NETC@RDS in Poland expectations and lessons learned

1. NETC@RDS in Polandexpectations and lessons learned Andrzej Strug Narodowy Fundusz Zdrowia National Health Fund

2. Helicopter view • Poland: 38 mln citizens • EU accession: 1 May 2004 EHIC introduction in EU: 1 May 2004 • NFZ (National Health Fund): 37 mln insurees • NFZ budget: € 14 bln • No of EHICs/year: 1.3 mln • Cost of EHICs/year: € 3 mln

3. Everyday practice (& problems) • Reissue of EHICs due to short validity period • Vague procedure for obtaining Provisional Replacement Certificates (PRC) • Electronic data exchange for all internal claims (including EU citizens) – but paper copies of EHICs needed

4. Our activity in NETCARDS

5. Result of our activities

6. Satisfaction ? • but in Poland: • No of HCPs:> 30000 • No of hospitals: > 700 • No of pharmacies: > 11 000

7. Expectations • Easy way for patients without EHICs • Facilitating data capture for HCPs • Simplification of reimbursement process (for HCPs and CIs)

8. Next steps • Full satisfaction –deployment on a full scale • New partnership initiative – Business Plan • 3 DGs dealing with e-Health solutions DG INFSO DG EMPLOYMENT DG SANCO e-Strategy eProjects Reg. 883/04 Reg. 987/09 Cross-border Directive NETCARDS epSOS STORK H-PRO EESSI EHIC eEHIC ?? HCPs registries Services (products) def.

9. DB DB EHIC number check Entitlement check Authorization level check Authorization level check NC EESSI AP Docum./Patient authentication Country A CN Country B NC EESSI AP HCP authentication HCP Valid EHIC Expired EHIC Other docs eNHIC

10. Lessons learned • Yes, we can  • Success of project doesn’t mean success of key idea • Each idea should have itsbusiness owner (DG) • Coordination on national level – one of the keys to success

11. Thanks for your attention Hungarian Presidency: 1 January – 30 June 2011 Polish Presidency: 1 July – 31 December 2011