FORAP [Fédération - Structures Régionales d'Appui Qualité des Soins et Sécurité des patients]

What FORAP [Fédération - Structures Régionales d'Appui Qualité des Soins et Sécurité des patients] does

FORAP (Fédération des Organismes Régionaux et territoriaux pour l'Amélioration des Pratiques en santé) is a French non-profit federation (association loi 1901) that coordinates 14 Regional Support Structures (SRA) covering all metropolitan French regions plus overseas territories (Guadeloupe, Martinique, Réunion). Its core mission is to represent regional quality support structures before national institutions, formalize a partnership with the Haute Autorité de Santé (HAS) under Article R1413-75 of the French Public Health Code, and mutualize competencies, tools, and best practices for healthcare quality and patient safety. The federation supports healthcare establishments, EHPAD (nursing homes), and individual professionals in quality improvement, risk management, and HAS certification preparation through coordinated working groups covering serious adverse events (EIGS), patient engagement, primary care, team work, and safety culture development.

FORAP's product portfolio centers on the eFORAP mutualized digital platform, which enables regional SRA structures to conduct evaluation campaigns, administer online questionnaires, and generate automated reports. Complementary resources include targeted tracer guides and interview books (Books Traceurs Ciblés), certification observation tools (updated for HAS V2024 and V2025 frameworks), reference and memo sheets (Fiches Repères, Fiches Mémos), patient safety culture survey toolkits, and return-of-experience documents (Fiches REX and REFLEXES). Recent launches in 2025-2026 extend coverage into mental health-specific tracer guides and identitovigilance (the latter co-built with the 3RIV network). The federation also organizes the annual Challenge FORAP competition and coordinates the national Patient Safety Week.

The business model is non-commercial: FORAP is funded through membership fees from the 14 regional SRA and institutional partnerships with HAS, DGOS, and Regional Health Agencies (ARS). Resources are distributed upon request via regional SRA contacts, with each SRA free to personalize materials and define its own access policy. The central federation operates with approximately 5 employees. The 2023 national Culture of Safety Measurement campaign reached 661 establishments and over 50,000 professionals, demonstrating the operational scale of the network though not direct commercial revenue.

Name

FORAP [Fédération - Structures Régionales d'Appui Qualité des Soins et Sécurité des patients]

Legal name

FORAP - Fédération des Organismes Régionaux et territoriaux pour l'Amélioration des Pratiques en santé

Website

https://forap.fr

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

1–10 employees

Short description

FORAP is a French non-profit federation coordinating 14 Regional Support Structures (SRA) that help healthcare establishments, nursing homes (EHPAD), and professionals improve care quality, manage adverse events, and prepare for HAS certification, primarily through the eFORAP platform and shared tool libraries.

Ownership category

akta.pro rank

Product category

Healthcare Quality and Patient Safety Services

NAICS

Business Associations (813910)

SIC

Services-Membership Organizations (8600)

akta.pro primary industry

Health Systems Strengthening & Global Health Technical Assistance (BPADAEAH)

Keywords

• Healthcare quality improvement
• Patient safety
• HAS certification support
• Adverse event analysis
• Safety culture measurement

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales

Revenue model

1. Membership fees and institutional funding: FORAP operates as a federation/association funded through membership fees from regional SRA structures and institutional partnerships. The organization does not operate as a commercial entity selling products.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

FORAP federates 14 Regional Support Structures (SRA) across France (including overseas territories) to coordinate the development of tools, resources, and campaigns supporting healthcare establishments and professionals in quality improvement, HAS certification preparation, adverse event analysis (EIAS/EIGS), and patient safety culture measurement. The federation mutualizes competencies and operational resources through the eFORAP platform and through collaborative working groups, acting as the recognized national intermediary between regional SRA actors and institutions such as HAS, DGOS, and Regional Health Agencies.

