in Poland expectations and lessons learned Andrzej Strug Narodowy Fundusz Zdrowia National Health Fund

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 2

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 3

Our activity in NETCARDS  End 2007NETCARDS discovery  Mid 2008NFZ’s declaration of accession  Jan. 2009NFZ joined NETCARDS project  Sept. 2009first pilots 4

Result of our activities 5

but in Poland:  No of HCPs:>  No of hospitals:> 700  No of pharmacies:> Satisfaction ? 6

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

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

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

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

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