{"id":44350,"date":"2022-01-01T11:08:04","date_gmt":"2022-01-01T10:08:04","guid":{"rendered":"https:\/\/gestions-hospitalieres.fr\/?p=44350"},"modified":"2022-02-01T15:54:57","modified_gmt":"2022-02-01T14:54:57","slug":"decret-tertiaire","status":"publish","type":"post","link":"https:\/\/www.ricom-web8.com\/gestions\/decret-tertiaire\/","title":{"rendered":"D\u00e9cret tertiaire"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p>Le d\u00e9cret tertiaire<sup class=\"appel\" data-toggle=\"modal\" data-target=\"#notes\">(4)<\/sup>, en application de l\u2019article 173 de la loi Elan, institue trois obligations r\u00e9glementaires de r\u00e9duction d\u2019\u00e9nergie opposables jusqu\u2019en 2050. Chaque \u00e9tablissement disposant d\u2019un patrimoine de plus de 1\u2009000\u00a0m<sup>2<\/sup> en surface de plancher devra r\u00e9duire de 40\u2009% ses consommations d\u2019\u00e9nergie d\u2019ici \u00e0 2030, de 50\u2009% d\u2019ici \u00e0 2040 et de 60\u2009% d\u2019ici \u00e0 2050, mais aussi documenter cette r\u00e9duction. La p\u00e9riode de r\u00e9f\u00e9rence pour \u00e9valuer la r\u00e9duction d\u2019\u00e9nergie pourra \u00eatre librement d\u00e9termin\u00e9e sans pouvoir \u00eatre ant\u00e9rieure \u00e0 2010. La premi\u00e8re \u00e9ch\u00e9ance du d\u00e9cret tertiaire a \u00e9t\u00e9 report\u00e9e d\u2019un an\u2009; pour autant, les \u00e9tablissements doivent d\u00e9j\u00e0 s\u2019organiser pour y r\u00e9pondre.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p>Pour les \u00e9tablissements de sant\u00e9, il s\u2019agit d\u2019une opportunit\u00e9 de r\u00e9aliser des \u00e9conomies sur les d\u00e9penses d\u2019\u00e9nergie tout en am\u00e9liorant le confort des b\u00e2timents.<\/p>\n<p>Afin de r\u00e9pondre \u00e0 ces exigences, le S\u00e9gur de la sant\u00e9 a accord\u00e9 un soutien financier de 10 millions d\u2019euros pendant quatre\u00a0ans aux \u00e9tablissements hospitaliers et structures m\u00e9dico-sociales pour qu\u2019ils puissent mettre en place une politique d\u2019efficacit\u00e9 \u00e9nerg\u00e9tique et de transition \u00e9cologique. Cent cinquante conseillers en transition \u00e9nerg\u00e9tique et \u00e9cologique en sant\u00e9 (CTEES) et coordinateurs seront ainsi recrut\u00e9s en 2022 et anim\u00e9s par l\u2019Anap.<\/p>\n<p>Au-del\u00e0 de cette simple aubaine financi\u00e8re, cette opportunit\u00e9 permettra aux \u00e9tablissements de sant\u00e9 et m\u00e9dico-\u00adsociaux de d\u00e9velopper des comp\u00e9tences et de cr\u00e9er une dynamique commune autour de la transition \u00e9cologique.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<h1>Des comportements vertueux<\/h1>\n<p>Les secteurs sanitaire et m\u00e9dico-social repr\u00e9sentent environ 12\u2009% des consommations d\u2019\u00e9nergie du secteur tertiaire et les seuls \u00e9tablissements sanitaires ont la charge d\u2019environ 75 millions de m\u00e8tres carr\u00e9s de patrimoine. La diminution de la consommation \u00e9nerg\u00e9tique est une occasion unique d\u2019am\u00e9liorer l\u2019impact carbone des \u00e9tablissements.<\/p>\n<p>Sur le plan r\u00e9glementaire, les h\u00f4pitaux seront contraints de renseigner chaque ann\u00e9e leurs consommations d\u2019\u00e9nergie sur la plateforme Operat et de les diminuer selon les seuils pr\u00e9vus par le d\u00e9cret.<\/p>\n<p>Ces obligations sont assorties de sanctions financi\u00e8res (jusqu\u2019\u00e0 7\u2009500 euros par b\u00e2timent) et de <i>name &amp; shame<\/i>, c\u2019est-\u00e0-dire la publication du nom des entit\u00e9s ne respectant pas leurs obligations.<\/p>\n<p>Par ailleurs, la ma\u00eetrise et la baisse des factures \u00e9nerg\u00e9tiques sont un argument de poids pour envisager des travaux et des investissements, et peuvent par exemple \u00eatre inscrites comme pistes d\u2019efficience dans un dialogue strat\u00e9gique de gestion avec une agence r\u00e9gionale de sant\u00e9. La baisse des d\u00e9penses d\u2019\u00e9nergie est une opportunit\u00e9 pour r\u00e9affecter les \u00e9conomies afin d\u2019am\u00e9liorer le service rendu aux usagers et le confort thermique des b\u00e2timents.