NETC@RDS in Polandexpectations and lessons learned

Andrzej StrugNarodowy Fundusz Zdrowia

National Health Fund

Helicopter view

Poland: 38 mln citizens

EU accession: 1 May 2004EHIC introduction in EU: 1 May 2004

NFZ (National Health Fund): 37 mln insurees

NFZ budget: € 14 bln

No of EHICs/year: 1.3 mln Cost of EHICs/year: € 3 mln

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Everyday practice (& problems)

Reissue of EHICs due to short validity period

Vague procedure for obtaining Provisional Replacement Certificates (PRC)

Electronic data exchange for all internal claims (including EU citizens)

– but paper copies of EHICs needed

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Our activity in NETCARDS

End 2007 NETCARDS discovery

Mid 2008NFZ’s declaration of accession

Jan. 2009NFZ joined NETCARDS project

Sept. 2009 first pilots

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Result of our activities

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but in Poland:

No of HCPs: > 30 000 No of hospitals: > 700 No of pharmacies: > 11 000

Satisfaction ?

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Expectations

Easy way for patients without EHICs

Facilitating data capture for HCPs

Simplification of reimbursement process(for HCPs and CIs)

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Next steps

Full satisfaction – deployment on a full scale

New partnership initiative – Business Plan

3 DGs dealing with e-Health solutions

DG INFSO DG EMPLOYMENT DG SANCO

e-StrategyeProjects

NETCARDSepSOS

STORKH-PRO

Reg. 883/04Reg. 987/09

Cross-borderDirective

EESSIEHICeEHIC

??HCPs registries

Services (products) def.

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EHIC number check

Entitlement check

Authorization level check

Authorization level check

NCEESSI

AP

NCEESSI

AP

HCP

Valid EHIC

ExpiredEHIC

eNHICOther docs

HCP authentication

Docum./Patient

authentication

DB DB

Country A

Country B

CN

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Lessons learned

Yes, we can

Success of project doesn’t mean success of key idea

Each idea should have its business owner (DG)

Coordination on national level – one of the keys to success

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Thanks for your attention

Hungarian Presidency:

1 January – 30 June 2011

Polish Presidency:

1 July – 31 December 2011

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