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NETC@RDS For e-EHIC ID

NETC@RDS for e-EHIC ID

Mid Term Workshop

Deploying eEHIC services for borderless care in Europe

By Noël Nader, Project Coordinator

MED-e-TEL - LUXEXPO

Luxembourg, 2nd April 2009

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NETC@RDS For e-EHIC ID

The NETC@RDS Consortium• 28 partners from 15 EU/EFTA members states + 5

sponsors• 14 out of 28 partners are statutory health insurance

or health fund organisations which are also the contracting parties of the “NETC@RDS General Agreement”

• 6 development and research institutions or standardisation bodies

• 2 technical organisations operating e-health services for the health insurance organisations

• 4 hospitals and/or health professional associations• 2 regional governments• The consortium is politically supported by

government health authorities (Ministries of Health and Social Affairs)

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NETC@RDS For e-EHIC ID

The NETC@RDS Provided Service• The NETC@RDS service for the electronification of the eye-

readable EHIC serves three distinct processes :

– Automated data capture for patient identification based on the EHIC common set of data elements

– In some case, on-line verification of entitlement rights via national portals in the frame of a multilateral Agreement (G.A), and

– Minimal data provision contributing to back office e-billing reconciliations

• The e-EHIC trustworthy dataset can be obtained either :

– by scanning & optical recognition of the eye-readable EHIC information

– or by reading national/regional health smart cards then by checking data on-line

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NETC@RDS For e-EHIC ID

The Project Teamwww.netcards.euwww.netcards.eu

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NETC@RDS For e-EHIC ID

The Managerial Structure

WP1 (GIE SV) WP coordination and projet monitoring

WP6 (IPG-LINZ) Evaluation

WP8 (REGLOM) Dissemination & Communication

WP7 (REGVEN) Socio-Eco Impact

WP2 (HVOS)

Maintenance & Evolution

WP5 (AUTH)

Security & data protection

WP9 (ZZZS)Cooperation CASSTM/TC

WP4 (ZI)Legal affairs

(G.A)

WP3 (GIE SV) Deployment

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NETC@RDS For e-EHIC ID

Estimated Total Investment

PHASES Budget (M€) E.U community contribution (M€)

Market Validation phase (A1) 0,50 0,25

Market Validation phase (A2-A3) 4,88 2,44

Initial Deployment phase (B) 15,33 3,50

ETIC (phases A.x + B)*

20,71 6,19

*Not including costs for exploitation and maintainance of the service

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NETC@RDS For e-EHIC ID

Phase B Mile StonesMACRO – PLANNING (T0 =

01/06/07)

500 SP / 225 500 SP / 225 SUSU

Extension to other Extension to other HIOHIO

Linking portals to Linking portals to all entitlement all entitlement rerepopositoriessitories

Full Deployment PlanFull Deployment Plan

15 national Portals15 national Portals120 SP/ 58 SU120 SP/ 58 SU

User User trainingtrainingTechnical supportTechnical support OCR test OCR test

procedureprocedure

Portal Security auditPortal Security audit

Service Level AgreementService Level Agreement

350 SP/ 175 SU350 SP/ 175 SU

eEHIC

compatibleIndustria

l

GradeRoadmap

& roll-out

T0+12 T0+27 T0+39

Monitoring Monitoring service sitesservice sites

Observatory Observatory (industry & (industry & standardisation standardisation bodies)bodies)

e-Billing enhancementse-Billing enhancements

M1 M2 M3

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NETC@RDS For e-EHIC ID

NETC@RDS National Access Points

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NETC@RDS For e-EHIC ID

NETC@RDS Service Unit/Points

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NETC@RDS For e-EHIC ID

NETC@RDS Transactions

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NETC@RDS For e-EHIC ID

Transaction Breakdown

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NETC@RDS For e-EHIC ID

Outlook for Benefits• For patients

– Significantly simpler and faster procedures• For health care providers

– Less administration and manual typing of data, speeding up costs refunding

• For health insurance providers – Less administration, improved reliability and security of data– saving investment in new electronic card systems

• For business companies and the smart card and telecom Industry– Fostering the development of e-Health services on the European market

• For EU convergent policy – Interoperability amongst national health and social information systems– Validated professional basis for imminent political decisions on e-EHIC– Use of the same document at EU-wide scale– Implementing new e-Health services relying on the NETC@RDS

infrastructure (.e.g. secure access to medical prescription, pan-European project epSOS)

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NETC@RDS For e-EHIC ID

Long Term Sustainability• Background

1. 16 out of 28 partners are potential e-EHIC card issuers2. G.A as legal basis for on-line verification at the point of care3. Operational on-line infrastructure via National Access

Points as potential gateways to EESSI in 15 EU/EFTA member states + Switzerland

4. Common ISSP and security audit approval procedure5. 500 running service units/points foreseen by 2010 in the 16

NETC@RDS countries as potential e-EHIC large scale pilots6. Know-how and lessons learnt from NETC@RDS experience7. Implementation of Web Services based on the CWA e-EHIC

• Foreground– A potential piloting structure for the introduction of the e-

EHIC in view of a political decision and EU-funding

NETC@RDS For e-EHIC ID

MS D Health Care Provider

MS D Health Insurance Repository

Portal

NPAP/IPAP

MS B Health Care Provider

MS A Health Care Provider

MS A Insurance repository

NPAP/IPAP

NPAP/IPAP

Other National Other National SchemesSchemes

MS C Health Care Provider

MS B Health Insurance repository

NPAP/IPAP

EESSI

Inter linking on-line national

infrastructures via EESSI

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NETC@RDS For e-EHIC ID

Conclusion• The project consortium enlarged now to 28

beneficiaries and members for Germany (AOK Bayern, ZTG) and Poland (NFZ)

• Sponsors from Switzerland (Canton of Bâle), Bulgaria (NHIF) in addition to Smart Card Industry companies (GEMALTO, FIME, SIEMENS Informatica)

• Reallocation of the budget amongst partners is under consolidation

• Project Phase B time extension up to 30/11/2010• Technical cooperation with convergent EU-funded

initiatives (epSOS, Stork, TEN4Health)• NETC@RDS is bridging the gap between the e-EHIC

legal, functional, technical requirements and the legacy health information systems at national and regional scale

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NETC@RDS For e-EHIC ID

Thank you very much !