Product overview

FORAP is a federation of 14 Regional Support Structures (SRA) for healthcare quality and patient safety in France. The organization provides a comprehensive portfolio of practical resources and tools to support health establishments in their continuous quality improvement and HAS certification preparation. The core offering includes the eFORAP mutualized digital platform for regional evaluation campaigns, along with structured documentation including Traceurs Ciblés books and interview guides, observation tools, reference sheets (Fiches Repères), and memo sheets (Fiches Mémos). These resources are complemented by patient safety culture survey tools (conducted via eFORAP), return of experience documents (Fiches REX/REFLEXES), and the annual Challenge FORAP initiative. Access to these resources is provided through regional SRA structures.

Differentiator

Problem solved

Functional benefit

Products and services

• eFORAP Platform Mutualized digital platform used by the 14 Regional Support Structures (SRA) to conduct regional evaluation campaigns: it supports defining survey scope, deploying online questionnaires, generating automated results reports, and supporting the analysis phase. It underpins the national safety culture measurement campaign and the EHPAD inter-regional campaign (developed via the EPHAGE research project).
• Books Traceurs Ciblés et Audits Système Certification preparation tools for healthcare establishments covering targeted tracer methods and system audits under the HAS certification framework; available via the regional SRA network.
• Guides d'entretien Traceurs Ciblés Targeted tracer interview guides helping healthcare establishments prepare for HAS certification visits; includes specialized mental-health guides (isolation and restraint, electroconvulsivotherapy) and a 2026 guide on liberty restriction measures.
• Outils d'appropriation du référentiel et d'Observation Tools to help healthcare establishments understand HAS certification standards and conduct observation-based assessments, updated for V2024 (February 2024) and again for V2025 (May 2025).
• Fiches Repères Synthetic reference sheets covering key healthcare quality and safety topics including Audit Système, Dynamique Qualité, and EPP (Évaluation des Pratiques Professionnelles). A new Fiche Repères EPP for HAS V2025 was released January 2026.
• Fiches Mémos Memo sheets for each HAS certification imperative criterion (e.g., 1.1-03, 1.2-08), providing transversal reading and concrete perspectives on requirements; includes the identitovigilance memo co-built with 3RIV (Réseau des Référents Régionaux en Identitovigilance) to support implementation of V2025 certification requirements.
• Guide Traceur ciblé EIAS Targeted tracer guide focused on EIAS (Evénements Indésirables Associés aux Soins) and serious adverse events associated with care, used during HAS certification visits as part of the V2024 certification resources.
• Ressources Enquête Culture de Sécurité des Soins Complete toolkit (May 2024) for conducting patient safety culture surveys in health establishments and in EHPAD: survey guide, self-evaluation of engagement capacities, memory aid, survey form, and results report template. For EHPAD, resources derive from the EPHAGE research project (PREPS DGOS) coordinated by QualiREL Santé.
• Fiches REX et Fiches REFLEXES Return-of-experience documents published from November 2023: Fiches REX address specific adverse events; Fiches REFLEXES (Retours d'Expérience FORAP) group adverse events on the same theme, covering inter-establishment transfers, suicides and suicide attempts, and somatic care for psychiatric patients.
• Challenge FORAP Annual inter-regional competition (5th edition 2025/2026) in which healthcare professionals report and collectively analyze adverse events associated with care (EIAS), with an inter-structure analysis focus for the 2025 edition.
• Campagne nationale de mesure de la Culture de Sécurité des soins National safety culture measurement campaign co-organized by HAS and FORAP (May-June 2023), mobilizing 661 healthcare establishments and over 50,000 professionals in partnership with HAS.
• Guide mémo identitovigilance FORAP × 3RIV Memo guide on identitovigilance (patient identity monitoring) co-built with 3RIV (Réseau des Référents Régionaux en Identitovigilance) to support implementation of V2025 HAS certification requirements.

Named customers4 records

Segments4 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Seven partnerships are on record, tiered core, major and supporting.

