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Gemalto in the Electronic Healthcare at the heart of your healthcare system

Gemalto in the Electronic Healthcare at the heart of your healthcare system. Robert Isnard VP Government Programs. Innovation: 9 R&D sites worldwide 1,300 engineers 80 inventions first filed in 2008 Over 5000 patents Global footprint: 17 production sites 30 personalization facilities

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Gemalto in the Electronic Healthcare at the heart of your healthcare system

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  1. Gemalto in the Electronic Healthcareat the heart of your healthcare system Robert Isnard VP Government Programs

  2. Innovation: • 9 R&D sites worldwide • 1,300 engineers • 80 inventions first filed in 2008 • Over 5000 patents • Global footprint: • 17 production sites • 30 personalization facilities • 75 sales & marketing offices • Experienced team: • 11,000 employees • 90 nationalities • 40 countries Financials 2008 € 1.68 billion revenue € 344 million net cash Revenue by business segment Gemalto in key figures 2 17/02/10

  3. Billions of people use our solutions each day Crypto Password Generator Chip & Contactless Payment Cards Mobile Subscription Management & Services Software Applications and NFC Solution & Services Personalization Services Secure Software & Data Management Over-the-air (OTA) Managed Services Secure e-Documents and Issuance Software Online Authentication Software & Services End-to-end Solutions for Government Applications Two-factor Strong Authentication Personal Devices & Applications Illustrative and not an exhaustive list of Gemalto solutions 3 17/02/10

  4. World Leader in Digital Security  Markets in strong development  Unique technology portfolio  Blue chip customers  • Leading Provider of Secure Documents, Identity Solutions & Services  4 17/02/10

  5. Drivers • Operation cost reduction: • Automation of data capture (claim management, prescription…)‏ • Business process rationalization • Electronic transfer for patient files • Migrating from paper to electronic documents which increases reliability and accuracy • Tackling fraud: Only eligible patients have access to re-imbursement • Electronic identification & authentication • On-line pre-authorization and right validity checks • Visual security (picture, security features)‏ • Social benefits distribution (free transport, cash…) -> electronic « social » granted money • Providing better managed health services • Coordinate heath services  electronic Personal Medical File • Mobility: Access to medical services in remote locations • Emergency data available in the card/server • Access to self-service kiosks for real-time updates requires a secured healthcare IT infrastructure 5 17/02/10

  6. A c t o r s New subsystem needed to manage e-healthcare TRUST CENTER C M S Health Prof. Card / Token Reader Patient DataBase Independent Health Professional Authentication Gateway Pharmacies Authentication Gateway E n t i t l e m e n t Health Insurance Card Hospitals Health Prof. DataBase H e a l t h c a r e I T n e t w o r k Others - Added value Typical healthcare IT infrastructure and actors 6 17/02/10

  7. For Health Insurance Companies • Card Issuance • Health insurance smart card • Personalization services • Card Management System • For Health Professionals and Hospitals • Card Acceptance • Health professional smart card • Health professional Token • Smart card readers • Healthcare applications • For Health Operators • Authentication • PKI infrastructure • Trust center • Authentication gateway • Flow management • Integration Services • Specifications definition • Program management • Connection of the different bricks to create the complete solution • Installation and deployment • Training Gemalto healthcare document offer: Overview 7 12/02/10

  8. Why Gemalto More than 100 000 000 health insurance cards successfully deployed ! • From subsystem provider to complete Healthcare IT deployment - the most flexible offer in the market • France: • 60 M personalized health insurance cards (Vitale), over 1 M health professional cards (CPS) and 60 000 dual slot readers • Germany: • More than 30 M personalized health insurance cards (KVK) and 50 000 dual slot readers • AOK award for 35M personalized new PKI heath insurances cards (eGK)‏ • Finland: • More than 9 M personalized health insurance cards (Kela)‏ • Slovenia: • More than 2 M health insurance cards, dual slot readers and personalization subsystem solution • Mexico: • 3,7 M personalized health insurance cards (Seguro Popular), PC/SC readers • UK: • 1,2 M health professional cards (NHS Connection for health) and internet Authentication Gateway subsystem solution • Puerto Rico: • 1 M health insurance cards • Algeria: • Complete healthcare IT definition and deployment, including cards and readers • European health card: • NETC@RDS 8 17/02/10

  9. References • GIE SV France • GIP CPS France • AOK Germany • BKK Germany • Bundesnapschaft Germany • NHS UK • Seguro Popular Mexico • Puerto Rico • Denver health hospital US • Kela Finland • CFT Russian social card • ZZZS Slovenia • NETCARDS Europe 9 17/02/10

  10. Customer implementationFrance • Eco-system • The current system has remained the same since 1948 • Healthcare spending in 2005 : 190 Billion Euros • National health insurances : 136 Billion € • Complementary health insurances : 30 Billion € • Paid by the patient : 24 Billion € • State Budget = 320 Billion Euros • 1995: first deployment of eHealthcare application “Vitale” project • Concept of the “Vitale“ project • Reduce the operating cost of the French insurance systems • Create an IT system to bring healthcare savings of 300 M€ per year • On going project : “Vitale2 “ • On-line capability • Possibility to run multi-applications - Healthcare and then pay for the debit card • ePrescriptions • Prepare the technology base for the central Medical Data File 10 17/02/10

