social security card and e-p.o. box for secure and convenient ict society

1Copyright 次世代 IC カードシステム研究会C

Hiroshi Shimada

NICSS

JAPAN

Social Security Card and e-P.O. box

for secure and convenient ICT society

Porvoo 12 @ Grosseto

October 18, 2007


Current social status and forecast in Japan

• Japan is very rapidly becoming so called an aging society

– Increase of average life span and decrease of birthrate

1. Declining birthrate Decreasing worker population ⇒ ⇒Revenue shortages

2. Aging Increase in social security costs⇒

3. Keep a balance between satisfaction and financial resource.

　　


IT structural reform strategy• Issued in January, 2006 by Government of Japan

• Structural reform enforced by ICT as leverage

• Solution to the foreseeing social dilemma

• Focus on Healthcare and e-Government– Healthcare

• Construction of National database for EBH, EBM and personal EHR

• Supporting home medical treatment and consultant using ICT etc.

– e-Government• Establishment of GPMO, PMOs to optimize the total e-Government

• Establishment of IT governance etc.


Promotion of IT in Healthcare

• Introduction of personal healthcare record system (EHR) to enable retrospective examinations (personal benefits) and to establish a preventive medicine (public benefits)

• Home healthcare using digital TVs

• Medical cost settlements will be 100% paperless by 2010

Estimated saving of administration cost is 1400M

US$/year Next IT investment


New pension management system plan (Announcement from The government party)

• Introduction of Social Security Card• A card having roles of a pension booklet, health insurance card, and nursing

care insurance card etc.

• Considering the health insurance card for example, the number of

card is 110 million for people of age 10 or older.

• Facial photo is attached if required as photo identification card• Allows you to check your own pension record safely and promptly anytime

not only from the contact window at the office, but also from PC in your home.

• Linkage with the resident registration network

• Security is ensured so that no one can steel another persons' record.

• It is planned that Social Security Cards start to be delivered in 2011.


Introduction of e-P.O. (Post Office) box (1)• Purpose

– Disclosure of information on a person to the person by administrative and social security-related organization

• Background

– Proposed in the IT Strategy Headquarters of Dec. 2006.

– Described in the Priority plan 2007, Large-boned policy of the government.

– The support body will be established newly in the IT Strategy Headquarters; Cooperation by the Cabinet Secretariat, Ministry of Internal Affairs and Communications, and Ministry of Health, Labor and Welfare.

– Basic policy will be decided in 2007, environmental arrangement will be made in 2008, and the e-P.O. Box will be implemented in 2010.


• Open a personal account in the cyberspace for every Japanese

resident

• Just like a bank account, Smart card will be used for a secure and

easy access Good for the social acceptance

• Convergence all services provided through the portal

– e-Government services; One stop service

– Social security status check; national pension, health insurance,

employment insurance etc.

– Healthcare; EHR for better preventive medicine

Introduction of e-P.O. box (2)


Concept of Bank account

Bank Account

Access card

Local Gov.CompanyWaterElectricity ・・・

・

Electricity charges

Water charges

Salary Tax payment

Access to the bank account

◆Account Information

　 - Deposit

　 - payment

　 - Balance

People control the money flows through the bank account

User


Nation ・ Municipality・ Electric Administration

Insurer・ Government-managed health insurance 　・ Health Insurance Society 　

Pension

・ Employee pension etc.

Medical institution

×× ： Identity verification methods (Card, Pension booklet etc.) are inconsistent.×× ： Places to obtain information are inconsistent.×× ： Service windows are inconsistent.×× ：： Lifelong health information control etc. is not possible.

Complicated system linkage is required to realize one-stop service.

Many cards are required to use medical institutions.

Moving

Job changeWhere to go and what to do!?

