirements for national deployment, forwards it to the HAS (French National Authority for Health) for authorization, and — subject to a ministerial decree — the protocol can be rolled out across the entire country. This pathway exists. Coopo can provide operational support to any organization wishing to pursue this route. Nevertheless, this is a distinct process, governed by its own logic and timeline. The majority of Coopo's partner organizations initially focus on strengthening their capacities at their own scale. Seeking national deployment becomes relevant once a local protocol has demonstrated measurable and sustainable activity over time.
If a national protocol already exists for the activity I wish to implement, is the use of Coopo still necessary?
The answer depends on how well the existing national protocol aligns with your specific context. Adopting a national protocol involves declaring its implementation on the government platform and committing to meet the conditions defined by the national framework: exact scope, training requirements, indicators, and monitoring obligations. If the national protocol matches your reality, adopting it is simple and does not require developing a new protocol. In practice, most facilities find that national protocols are not a perfect fit. Patient flows are different. Available skills are different. The organizational context is different. Adopting a national protocol designed for another reality often leads to under-utilizing this framework or deviating from its conditions of application, which exposes the facility to regulatory risks. This is where Coopo's local protocol model makes total sense. A local protocol, designed according to your specific reality, proves to be operationally smoother, more regulatory-secure, and better aligned with what your teams can actually achieve. Even when a national protocol exists in the same therapeutic area, designing a local protocol is often the right choice — and Coopo's methodology was specifically developed to support this approach.
Is the use of Coopo reserved exclusively for French healthcare institutions?
Coopo's current operational activity focuses on the French healthcare system and the framework of cooperation protocols regulated by the HAS (French National Authority for Health). This cooperation model — which structures the transfer of activities between healthcare professionals within a regulated framework — is a universal mechanism currently being studied within various healthcare systems internationally. If you reside outside of France and are interested in the solutions developed by Coopo, please feel free to contact us.