National Healthcare applications Nicanor Isaza ID and Healthcare LATAM Manager Confidential.

National Healthcare applications

Nicanor Isaza ID and HealthcareLATAM Manager

Confidential

HealthCareHealthCareProject Project

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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


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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)

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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)


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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)


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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

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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


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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)

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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.

[email protected]

National Healthcare applications Nicanor Isaza ID and Healthcare LATAM Manager Confidential.

Documents

mu slide

french healthcare system

healthcare spending

system slide

healthcare terminal

healthcare terminal

healthcare terminal

mu germany