<\/p>\n<p>Enfin, cette dynamique de transition \u00e9cologique au sein des \u00e9tablissements sera de nature \u00e0 susciter l\u2019adh\u00e9sion des professionnels et partenaires. Dans un secteur qui fait face \u00e0 des tensions pour le recrutement, cet engagement en faveur du d\u00e9veloppement durable peut am\u00e9liorer la marque employeur. Cette dynamique peut \u00e9galement nourrir la communication engageante envers les nombreuses parties prenantes externes\u00a0: population, collectivit\u00e9s locales ou tutelle.<\/p>\n<blockquote><p>Le d\u00e9cret tertiaire doit \u00eatre entendu comme une opportunit\u00e9 de r\u00e9aliser des \u00e9conomies d\u2019\u00e9nergie, une possibilit\u00e9 d\u2019investir dans la r\u00e9novation thermique [\u2026] tout en s\u2019inscrivant dans une dynamique responsable en faveur du d\u00e9veloppement durable.<\/p><\/blockquote>\n<h1>Le kit Anap, une aide \u00e0 la d\u00e9cision du directeur<\/h1>\n<p>Afin d\u2019aider les \u00e9tablissements \u00e0 se mobiliser autour des exigences du d\u00e9cret tertiaire, l\u2019Anap a cr\u00e9\u00e9 un kit d\u2019accompagnement compos\u00e9 de six fiches pratiques et op\u00e9rationnelles. R\u00e9dig\u00e9es par des experts du domaine, elles permettent aux chefs d\u2019\u00e9tablissement et \u00e0 leurs adjoints d\u2019appr\u00e9hender, en quelques pages, l\u2019ensemble des enjeux, menaces et opportunit\u00e9s li\u00e9s \u00e0 ces nouvelles obligations.<\/p>\n<p>Chaque fiche est ind\u00e9pendante afin que le dirigeant puisse la partager, le cas \u00e9ch\u00e9ant, avec les acteurs concern\u00e9s\u2009:<\/p>\n<ul>\n<li>la fiche\u00a01 \u00ab\u2009Le d\u00e9cret \u201c\u00e9co-\u00e9nergie tertiaire\u201d et vous\u2009\u00bb permet d\u2019identifier les b\u00e2timents concern\u00e9s, les leviers d\u2019actions et les modalit\u00e9s de la d\u00e9claration annuelle en ligne\u2009;<\/li>\n<li>la fiche 2 \u00ab\u2009Conna\u00eetre ses consommations\u2009\u00bb met en avant diff\u00e9rents outils pour conna\u00eetre ses consommations d\u2019\u00e9nergie afin de d\u00e9gager les forces et faiblesses des b\u00e2timents, des installations ou des \u00e9quipements, et cibler les actions prioritaires\u2009;<span class=\"Apple-converted-space\">\u00a0<\/span><\/li>\n<li>la fiche 3 \u00ab\u2009Conna\u00eetre ses usages et ses surfaces\u2009\u00bb offre les cl\u00e9s pour identifier ses surfaces et caract\u00e9riser leurs usages afin de d\u00e9terminer les gains de consommations d\u2019\u00e9nergie\u2009;<\/li>\n<li>la fiche 4 \u00ab\u2009Mettre en place un plan de comptage\u2009\u00bb explique comment mettre en place un plan de comptage pour comprendre et ma\u00eetriser les consommations d\u2019un site et d\u00e9tecter des anomalies. Le bon agencement des compteurs d\u2019\u00e9nergie favorise un meilleur suivi de la comptabilit\u00e9 analytique\u2009;<\/li>\n<li>la fiche 5 \u00ab\u2009\u00c9tablir l\u2019ann\u00e9e de r\u00e9f\u00e9rence\u2009\u00bb aide les d\u00e9cideurs \u00e0 d\u00e9finir l\u2019ann\u00e9e de r\u00e9f\u00e9rence de calcul des consommations \u00e9nerg\u00e9tiques la plus avantageuse pour l\u2019\u00e9tablissement\u2009;<\/li>\n<li>la fiche 6 \u00ab\u2009Financer et investiguer les moyens de financement\u2009\u00bb\u2009pr\u00e9sente les diff\u00e9rentes pistes de financement de l\u2019am\u00e9lioration de l\u2019efficacit\u00e9 \u00e9nerg\u00e9tique (retour sur investissement\u2026).<\/li>\n<\/ul>\n<p>Ce kit d\u2019accompagnement et d\u2019aide \u00e0 la d\u00e9cision permet ainsi aux directeurs de satisfaire aux exigences du d\u00e9cret tertiaire en \u00e9vitant les sanctions pr\u00e9vues. Il contribue \u00e0 \u00e9tendre l\u2019engagement de leur \u00e9tablissement dans le d\u00e9veloppement durable et \u00e0 r\u00e9pondre aux enjeux \u00e9nerg\u00e9tiques tout en r\u00e9alisant des \u00e9conomies substantielles.