Building of Secured Integrated Infrastructuretrough Introducing eHealth Cards

17.06.2008 – Jörg Stadler

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Why build up a secured integratedeHealth infrastructure?

What was the motivation of peopleto build up a railroad infrastructure? The need of a secured and economical way to transport

people and commodities to the right place at the right time!

What is the motivation of people to buildup an eHealth Infrastructure? The need of a secured and economical

way to transport relevant information to the right person, at the right place at the right time!

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eHealth Infrastructure Solution –A Basis for Running Added Value Services

VPN

VPN

SSL

eKioskApplica.

Kiosks

Operating Company – eHealth Infrastructur

VPN

Sevice Partner

CACard

Issuer

ICW

LifeSensor

Primary Systems

Health Service Prov.

CardTerminal

ICW Box

Primary Systems

Health Service Prov.

CardTerminal

ICW Box

PlattformManagem.

Prof. Suit

AW-P.

Ext.Labors

AW-P.

Billing

RemoteManagem.

Applic.Managem.

Governm.

Governm.Applic.

Customer

CustomerApplic.

CAMS

Patient

@ Home

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3- Layer Model of an eHealth Infrastructure Solution

Hardware / Network Layer - WAN - Hardware Devices

Spe

cific

.

Ope

ratin

g

Ope

ratin

g

Ope

ratin

g

Operating / Service Layer - Providing Basic Services - Management of the Infrastructure

Services

Services

ServicesS

ervices Application Layer

- Added Value Services

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Hardware and Network Layer

• The Hardware and Network Layer cares for– the physical secured connection of all participants to the eHealth

Infrastructure.• Connectivity• Security• Availability of the Connectivity

– The hardware needed to run the services and applications• WAN• Card and Card Readers• Healthcare Connectors• Concentrators

– Interoperability of all these components

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Operating and Service Layer

• Managing and operating the eHealth Infrastructure– Cares for the functionality and availability of the eHealth Infrastructure

• Management of the data center• Remote management / remote software distribution• Platform management• …

– Provides services to added value service provider• Transaction management / billing• Audit service• Directory services• ….

– Cares for security• Identity management• Security concept• …

• Managing the Roll Out of the eHealth Infrastructure

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Application Layer

• This is the layer where– the Solutions are running, solving the Problems of the customer like

• Transparency of the issued and dispensed pharmaceuticals• Simplification of billing processes• Improved treatment• Reducing costs• Reduction of fraud• ….

– Added Service Provider can offer additional Services• Contraindication and interaction check• Personal Health Record• Doctor’s Letter• Telemonitoring• Claims management• ….

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Source: Frauenhofer Institut Arbeitswirtschaft und Organisation, January 2006

Roll out ofinfrastructure

Technical utilization

Services

eHealth Infrastructur as Precondition for an efficient Roll Out of Added Value Services

• Roll-Out of Infrastructure- Focus on implementation of technology, e.g. Electronic Health Card (EHC)

• Technical Utilization- Dissemination of technology as a commodity for all age groups- Usage of initial applications

• Services- Development of complex product and service portfolios- Added Value Services customized to the needs of various age groups

- 5 -

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Critical Success Factors

The eHeath Infrastructure Solution should be designed as an open eHealth Platform.

The more services the “Operating and Service Layer” is providing and the easier “Added Value Service Providers” can integrate them, the more applications will be offered in the Infrastructure.

The value of an eHealth Infrastructure is not the Hardware and Software, it’s the amount of useful information made available at the right place to the right person at the right time.

A good balance between usability and (data)security guaranties a high acceptance and efficiency of the solution. But take care ...

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„Sorry - I don‘t know why You are here –

I don‘t have access to your health information…“

… and don‘t forget your eCard on your last journey!

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„Sorry - I don‘t know why You are here –

I don‘t have access to your health information…“

… and don‘t forget your eCard on your last journey!

Thank

You

for

Your a

ttent

ion!

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Thank you for your attention