Health Insurance card

Pension booklet

Resident RegistrationCard

Clinic card

People

年金手帳

社会保険庁

年金手帳

社会保険庁

健康保険被保険者証

記号□□番号□ □ □ □ □ □ □氏名　日本　太郎生年月日　昭和 XX 年 XX 月 XX 日資格取得年月日平成 XX 年 XX 月 XX 日事業所所在地○○県○○市○○町 1-2-3事業所名称　○○○○株式会社保険者所在地　○○県○○市○○町○○ 1-2-3保険者番号・名称　ＸＸＸＸＸＸＸＸ　○○健康保険組合

交　　　付　平成 XX 年 XX 月 XX 日有効期限　平成 XX 年 XX 月 XX 日

住民基本台帳カード

△△ 市XXXX 年 XX 月 XX 日まで有効

生年月日　昭和 XX 年 X 月 X 日氏　名　　日本　太郎　　　　　　

住　所　△△市○○区○ 1-2-3

Where should I go next??

○○ 県○○市○○町３－２－３

ＸＸ－ＸＸＸＸ－ＸＸＸＸ

診察券

○○ 眼科

○○ 県○○市○○町２－２－３ＸＸ－ＸＸＸＸ－ＸＸＸＸ

　　 ×× 診療所○○ 病院

○○ 県○○市○○町１－２－３

ＸＸ－ＸＸＸＸ－ＸＸＸＸ

Current way to manage own informationCurrent way to manage own information

RetirementReceipt ofpension


Medical institution

・ Total benefit amount 　・ Total burden charge・ Insured person qualification 　　　・ Medical check record

！○○ ： Identity verification using a single card.○○ ： Manage important information by yourself○○ ： Unification of diagnosis result and medical check result○○ ：： Lifelong health information control etc. is possible.

（ Electronic information personal account ）

　　 Each people can have its own “e- P.O. box", if so required, to manage its own pension information and health information together.　　 One-stop service for administrative paperwork etc is possible through this “e-P.O. box".

Nation/Municipality・ Electric Administration

InsurerPension

・ Employee pension etc.

Pension information・ Insurance subscription record・ Benefit amount・ Burden charge

Health information・ Diagnosis result・ Medical check result

Insurance information・ Insurance qualification・ Employment insurance fee・ Nursing care insurance fee

Convenient!!!!Convenient!!!!Easy to understand!!Easy to understand!!

Various certificates・ Residence certificate・ Seal certificate・ Tax payment certificate

PeopleAccountCard

e-P.O. box

e-P.O. Box realizes convenience

・ Government-managed health insurance 　・ Health Insurance Society 　

Confidential Communication by Encryption


Key issues for social acceptance

• Bank account for cash flow1. Service provider is well trusted by holders

2. Account status could be checked by the holder at anytime

3. Use of the account is under the holder’s control

• e-P.O.Box for information flow– Just like the bank account + Additional functions

– Additional functions: One stop service for e-Gov., Navigation of public services, Letter box to send and receive confidential mails, Validity check of digital signature

– Loose connections to the back offices


Issuance of New eID card

Card issuance center

City City

Resident

Process of card issuance

①Application

②Request

Dig. Sig. On-line Auth.

LDS of e-Passport would berecorded

New eIDwith facial photo

③Issuance


Use of the e-P.O.Box for health insurance

New e-ID

Health insurer ③On-line check

of health insurance

④ResponseHospital

healthinsur-ance

e-P.O. Box

②Encrypted Health insurance information

①Application


Conclusion• It is necessary to study, ASAP, introducing the e-P.O. box which has combin

ation with new e-ID card. - All messages through this box are standardized, digitally signed and encrypt

ed - Access to this box could be made by eID just like bank account - Life event such as employment, retirement, graduation, move, drives a navig

ation of administrative procedures -Other data such as EHR could be downloaded at the user’s choice

• It is recommended to have the resident registration card and social security card coexist and to support access to the e-P.O. box by those cards as new e-ID Card through the use of public personal authentication service.

• Such a system should be studied in which personal information, upon a request by that person in the standard description format, is provided

to the e-P.O. box of that person, and the sender of the information bears the cost.


NICSS: [email protected]

If you have any question or opinions regarding the contents of this presentation, please contact the addresses below:

[email protected]

NICSSNICSS

(The (The NNext generation ext generation IIc c CCard ard SSystem ystem SStudy group)tudy group)

social security card and e-p.o. box for secure and convenient ict society

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