NETCRDS for eEHIC

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NETC_at_RDS for eEHIC Demonstrator of Smart Card
and Network Solutions for European Health
Insurance Card electronification CEBIT 2004
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Netc_at_rds Project Basic Elements

• To provide convergent solutions for EHIC
  electronification
• Replacing paper forms with electronic forms
• Integrating the EHIC with national (regional)
  schemes
• Evaluating the social and economic impact of
  provided solutions in pilot regions
• Support from the European Commission
• Political (DG Employment Social Affairs)
• Financial and technical (DG Information Society)
  

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The NETC_at_RDS Consortium

• Card issuers and Network Service Providers
• Public Health Insurance Providers from
• 6 Member-States
• Austria, Finland, France, Germany, Greece, Italy
• 4 Accession Countries
• Czech Republic, Hungary, Slovak Republic,
  Slovenia
• Third Country (Québec/Canada) as observer
• Health Professionals Unions
• Participation of national Clearing Liaison
  offices
• Support from Ministries of Health / Social
  Affairs
• Coordinator SESAM-VITALE EIG

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The NETC_at_RDS Scenarios for eEHIC Ph3
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Greek Health Care Provider
Austrian Health Care Provider
Austrian Health Insurance back-office
French Health Care Provider
Portal
Portal
German Health Care Provider
Trans-European Extranet
Portal
Portal
Portal
French Health Insurance back-office

• Other National Schemes
• Italy
• Slovenia

German Health Insurance back-office
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Member State of Stay
Member State of Insurance
Foreseen pilot implementation
Netc_at_rds Portal
Netc_at_rds Portal Front Office
European Health Insurance Card
Netc_at_rds Workstation
Netc_at_rds Application
Remote Access Module
Data keying
Dataset issuing
Austrian Scenario Module
French Scenario Module
German Scenario Module
Italian Scenario Module
Slovenian Scenario Module
Reader Resources Manager
PC/SC drivers
Others Drivers
FINREAD drivers
Insured Card
Health Professional Card
Card Reader
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Normative Reference

• eEurope Global Interoperability Framework for
  identification, authentication and electronic
  signature (IAS) (http//www.eeurope-smartcards.org
  /).
• NETLINK Requirements for Interoperability.
• X509 v3 certificates RFC 2459 - Internet X.509
  Public Key Infrastructure Certificate and CRL
  Profile.
• PKCS1 RSA Cryptography Standard.
• CEN/ISSS WS E-Sign
• Etc.

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Health Insurance Smart Cards available in the
NETC_at_RDS Pilot regions
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The French SESAM-VITALE System
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4
3
6
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SESAM-VITALE status update

• VITALE (54 Millions health cards already
  issued)
• Subcontracting solution 42 M family cards
  issued for insured persons (May 1998 - June 1999)
• Lost or out of order cards turn over 15 (6.3M)
• 12 M cards upon 16 years old (July-December
  2001),
• Card updating tools
• 6 000 public and self-service updating points
• 15 000 updating workstations in Health Insurance
  offices
• Administrative data
• Insured identification
• Public Health Insurance service covered
• Complementary optional Insurance

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SESAM-VITALE overall statistics (02/2004)

• Tele-transmitted e-forms
• 70 M. during January 2004
• 2 Billions e-Forms issued since 1998.
• Health Professionals
• 169 000 Health Professionals using the system.
• Amongst them
• 68 of physicians (G.P)
• 38 of physiotherapists
• 53 of chemists
• Etc.

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New Electronic Health Card in GermanyEntry into
Modernization of the Health Care System

• The trail for the introduction of the electronic
  health card on 1 January 2006 has been set.
• In Germany the European health insurance card
  will be introduced in an eye-readable format on
  the reverse side of the German electronic health
  card (eGesundheitskarte)
• The self-governing bodies of the health care
  system are charged with the introduction of the
  card and of telematic infrastructure according to
  291 a of Social Code Book V.

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eGesundheitskarte - Content

• Mandatory part
• administrative data
• co-payment status
• electronic prescription
• European standards for making use of the services
  in other EU member states (E-111 form)

• Voluntary part
• drug documentation
• emergency medical data
• patient receipt
• electronic patient record
• patients own data storage area, etc.

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Deployment strategy (Bit4Health)
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Application KSEKrankenscheinersatz in Austria
Key-Data
supplying 8 million insured persons with
e-cards (Austrian Health Insurance Card)
substituting42 million paper forms
(Krankenschein) per year
integrating 11.000 contractual partners (health
care providers)
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Present Procedure in Austria
issuing paper forms to employees
Employees
Employers
Physicians
sending paper forms to Social Insurance
registration / deregistration of employees
Social Insurance
accounting
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Procedure foreseen with the e-card
Employees
verification of entitlement
Employers
Physicians
electronic data transfer
Social Insurance
registration / deregistration of employees
software-supported accounting
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The Netc_at_rds Pilot Regions
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Phasing NETC_at_RDS with EHIC national schemes
NETC_at_RDS Phase B
NETC_at_RDS
NETC_at_RDS
Phase C
NETC_at_RDS
Phase A1
Phases A2-A3 Pilots
Initial Deployment
Full Deployment
Visual EHIC
Visual EHIC
e
-
EHIC Phase 3
Deployment
Deployment
Phase 1
Preparation
Phase 2
Deployment
French HIC Vitale 2
French HIC Vitale 1
German Health Smart Card
German Health Memory Card
Austrian HIC Tests
Austrian HIC Full Deployment
Lombardia New Health Smart Card Full Deployment
Lombardia Health Smart Card
Slovenian Health Insurance Card
Upgrading with EHIC data functions
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Phase A1 Main Results Achievements

• Signature of General (multilateral) Agreement.
• Service Requirements and Technical
  Specifications.
• Pilot Evaluation and Market Validation Tools.
• Draft Business Plan in view of Initial
  Deployment.

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Phases A2-A3 Main Objectives

• Extension of the General Agreement to the 10
  NETC_at_RDS participating countries.
• Implementation set-up of demonstrators of the 4
  NETC_at_RDS scenarios in the pilot regions.
• Evaluation of User acceptance and feasability.
• Full Business Plan before Initial Deployment of
  the NETC_at_RDS service in the pilot regions of the
  participating Member-States.

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Phase A2 Work Packages and Timetable
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Contact

• Voice 33 (0)2 43 57 42 00
• E-mail international.projects_at_sesam-vitale.fr
• Thank you very much! Any Comments/Questions?
• www.netcards-project.com