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National Healthcare applications
Nicanor Isaza ID and HealthcareLATAM Manager
Confidential
HealthCareHealthCareProject Project
overviewoverview
11 IntroductionIntroduction
22 Needs for e-healthcare systemsNeeds for e-healthcare systems
33 GEMPLUS CommitmentGEMPLUS Commitment
55 NetC@ard ProjectNetC@ard Project
44 French & German CasesFrench & German Cases
AGENDA
3 Confidential
INTRODUCTION
Healthcare system :Answers the basic need of security Allows economy growthManages Billions of Dolars per year Is a Key cost center for the national competitiveness
In a challenging worldwide eco-system, Healthcare systems need for a better control and cost reduction :
From paper forms to e-documentsFrom 1st Generation of e-document to 2nd generation of e-document
and pre-authorizationShared personal medical fileEuropean harmonization by 2010 : NetC@ard project -> geographic
mobility
HealthCareHealthCareProject Project
overviewoverview
11 IntroductionIntroduction
22 Needs for e-healthcare systemsNeeds for e-healthcare systems
33 GEMPLUS CommitmentGEMPLUS Commitment
55 NetC@ard ProjectNetC@ard Project
44 French & German CasesFrench & German Cases
AGENDA
5 Confidential
e-Healthcare systemsThe main ideas are:
Dematerialize the medical prescription from paper to electronic reduce costs and increase efficiency
Pre-authorize the health transaction : Control the validity of the right of the patient
Secure the distribution of social fund to the poor population : Use the electronic cash functionality
Two types of e-healthcare system :Off-line :
Allows decentralized system even in remote area (no IP or telecom infrastructure)On-line :
Strong control on the validity of right Possibility to update easily the card parameters
Most of the time :System starts with off-line then introduce the on-line functionCan be a mix of both on-line in the city and off-line in the remote area
Smart card is the best proven technology
6 Confidential
Timeline of Schemes Roll out
Italy ?
1994 1995 1996 20041997 200219991998 20012000 2003 2005 2006 2007 2008
12Mu renewal per year
memory micro
Germany (75 Mu)Germany (75 Mu)
France (60 Mu)
Spain (5.5 Mu)
Belgium (11 Mu)
Slovenia (2Mu)
Taiwan (24Mu)
Austria (8 Mu) Poland (22 Mu)
Turkey (25 Mu)
France (60 Mu)
An early start in the mid 90’s,A faster migration in the coming years
China (110 Mu)
Slovenia (2Mu)
Ukraine (35 Mu)
Mexico (4 Mu)
Algeria (7 Mu)
7 Confidential
Who is deploying eHealth cards?
•National schemes•Provincial and regional schemes: China, Italy, Spain• Private schemes: USA, Brazil• Corporate Schemes: In countries with no social security, it is handled by the employer. Example: Petrobras (Brazil), Saudi Aramco (Saudi Arabia)
Countries with private healthcare system
& corporate schemes
USA
Brazil
Mexico
Saudi Arabia
South Africa
Countr
ies
deplo
yin
g e
Healt
h c
ard
s
European Union Member States
Austria
Belgium
France
Germany
Italy
Netherlands
Poland
Slovenia
Spain
China
India
Japan
Kenya
Malaysia
Puerto Rico
Other countries, with public or semi public healthcare systems
Taiwan
Tanzania
Turkey
Vietnam
Ukraine
Evolution of split per region 2003-2008
•Cross boarder scheme (Germany/Netherlands)•Trans European scheme (NetC@rd)
HealthCareHealthCareProject Project
overviewoverview
11 IntroductionIntroduction
22 Needs for e-healthcare systemsNeeds for e-healthcare systems
33 GEMPLUS CommitmentGEMPLUS Commitment
55 NetC@ard ProjectNetC@ard Project
44 French & German CasesFrench & German Cases
AGENDA
9 Confidential
GEMPLUS COMMITMENT
Dedicated team for Governmental projectsSetec – Gemplus merge in 2005:
Setec : 120 year of existence in security printing Major European players in ID and Passport applications
Gemplus : Worldwide leader in smart card Strong experience in Healthcare International company with strong finance position
