healthcare smart cards - at last? lifehouse mike mccurry smart cards project manager scnf 5 november...
TRANSCRIPT
Healthcare smart cards - at last?
LifeHouse
Mike McCurry
Smart Cards Project ManagerSCNF 5 November 2002
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LifeHouse My Background
• 1984 - 1989: Rhydfellin and Exmouth projects
• 1990 - 1995: ‘Eurocards’ EC Concerted Action
• 1996: EC’s PHARE project in Poland
• 2000 - 2001: Business Development, USA smart card software company
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LifeHouse
• 1983 - 1995: UK Department of Health representative on issues involving smart cards
• Former chair of the Smart Card Club’s Healthcare Cards Forum
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LifeHouse What is LifeHouse?
• A London-wide database of clinical information taken from operational systems– primary care– secondary care– NHS Direct– London Ambulance Service
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LifeHouse
Server
PMILondon
Hospitals
CMDS IOS
LondonP
ilot G
Ps
Pilo
tH
osp
itals
FDAAnonymousEthicsGovernance
Anonymous Data
NHS Clinical Policy Statistical Policy Budgetary Epidemiology
Site ManagementClinical ResearchBiotech CompaniesPharmaceuticals
National Strategy Alignment
PMI ICRS NPRAS
National RegistrationSystem
NHS WideClearing Service
Secure Cards email
GovtGateway
ConsentTemplate
Informedconsent
Doctors
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LifeHouse
Design
AnonymisedDatabase
CID/HRINSTS/Extr
ClearingService
Hospitals -CMDS
GP - Itemof Service
IA
PMIData QualityManagement
Team
KeyCurrentNext stageFuture LHFuture LH & IAPossible
CDR
NHSTrust
GP
NHSTrust
GP
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LifeHouse
Pilots1. PMI, CMDS and IOS (March 2003) -- Goldfish Bowl Studies2. Clinically rich: C&W (March 2003) 3. Mayday & Croydon (March 2003) 4. Community/Primary (July 2003)
NHS LifeHouseDesign Authority
Data Quality
London Amb ServiceAccess
Card Readers
NHS DirectAccess
Gateway
SecureCards
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LifeHouse Why a smart card
Authentication token for secure access to Authentication token for secure access to clinical recordsclinical records
• PKI
• Biometric
• Visible NHS number
• Emergency medical information
• No clinical data on the card
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LifeHouse Card Overview
• Multi-application smart chip
• Open systems
• Using existing standards
• Card management system
• Robust registration procedures
Creating an opportunity for shared cardsCreating an opportunity for shared cards
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LifeHouse
SecureCards
• Objective - 200,000 cards issued to healthcare professionals and patients
• Procurement process - OJEC advert
• Uses and users, public, staff, etc
• Implementation routes
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LifeHouseNot re-inventing flat
tyres
Seeking advice from and working with:
• NHS Information Authority
• eEnvoys Office
• CEN TC 251
• ISO TC 215
• LondonConnects
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LifeHouse Card holders
Patients
• Voluntary (no charge for the card, proposed)
• By application
Healthcare professionals
• All who are involved in the process of healthcare delivery
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LifeHouse
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LifeHouse Pilots sites
• Users awareness programme and publicity– the citizen– GPs– hospitals– ambulance service staff
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LifeHouse Pilot sites
Suppliers• ‘total solution’
– probably not registration– everything else from the white card to issuance
• Card life cycle management– outsourced
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LifeHouse Hurdles
• Public acceptance
• Healthcare Professions
• Costs
• Perceived benefits
and many others I’ve probably not thought and many others I’ve probably not thought of yet!of yet!
