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NETC@RDS for e-EHIC

A Step Towards the Introduction of the electronic European Health Insurance Card

PROJECT KEY ELEMENTSPROJECT KEY ELEMENTS

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Background and Challenges

Pan-European initiatives to foster mobility & skills inside the E.U

Since June 2004: common EU Health Insurance Card (EHIC) – ensures access to health care when abroad inside the EEA

EHIC: Eye-readable document – minimum common denominator – only a temporary solution on the way forward to an e-EHIC

But in 25 Member States + other EFTA countries – different levels of care entitlement, different levels of IT infrastructure

Announced decision on long-term course – 2008+

NETC@RDS challenge: to demonstrate potential of harmonising different solutions – by applying modern IT capabilities

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Project at a Glance Full Market Validation

20 partners from 10 Member-States : Austria, Czech Republic, Finland, France, Germany, Greece, Hungary, Italy, Slovak Republic and Slovenia + Estonia, Netherlands, Norway and Poland as observers

All partners: not-for-profit institutions onbehalf national or regional health authorities

Number of pilot sites: 70

Time schedule: May 2004 – March 2006

Possible extension till Oct 2006

Budget: 5 M€ (50% e-TEN)

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Pilot in Greece(Olympic Games 08/2004)

There were 79 emergency cases treated by 8 amongst 14 pilot units. 13 NETC@RDS cases.

The feedback concerning technical functionality, easy use of the demonstrator and acceptance was very positive. Differences between NETC@RDS and EHIC could be shown.

Service Evaluation

Summary of the Greek pilot results

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• Users found the service simplified and speeds up the process

• No training problems (system found simple and usable)

• The common interface was useful, but common procedures also needed

• Further improvements would increase benefits gained

• Administrative / legal problemsidentified and provisionallysolved

Pilot Early Assessment

Overall positive response - the system proved to be useful

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Technical problems were only experienced by reading national Health Insurance Cards not defined in NETC@RDS. The problem with the EHIC is the high rate of transcription errors.

Service Evaluation

Technical Issues (Greek pilot)

(n = 20)

9. Experienced problems with the Netc@rds software

19

18

18

13

1

3

1

2

4

1

0 5 10 15 20 25

Other errors

General software errors

Printing errors

Card reading errors

never seldom often other

(n = 20)

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Running Portal

EHIC database

SmartCard database

Target for 2006

EHIC & SC database

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Phasing eEHIC with national schemes

Phase A1

e-EHIC Phase 3 : Deployment

Phases A2-A3 PilotsNETC@RDS Phase B

Initial Deployment

Deployment

2002 2003 2004 2005 2006 2007 2008 2009

French HIC Vitale 1 French card next generation

NETC@RDS NETC@RDS

Lombardia New Health Smart Card Full Deployment

Slovenian Health Insurance Card

German Health Memory Card

Lombardia Health Smart Card

German Health Smart Card

Visual EHICPhase 1 : Preparation

Visual EHICPhase 2 : Deployment

Austrian HIC Tests Austrian HIC Full Deployment

Upgrading with EHIC data & functions

Extension

Other Health Insurance eye-readable or electronic entitlement documents