  11. Customer implementationGermany • Eco-system • Healthcare spent in 2005 : 220 billion € • State Budget = 290 billion € • 1990: first deployment of eHealthcare application: “KVK” project • Concept of the “KVK“ project • Reduce the operating cost of the German insurance systems • Pure Off-line mode • Cost saving per year : 250 M€ • Total project costs : 270 M€ • On going project “eGK” • On-line pre-authorization • PIN for strong authentication • ePrescription on board • Emergency medical information 11 17/02/10

  12. Algeria e-HealthCare case studyObjectives:Fraud reduction (internal & external) , cost control (authentication & traceability) and improved services

  13. Algeria Healthcare card projectprovision of a turn key solution to modernize the healthcare system • Facilitate healthcare services & decrease costs in a fast-growing country • 33 million population, 80% of which benefit from national healthcare • CNAS wants to reduce fraud, speed-up payment settlements and reduce costs, better visibility over the system • Complete system, based on a central repository: Geographically widespread paper system in place, spread out over the 48 Wilayas • Off-line authentication of patients  decentralized health application • On-line authentication & signature of professionals  centralized data collection • Delivery of a turnkey solution over 3 years (ending Q4 2008)‏ • Citizen Enrolment, Issuance and eGovernment Solutions (CMS, PKI, Readers, ...)‏ • 7 million eHealth cards for the families • USB tokens for 20Ku HC professionals CitizenEnrolment IssuanceSolution eGovernment Solutions eBorder Solutions Secure Documents 13 17/02/10

  14. Carte CNAS Carte CNAS Carte CNAS System components Token for professionals and APIs Personnalisation system, CMS, PKI infra & patient enrolment Cards & readers Training TURN KEY SOLUTION 14 17/02/10

  15. Mexico Healthcare case studyHow to address 12M people who are not covered with any type of Healthcare benefits or Social Security in Mexico ?

  16. eHealthCare Customer implementation • 12M people who are not covered with any type of Healthcare benefits or Social Security in Mexico. • Seguro Popular: Key project implemented by Mr. Fox with backing from all political wings. Since 2004, Seguro Popular provides subsidies for medicine and medical care to inhabitants with no healthcare benefits. • Need of a system to control & reduce fraud • Policy Management of a sector where there is no Healthcare information • Need of a portable, trustworthy, secure, auditable means of identification, flexible and controlable means of ID. Also addressing those without a bank account & to ensure the correct distribution of healthcare rights to Mexicans 16 17/02/10

  17. e-Diagnostic & e-Prescription 17 17/02/10

  18. Medication delivery 18 17/02/10

  19. Slovenia healthcare case studyobjectives: Reduced healthcare costs and improved quality of care The National Healthcare IT smart card based system

  20. Customer implementationSlovenia • Eco-system • Population of 1.936 million • Electronic healthcare insurance infrastructure first deployed in 1998 to modernize paper-based system • On-going project • 2,1Mu Health Insurance Cards • Insurance information, cardholder details, status of health insurance, organ donor status and primary care physician • 20Ku Health Professional Cards, 5K desktop readers (dual slot)‏ • Online network of self-service terminals in healthcare facilities • Healthcare service provider’s network environment • Phase 2 • PKI digital signature function for electronic signing of data exchanges • Storage of patient prescriptions on the card 20 17/02/10

  21. Program objectives • Increase quality of medical services while simplifying procedures • Improve data security and confidentiality • Reduce administrative tasks • Improve communication between HIIS, users and private healthcare providers • Make investment cost-efficientat national level 21 17/02/10

  22. System Overview • HIIS database network links all parties involved: Insurance companies Social welfare • Claim submission • Eligibility verification Employer HIIS National Network • Claim submission • Eligibility verification • Employment verification Hospital/Clinic Pharmacy • Self-service terminals • Online record retrieval • Eligibility verification • Claim submission • Eligibility verification • Prescription delivery 22 17/02/10

  23. Conclusion • Slovenia today the most advanced country in the world using IT in healthcare sector • Slovenia used smart cards to achieve the goal of every healthcare organization: Reduced healthcare costs and improved quality of care • Country’s healthcare data is now accurate and up-to-date • Digital storage of data and automation of paper-based processes has resulted in 35% cost savings for HIIS • HIC program is using PKI for web-based healthcare & insurance services 23 17/02/10

  24. Bulgaria • “Electronic Health Record” Project implemented at the Military Medical Academy in Bulgaria by local partner KIM-2000 Ltd. • Objective: to set up an electronic health record system which is • Patient centered • Efficient • Reliable • Secure • User friendly • Gemalto delivered: • Secure Java based MultiApp 72K CC smart cards with IAS classic applet • Terminal GCR 5500-BG - dual slot: • for the patient's card • for the health professional's card 17/02/10

  25. Thank you for your attention

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