<\/p>\n<p>Par ailleurs, la loi Rist<sup class=\"appel\" data-toggle=\"modal\" data-target=\"#notes\">(5)<\/sup> a r\u00e9cemment modifi\u00e9 l\u2019article L.6143-2 du code de la sant\u00e9 publique en ajoutant au sein du projet d\u2019\u00e9tablissement \u00ab\u2009un volet \u00e9co-responsable qui d\u00e9finit des objectifs et une trajectoire afin de r\u00e9duire le bilan carbone de l\u2019\u00e9tablissement\u2009\u00bb. Cette \u00e9volution, depuis longtemps esp\u00e9r\u00e9e, permet d\u2019inscrire le d\u00e9veloppement durable au c\u0153ur de ce document\u2009: le respect des objectifs du d\u00e9cret tertiaire permettra \u00e9galement de r\u00e9pondre \u00e0 cette nouvelle exigence.<\/p>\n<p>Le d\u00e9cret tertiaire doit donc \u00eatre entendu comme une opportunit\u00e9 de r\u00e9aliser des \u00e9conomies d\u2019\u00e9nergie, une possibilit\u00e9 d\u2019investir dans la r\u00e9novation thermique afin d\u2019apporter de meilleures conditions de s\u00e9jour et de travail, tout en s\u2019inscrivant dans une dynamique responsable en faveur du d\u00e9veloppement durable.<\/p>\n<button data-toggle=\"collapse\" data-target=\"#enc_2022_34_01\">L'anap<\/button><div id=\"enc_2022_34_01\" class=\"encadre collapse\"><p><span class=\"surtitre_enc\">L'anap<\/span><\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-44352 size-full\" src=\"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2022\/01\/Capture-d\u2019\u00e9cran-2022-01-31-\u00e0-11.55.20.png\" alt=\"\" width=\"1616\" height=\"964\" srcset=\"https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2022\/01\/Capture-d\u2019\u00e9cran-2022-01-31-\u00e0-11.55.20.png 1616w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2022\/01\/Capture-d\u2019\u00e9cran-2022-01-31-\u00e0-11.55.20-300x179.png 300w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2022\/01\/Capture-d\u2019\u00e9cran-2022-01-31-\u00e0-11.55.20-1024x611.png 1024w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2022\/01\/Capture-d\u2019\u00e9cran-2022-01-31-\u00e0-11.55.20-768x458.png 768w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2022\/01\/Capture-d\u2019\u00e9cran-2022-01-31-\u00e0-11.55.20-1536x916.png 1536w\" sizes=\"(max-width: 1616px) 100vw, 1616px\" \/><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<script>function PlayerjsAsync(){} if(window[\"Playerjs\"]){PlayerjsAsync();}<\/script>","protected":false},"excerpt":{"rendered":"<p>Le d\u00e9cret tertiaire(4), en application de l\u2019article 173 de la loi Elan, institue trois obligations r\u00e9glementaires de r\u00e9duction d\u2019\u00e9nergie opposables jusqu\u2019en 2050. Chaque \u00e9tablissement disposant d\u2019un patrimoine de plus de 1\u2009000\u00a0m2 en surface de plancher devra r\u00e9duire de 40\u2009% ses consommations d\u2019\u00e9nergie d\u2019ici \u00e0 2030, de 50\u2009% d\u2019ici \u00e0 2040 et de 60\u2009% d\u2019ici \u00e0 2050, mais aussi documenter cette r\u00e9duction. La p\u00e9riode de r\u00e9f\u00e9rence pour \u00e9valuer la r\u00e9duction d\u2019\u00e9nergie&hellip; <\/p>\n","protected":false},"author":23133,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[26,2],"tags":[601,8844,8843,771,8846,8845,1838],"class_list":["post-44350","post","type-post","status-publish","format-standard","hentry","category-dossier","category-gestions-hospitalieres","tag-anap","tag-consommation-denergie","tag-decret-tertiaire","tag-developpement-durable","tag-impact-carbone","tag-marque-employeur","tag-transition"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>D\u00e9cret tertiaire - Gestions hospitali\u00e8res<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ricom-web8.com\/gestions\/decret-tertiaire\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"D\u00e9cret tertiaire - Gestions hospitali\u00e8res\" \/>\n<meta property=\"og:description\" content=\"Le d\u00e9cret tertiaire(4), en application de l\u2019article 173 de la loi Elan, institue trois obligations r\u00e9glementaires de r\u00e9duction d\u2019\u00e9nergie opposables jusqu\u2019en 2050. Chaque \u00e9tablissement disposant d\u2019un patrimoine de plus de 1\u2009000\u00a0m2 en surface de plancher devra r\u00e9duire de 40\u2009% ses consommations d\u2019\u00e9nergie d\u2019ici \u00e0 2030, de 50\u2009% d\u2019ici \u00e0 2040 et de 60\u2009% d\u2019ici \u00e0 2050, mais aussi documenter cette r\u00e9duction. 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