Healthcare referencesFrance : “Vital” patient card and Healthcare terminalGermany : “KVK” patient card and healthcare terminalSlovenia : Patient card and healthcare terminalChina : SCC patient cardMexico : “Seguro popular” welfare programSouth Africa : Pension fund welfare programUK : Professional Health card and web authenticationFinland : National patient card “Kela card” European Health card : Netc@rd
ResultsLong-term commitment on this application !Able to help Government in setting up a full system
10 Confidential
Gemplus - Setec Healthcare offer
Patient European Healthcare card (EHC) National Healthcare card (standard Gemplus product or customized)
Healthcare Professional Health professional card Readers:
PC readers Non connected readers Stand alone (with2 slots)
Services: Patient enrolment (data and picture capturing) Data preparation and card personalization Mailing and custom Packaging
Security : Security consulting around smart card application Patient secure web access Health professional secure web access Secure Logical access control (PC) Secure Physical access control (Building)
HealthCareHealthCareProject Project
overviewoverview
11 IntroductionIntroduction
22 Needs for e-healthcare systemsNeeds for e-healthcare systems
33 GEMPLUS CommitmentGEMPLUS Commitment
55 NetC@ard ProjectNetC@ard Project
44 French & German CasesFrench & German Cases
AGENDA
12 Confidential
French Case
FORECAST
Eco system
The first French Healthcare system is born in 1830The current system is still the same since 1948 Healthcare spending in 2005 : 136 Billions EurosState Budget = 320 Billions Euros
In 1995 : first deployment of e-healthcare application “Vitale” project
Concept of the “Vitale“ projectReduce the operating cost of the French insurancesCreate an IT system for Healthcare saving of 300 Meuro per year
On going project “Vitale2 “On-line capabilityPossibility to run multi application – Healthcare and then pay for the
debit cardE-prescriptionsPrepare the techno based for the central Medical Data File
13 Confidential
The French Architecture
14 Confidential
Electronic claim creation
15 Confidential
Benefits of the « Vitale » card
For the insurances
Cost reduction of 300 Meuro per yearBetter tractability of the costs allowing better focus on cost
reductions
PatientsAre reimburse in a 5 days instead of 1 monthEasy to use and convenient
16 Confidential
German Case
FORECAST
Eco system
The first German Healthcare system is born in the 19th centuryHealthcare spent in 2005 : 170 Billions Euros State Budget = 290 Billions Euros
In 1990 : first deployment of e-healthcare application “KVK” project
Concept of the “KVK“ projectReduce the operating cost of the German insurancesPure Off-line modeCost saving per year : 250 MeurosTotal project costs : 270 Meuros
On going project “eGK”On line pre-autorizationPIN for strong authenticatione-presecription on boardEmergency medical informationMedical file
17 Confidential
The German Architecture
Insurances(278)
Main EDPSystem
CAMS
VSDD
e-prescr.
emerg.data
Telematics System
Standard Appl.
MANDATORY
Future Appl.
On Demand
Medical File……
Doctors (347.000)
Pharmacist (22.000)
Hospitals (2.000)
HBA(Health prof. card)
•Datageneration•Picture Enrolment•Personalisation
ZDA(Trust- Center)
18 Confidential
Benefits of the “KVK” and “eGK” cards
For the insurances
Cost reduction of 250 Meuro per year (KVK)Better tractability of the costs allowing better focus on cost
reductions
PatientsAre reimburse in a 5 days instead of 1 monthEasy to use and convenient
HealthCareHealthCareProject Project
overviewoverview
11 IntroductionIntroduction
22 Needs for e-healthcare systemsNeeds for e-healthcare systems
33 GEMPLUS CommitmentGEMPLUS Commitment
55 NetC@ard ProjectNetC@ard Project
44 French & German CasesFrench & German Cases
AGENDA
20 Confidential
Netc@rd project
Objective
Replacing paper forms with electronic forms Integrating the EHIC with national (regional) schemesFacilitate the geographic mobility of European citizens
Steps :October 2003 Decisions Nr 189, 190, 191, publication in Official Journal of
the E.U.2005-2006 Issuance of Plastic EHIC cards (already 50 Mu
deployed)2007- 2010 Create a common EHIC cards infrastructure (no new
OS!)