• HAS (Haute Autorité de Santé)coreStrategic or Co-development PartnerFormal partnership agreement with HAS for coordination on quality and safety in health. FORAP represents regional support structures at national level and collaborates on certification frameworks, national campaigns (including culture of safety measurement), and resource development. The partnership is formalized according to Article R1413-75 of the French Public Health Code.
• 3RIV (Réseau des Référents Régionaux en Identitovigilance)coreStrategic or Co-development PartnerCo-construction of identitovigilance memo guide for healthcare establishments. Partnership developed in context of new V2025 certification reference framework. The guide provides practical synthesis of identitovigilance requirements for direct use by healthcare teams.
• DGOS (Direction Générale de l'Offre de Soins)coreStrategic or Co-development PartnerCollaboration on national patient safety roadmap and national surveys. DGOS supports the diffusion of FORAP surveys to healthcare establishments through Regional Health Agencies (ARS).
• Regional Health Agencies (ARS)majorGTM or Marketing PartnerARS agencies support distribution of FORAP surveys and campaigns to healthcare establishments in their regions. Partnership enables national reach through regional coordination.
• CPIAS (Centres d'appui pour la prévention des Infections Associées aux Soins)supportingStrategic or Co-development PartnerCollaborative partnership for thematic webinars on infectious risk during Patient Safety Week activities.
• OMEDIT (Observatoires des Médicaments, des Dispositifs médicaux et des Innovations Thérapeutiques)supportingStrategic or Co-development PartnerCollaborative partnership for thematic webinars on medication risks during Patient Safety Week activities.
• QualiREL Santé (Pays de la Loire)coreStrategic or Co-development PartnerRegional SRA that coordinated the EPHAGE research project (PREPS DGOS) for EHPAD safety culture measurement. Questionnaire protocol and French-validated version developed through this research project.

Scale indicators4 records

Recent moves6 records

Expansion highlights4 records

Emerging players

• CPIAS (Centres d'appui pour la prévention des Infections Associées aux Soins): National network of infection prevention support centers and FORAP partner. Operates in a specialized adjacent domain (healthcare-associated infections) but with a comparable regional-to-national federation model and similar institutional partnerships.
• OMEDIT: Network of regional medication/medical device observatories and FORAP partner for thematic webinars. Comparable federated regional model across France with overlapping quality-and-safety mandate but specialized in pharmaceutical risk.
• 3RIV (Réseau des Référents Régionaux en Identitovigilance): National network of regional identity-vigilance referents and FORAP's co-construction partner for the identitovigilance memo guide. Comparable federated regional model addressing patient-identification risks, intersecting with FORAP's broader patient-safety work.

Broad incumbents

• Haute Autorité de Santé (HAS): France's national health authority and FORAP's primary strategic partner. While FORAP focuses on regional support structures and operational resources, HAS sets the certification framework, national quality standards, and policy direction that FORAP operationalizes — a complementary but broader incumbent role.
• Agence Nationale d'Appui à la Performance des établissements de santé (ANAP): French national agency supporting healthcare establishment performance. ANAP operates at the national strategic level with a broader performance-improvement mandate, overlapping with FORAP on hospital performance topics but with a wider scope.
• Observatoire National de la Qualité des Soins (France): Operated under HAS, this national observatory monitors healthcare quality. While FORAP focuses on operational tools and regional support, the observatory provides national measurement and benchmarking — an adjacent quality-improvement function.

Direct peers

• CCECQA: SRA for Nouvelle-Aquitaine, FORAP member, and the body that the current FORAP Vice-President Catherine Pourin represents. Provides comparable regional quality-improvement and certification support services to health establishments under the same FORAP coordination framework.
• QualiREL Santé: Regional Support Structure (SRA) for Pays de la Loire and FORAP member; coordinated the EPHAGE research project for EHPAD safety culture measurement and represents one of FORAP's most active regional peers with comparable operational scope and HAS-aligned mission.
• CEPPRAAL: SRA for Auvergne-Rhône-Alpes and FORAP member represented by the federation's treasurer. Delivers the same functional scope — quality improvement, adverse event analysis, and HAS certification support — to its region's healthcare establishments.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xlinkedin.com/company/forap-federation
• YouTubeyoutube.com/@forapfr
• LinkedInlinkedin.com/company/forap-f%C3%A9d%C3%A9ration-structures-r%C3%A9gionales-d-appui-qualit%C3%A9-des-soins-et-s%C3%A9curit%C3%A9-des-patients

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about FORAP [Fédération - Structures Régionales d'Appui Qualité des Soins et Sécurité des patients]