Continuation 10th Anniversary Conference Sustainable services for cross- border citizens mobility Budapest May 10th, 2011 Contractual arrangements for the sustainability of the Gerhard Brenner ZTG/Germany Version 1.0 Status May 8th,2011

Continuation Various Organizations in 17 Countries represented by 30 Organizations from : Health Care Organizations Statutory Social Health insurance Funds Research Institutes Commercial Companies IT- Companies

Continuation Challenge Binding Regulations in order to: cooperate implement service units assure claims of services guarantee reimbursement protect privacy incorporate new partners proceed after EU-funding

Continuation General Agreement concluded on April 2003 between 6 corner-organsiations from 4 countries AOK Baden-Württemberg,Stuttgart Caisse Nationale d’Assurance Maladie des Travailleurs Salariés(CNAMTS),Paris Hauptverband der österreichischen Sozialversicherungsträger, Wien Idryma Koinonikon Asfaliseon (I.K.A.),Athens Centre des liaisons Européennes et Internationales de Sécurité Sociale(CLEISS),Paris Deutsche Verbindungsstelle Krankenversicherung Ausland (DVKA),Bonn

Continuation Reasons for the General Agreement the contractors (sickness funds and liason offices) of the General Agreement are not by majority identical with the Partners the sickness funds conduct the pilots in the pilot- regions on behalf of the the sickness funds guarantee the reimbursement of the services

Continuation Most important article in the General Agreement Basis for sustainability: This agreement is concluded for a period of infinite duration. This agreement will not automatically end with the termination of the

Continuation Continuation Letter has been issued on December 27th, 2010 to 21 competent institutions to check the willingness for continuation Go or no go

Continuation Principle Interests for Continuation Status May 8th,2011 Austria(HVOS) Netherlands (VECOZO) Germany (3 AOK: BW, Bavaria,North East ) Liechtenstein Poland (NFZ) Czech-Republic (VZP) Slovak-Republic(VZP

Continuation Questions for the continuation after the end of EU-funding: provision of the services operation of the National Portal investments on own national budget contributions to central costs for coordination period of guarantee responsibility for operation responsibility for contractual arrangements

Continuation 2 options for the organizational framework Foundation of legal body as a non-profit Organization Framework Agreement on the European Network for Electronic Data Exchange in the Health Care Sector (ENED)

Continuation Objectives and measures of coordination within the framework agreement Exchange of information on the operation of the current RDS services and the functionality of the portal infrastructure Support to the partners for further development of services and software specification based on the business plan Definition and development of standards for the security policy Production of the convergence of the RDS services with the requirements of EESSI (European Electronic Social Security Infrastructure) Production of the convergence with other EU projects on cross-border data exchange (eg. epSOS, Stork) Verification of the data to be exchanged with the associated databases Integration of software vendors to implement software solutions into the IT systems of hospitals and physician´s practices

Continuation Contents of the Framework Agreement Preamble Article 1 Subject of the agreement Article 2 Objectives of the agreement Article 3 Cooperation Article 4 National portal infrastructur Article 5 Partners responsibilities Article 6 Services for medical treatment Article 7 Presidency Article 8 Coordination tasks Article 9 Decision -Making Article 10 Intellectual property rights Article 11 New partners Article 12 Associated partners Article 13 Duration of the agreement Article 14 Merging into a legal body

Continuation Next steps Contact the non answering partners Conclusion of the Framework Agreement Establish the alternation in the presidency Looking for an hosting organsation Recruitment the Advisory Board

Continuation Thank you very much for your attention Gerhard Brenner Project-leader: contractual and legal issues