Frank RobbenGeneral Manager CBSS and eHealth platformCEO SmalsSint-Pieterssteenweg 375B-1040 BrusselsWebsite CBSS: http://www.ksz.fgov.beeHealth platform portal: https://www.ehealth.fgov.bePersonal website: www.law.kuleuven.be/icri/frobben

IBM Benelux Management Team

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About me

°1961 studied law, ICT, ICT audit, business

administration and personal coaching in Leuven, Antwerp, Tübingen, Munich and Boston

1986-1988: advisor to the Belgian Minister of Social Affairs

1988-1991: advisor to the Belgian Prime Minister 1990-now: co-founder of the Interdisciplinary

Center for Law and ICT at KULeuven 1991-now: member of the Belgian Privacy

Commission

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About me

1991-now: founder and general manager of the Crossroads Bank for Social Security

2000-2001: founder and president of Fedict and co-developer of the Belgian electronic identity card

2004-now: general manager of Smals

2008-now: founder and general manager of the eHealth-platform

see www.law.kuleuven.be/icri/frobben

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Stakeholders

stakeholders of the Belgian social sector - > 11,000,000 citizens

- > 220,000 employers

- about 3,000 public and private institutions (actors) at several levels (federal, regional, local)

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Stakeholders

stakeholders of the Belgian health care sector - > 11,000,000 citizens

- > 100.000 care providers (medical practitioners, dentists, clinical laboratories, pharmacists, physiotherapists, home nurses, …)

- > 300 care institutions (hospitals, residential care homes, …)

- health insurance funds

- government institutions

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Division of tasks

no central data storage but secured exchange of data Crossroads Bank for Social Security (CBSS) in the social

sector and eHealth platform in the health sector act as service integrators- common vision- driving force for change and change management- solid ICT architecture and performant basic ICT services- in charge of a highly protected ICT-cooperation platform, with a

reference directory for access control, routing and automatic communication of alterations- process optimization, lateral way of thinking- standards

• quality• information security• technical and semantic interoperability

- cross-actor program and project management- training and coaching

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Division of tasks

actors (or their ICT service providers)- development of value-added services for internal

purposes (for themselves and their co-workers) and external purposes (for the citizens, companies, …)

- information management according to agreed division of tasks

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Division of tasks

Smals, an association specialized in information technology and related competencies, owned by the public actors in the social and health sector- hires ICT-specialists at normal market conditions and

places them at the disposal of its members

- elaborates shared ICT-services for its members (e.g. data centers, monitoring and supervision of applications, portal environments, …)

- executes (common) projects for its members

- has a research and development center for its members (recent European patent application for electronic (health) vault)

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Context

huge social challenges, e.g.- prevention against poverty

• children

• middle class

• elderly people

- affordable health care

retrenchment of financial means- government

- companies and citizens

too much and too complex regulation

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Context

too heterogeneous political decision making- European level

- national level

- regional level

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Challenges CBSS

to simplify processes and to create value chains- within government (all levels)

- between government and companies/citizens

to provide decision makers the right information to take the right decisions in terms of social security regulations, cost savings, …

to increase its role of reliable and efficient service integrator for social security institutions and any other public or private company needing access to social security information

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Challenges eHealth platform

to convince health care providers and institutions- to keep well-structured, multidisciplinary electronic

health records

- to make relevant data electronically available for every colleague that has a therapeutic relationship with the patient

- in order to foster the quality of care and the patient’s safety, and to prevent unnecessary multiple medical examinations

to convince decision makers to diminish administrative burden for health care providers

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Overall challenges

to create synergies- within government

- between government and private sector

- even across country borders

to reason out of the box

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CBSS & IBM

IBM is the CBSS historical partner for ITfrom the 1990’s MVS mainframes to the present open SOA platform

IBM successfully helped CBSS to move its hardware, software and application infrastructure to a distributed, web service oriented platform

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CBSS likes

IBM robustness and large portfolio of products and solutions

the high level of expertise and reaction time of hardware technical field engineers

the quality of incident and problem management procedures

the quality of the support in crisis situations

the local capability to take decisions

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CBSS dislikes

poor knowledge level for some software products within local IBM teams

poor reaction time for software and middleware problems

software license policy and cost for small companies

the complexity of software packages for small business needs

manpower cost

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CBSS expects

tailored customer care taking into account size and business constraints

better knowledge of customer’s business and proactive approach to meet customers’ challenges

higher level of technical expertise in Belgium

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CBSS expects

open access to technically relevant information- competence centers per product family

(Websphere, DB2, DataPower,...)directly and easily reachable by the customers

- list of success stories and reference projects available to all customers

- forums to share user experiences, pieces of codes,configuration settings – like in the open source communities

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CBSS/eHealth platform can provide

CBSS- an interoperability model and concepts for e-Gov

projects worldwide

- a successful reference migration project of a legacy system to a SOA platform

- an example of a working SOA platform that meets new business needs

eHealth platform- a model for a successful implementation of eHealth

- basic web services and open source libraries needed to organize secure exchange of health data

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20 juni 201120 04/20/2320

Th@nk you !

Any questions ?