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The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

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Page 1: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

The European Health Care Information and Clearing Centre

Jiří Kofránek, Petr Zinek, Petr Sláma

Charles University, Prague & Ministry of Health, Czech Republic

Page 2: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

The text proposal to Prague’s Declaration

We will seek to have a transparent and quick settlement of health service allowances from the European Union’s member states via the interconnection of European Health Insurance companies through the proposed European Health Care Information and Clearing Center.

Page 3: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Transparency and acceleration of the payment settlement

processes by health services

Page 4: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

The current status

Page 5: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Health Insurance Company

Health Care Provider

Health Insurance Company

Health Insurance Company

Health Care ProviderHealth Care

Provider

Health Insurance Company

Health Insurance Company

Health Care Provider

Health Care Provider Health Care Provider

Health Insurance Company

Member state 2

Member state 1

Page 6: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Health Insurance Company

Health Care Provider

Health Insurance Company

Health Insurance Company

Health Care ProviderHealth Care

Provider

Health Insurance Company

Health Insurance Company

Health Care Provider

Health Care Provider Health Care Provider

Health Insurance Company

Member state 2

Member state 1

12

34

Page 7: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

The vision

Page 8: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Health Insurance Company

Health Insurance Company

Health Insurance Company

Health Care Provider Health Care

Provider

Health Care Provider

Health Insurance Company

Health Insurance Company

Health Care Provider Health Care Provider

Health Insurance Company

Member state 2

Member state 1

Portal of National Reference Centre

Health Care Provider

European Health Care Information and Clearing Centre

Page 9: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Health Insurance CompanyHealth

Insurance CompanyHealth

Insurance Company

European Health Care Information and Clearing Centre

ATIT

SENL

Health Care Provider

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

Health Insurance Company

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

DE CZ

Portals of member states reference centers

1

Page 10: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Health Insurance CompanyHealth

Insurance CompanyHealth

Insurance Company

European Health Care Information and Clearing Centre

ATIT

SENL

Health Care Provider

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

Health Insurance Company

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

2

2

DE CZ

Portals of member states reference centers

1

1

Page 11: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Health Insurance CompanyHealth

Insurance CompanyHealth

Insurance Company

European Health Care Information and Clearing Centre

ATIT

SENL

Health Care Provider

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

Health Insurance Company

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

23

2

3

DE CZ

Portals of member states reference centers

1

1

Page 12: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Health Insurance CompanyHealth

Insurance CompanyHealth

Insurance Company

European Health Care Information and Clearing Centre

ATIT

SENL

Health Care Provider

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

Health Insurance Company

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

23

2

3

4

DE CZ

Portals of member states reference centers

1

1

4

Page 13: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Health Insurance CompanyHealth

Insurance CompanyHealth

Insurance Company

European Health Care Information and Clearing Centre

ATIT

SENL

Health Care Provider

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

Health Insurance Company

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

23

2

3

4

1

DE CZ

Portals of member states reference centers

5

1

4

Page 14: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Health Insurance CompanyHealth

Insurance CompanyHealth

Insurance Company

European Health Care Information and Clearing Centre

ATIT

SENL

Health Care Provider

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

Health Insurance Company

Health Insurance Company

Health Care ProviderHealth Care

ProviderHealth Care Provider

23

2

3

4

1

CZ

Portals of member states reference centers

6

DE

7

1

4

Page 15: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Secure transfer of health documentation

Page 16: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Neu

tral

dat

a

document identifier

Patient name… (personal ID)

document identifier

Medical record content

Sen

siti

ve p

erso

nal

dat

a

Medical record content

Patient name… (personal ID)

Neu

tral

dat

a

Page 17: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Neu

tral

dat

a

document identifier

Patient name… (personal ID)

document identifier

Medical record content

Neu

tral

dat

a

Cross connection table

Medical record database

Sen

siti

ve p

erso

nal

dat

a

Medical record content

Patient name… (personal ID)

Reconnection is permitted to authorised persons only

Page 18: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

European Health Care Information and Clearing Centre

Patient ID Document IDHead ID

CROSS CONNECTION TABLE

Patient ID Document IDHead ID

Document ID

Medical record content

Head ID

Patient name… (personal ID)

Medical record content

Patient name… (personal ID)

Portal of National Reference Centre

Reconnection is permitted to authorised persons only

Page 19: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

Benchmarking of

• The consumption and price structures of pharmaceuticals in individual E.U. countries

• The quality and the costs the health care provided

Page 20: The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

EU pharmaceutical policy coordination

Consumption structure Price structure

European Health Care Information and Clearing Centre

AT ITSENL

DE CZ

Portals of member states reference centers

Benchmarking

Member states comparison