Gemplus role :The European actor in e-healthcare systemsCurrent providers of EHIC plastic cardsWorking closely with the GIE SV on the infrastructure (terminal)
21 Confidential
Netc@rd project
Portal
Portal
Greek Health Care Provider
French Health Care
Provider
Trans-European Trans-European ExtranetExtranet
French Health Insurance back-office
Portal
German Health Care
Provider
Portal
German Health Insurance back-office
Other National Other National SchemesSchemes
ItalyItaly SloveniaSlovenia
……
Austrian Health Care Provider
Austrian Health Insurance back-office
Portal
22 Confidential
Seguro Popular
23 Confidential3 Presentation title here - Security level
HealthCare & SmartCards MAIN DRIVERS
- High operating costs of thehealthcare system. Ex : France
-Fraud. Ex : Mexico, South Africa, France V2
-Security & Privacy. Ex : UK, Germany
Social Sec & Insurance information
Personal identification data
Status of health insurance
Organ donor status
Entitlements Rights
Primary care physician
Emergency medical data
E-Prescriptions
BACK END SYSTEMSApplication Software
Enrollment
Biometrics
PKI
Data Management
Integration & Back end Services
HARDWARE
Readers
Plastic
CARD
Chip
MODULE
OSApplet
EmbeddingPERSO SERVICES
Data preparation
Production
Main Components of the Value Chain
No single technology solutionFrom simple conventional cards to high end
PKI smartcardsComplex back end systems
~100Mu cards in 2007
0
10
20
30
40
50
60
70
80
90
2004 2005 2006 2007 2008
Volume (Mu)
24 Confidential
Seguro Popular background
12M people who are not covered with any type of Healthcare benefits or Social Security in Mexico
Need of a system to control fraud
Policy Management of a sector where there is no Healthcare information
Need of a portable, trustworthy, secure, auditable, flexible and controlable means of ID.
Next step: Individual card 8,3M
Global Picture: National ID card for Mexican citizens
25 Confidential6 Presentation title here - Security level
How does it work?
DrugstoresDrugstores
Seguro PopularSeguro Popular
DistributorsDistributors
LaboratoriesMedicines
LaboratoriesMedicines
DeliveryDelivery DoctorDoctor
Clinical Analysis
Laboratory
Clinical Analysis
Laboratory
FIMPEFIMPE
Colecta
Collection
Compensation
Finance
Reports & Analisys of Inf.
Seguimiento
Entrega de Credenciales
Reader
Identidfication
Diagnostics and Recipe
Clinical History
Card HolderCard HolderReader
Provision of service
Reader
Provicion of Medicine
Inventory Interface
RFID
Perso on Manufacturing line
Perso on distribution line
Manufacturing& Perso of the
card
Manufacturing& Perso of the
card
26 Confidential
Project Integrator
Image Technology Mexico, part of the Intelogik Group
Strong portfolio in ID systems, security solutions, biometric applications and transportation automation
One of the major players for smart card and biometric based ID solutions for Mexico and the Latin American market
20 years experience with a direct involvement in some of the major ID projects for Mexico
Participated in the following projects: Metrobus (transport) Instituto Federal Electoral (national electoral card) Secretaría de Relaciones Exteriores (passport) Secretaría de Seguridad Pública Federal (ID card, national database of fingerprints) Secretaría de Gobernación (ID card) Servicio de Administración Tributaria (SAT) (logical access control) Aeropuerto Ciudad de México (time and attendance) CFE (time and attendance)
27 Confidential
Product
MPCOS R5 4KMicroprocessor
Gemeasy8000
High resolution black printing
Laser Engraving
Green fluo Ink
Guilloche & Rainbow
UVMicro text
Thank you !
Contact :
Mr. Nicanor Isaza
Healthcare and ID Manager
Gemplus ID&S B.U.