Frank Robben General Manager CBSS and eHealth platform CEO Smals Sint-Pieterssteenweg 375 B-1040 Brussels Website CBSS: eHealth platform portal: Personal website: IBM Benelux Management Team

November 6th, About me  °1961  studied law, ICT, ICT audit, business administration and personal coaching in Leuven, Antwerp, Tübingen, Munich and Boston  : advisor to the Belgian Minister of Social Affairs  : advisor to the Belgian Prime Minister  1990-now: co-founder of the Interdisciplinary Center for Law and ICT at KULeuven  1991-now: member of the Belgian Privacy Commission

November 6th, About me  1991-now: founder and general manager of the Crossroads Bank for Social Security  : founder and president of Fedict and co-developer of the Belgian electronic identity card  2004-now: general manager of Smals  2008-now: founder and general manager of the eHealth-platform  see

November 6th, Stakeholders  stakeholders of the Belgian social sector - > 11,000,000 citizens - > 220,000 employers - about 3,000 public and private institutions (actors) at several levels (federal, regional, local)

November 6th, Stakeholders  stakeholders of the Belgian health care sector - > 11,000,000 citizens - > care providers (medical practitioners, dentists, clinical laboratories, pharmacists, physiotherapists, home nurses, …) - > 300 care institutions (hospitals, residential care homes, …) - health insurance funds - government institutions

November 6th, Division of tasks  no central data storage but secured exchange of data  Crossroads Bank for Social Security (CBSS) in the social sector and eHealth platform in the health sector act as service integrators - common vision - driving force for change and change management - solid ICT architecture and performant basic ICT services - in charge of a highly protected ICT-cooperation platform, with a reference directory for access control, routing and automatic communication of alterations - process optimization, lateral way of thinking - standards quality information security technical and semantic interoperability - cross-actor program and project management - training and coaching

November 6th, Division of tasks  actors (or their ICT service providers) - development of value-added services for internal purposes (for themselves and their co-workers) and external purposes (for the citizens, companies, …) - information management according to agreed division of tasks 7

November 6th, Division of tasks  Smals, an association specialized in information technology and related competencies, owned by the public actors in the social and health sector - hires ICT-specialists at normal market conditions and places them at the disposal of its members - elaborates shared ICT-services for its members (e.g. data centers, monitoring and supervision of applications, portal environments, …) - executes (common) projects for its members - has a research and development center for its members (recent European patent application for electronic (health) vault)

November 6th, Context  huge social challenges, e.g. - prevention against poverty children middle class elderly people - affordable health care  retrenchment of financial means - government - companies and citizens  too much and too complex regulation

November 6th, Context  too heterogeneous political decision making - European level - national level - regional level

November 6th, Challenges CBSS  to simplify processes and to create value chains - within government (all levels) - between government and companies/citizens  to provide decision makers the right information to take the right decisions in terms of social security regulations, cost savings, …  to increase its role of reliable and efficient service integrator for social security institutions and any other public or private company needing access to social security information

November 6th, Challenges eHealth platform  to convince health care providers and institutions - to keep well-structured, multidisciplinary electronic health records - to make relevant data electronically available for every colleague that has a therapeutic relationship with the patient - in order to foster the quality of care and the patient’s safety, and to prevent unnecessary multiple medical examinations  to convince decision makers to diminish administrative burden for health care providers

November 6th, Overall challenges  to create synergies - within government - between government and private sector - even across country borders  to reason out of the box

November 6th, CBSS & IBM  IBM is the CBSS historical partner for IT from the 1990’s MVS mainframes to the present open SOA platform  IBM successfully helped CBSS to move its hardware, software and application infrastructure to a distributed, web service oriented platform 06/11/2012

November 6th, CBSS likes  IBM robustness and large portfolio of products and solutions  the high level of expertise and reaction time of hardware technical field engineers  the quality of incident and problem management procedures  the quality of the support in crisis situations  the local capability to take decisions 06/11/2012

November 6th, CBSS dislikes  poor knowledge level for some software products within local IBM teams  poor reaction time for software and middleware problems  software license policy and cost for small companies  the complexity of software packages for small business needs  manpower cost 06/11/2012

November 6th, CBSS expects  tailored customer care taking into account size and business constraints  better knowledge of customer’s business and proactive approach to meet customers’ challenges  higher level of technical expertise in Belgium 06/11/2012

November 6th, CBSS expects  open access to technically relevant information - competence centers per product family (Websphere, DB2, DataPower,...) directly and easily reachable by the customers - list of success stories and reference projects available to all customers - forums to share user experiences, pieces of codes, configuration settings – like in the open source communities 06/11/2012

November 6th, CBSS/eHealth platform can provide  CBSS - an interoperability model and concepts for e-Gov projects worldwide - a successful reference migration project of a legacy system to a SOA platform - an example of a working SOA platform that meets new business needs  eHealth platform - a model for a successful implementation of eHealth - basic web services and open source libraries needed to organize secure exchange of health data 06/11/2012

20 juni /23/ you ! Any questions ?