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The Austrian e-card project An Overview Walter M. Bugnar – project manager.

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Presentation on theme: "The Austrian e-card project An Overview Walter M. Bugnar – project manager."— Presentation transcript:

1 The Austrian e-card project An Overview Walter M. Bugnar – project manager

2 page 2 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Vision of e-card System and Basic Application Project Figures, Features, System Overview e-card Project: Multi-Organisation Enterprise Time Schedule and Rollout Figures The e-card Project meets Goals Extended e-card Usage

3 page 3 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview „Consultation of a Doctor“ …how it was before… Employer Employee Issue of health insurance vouchers Sending of health insurance vouchers to Social Security Institutions for.........Accounting 42 million / year Computer System(s) Social Security Institutions Insurance status: Registration & Deregistration process (1) (2) (3) (4) General Practioner

4 page 4 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview … then we created a vision: „e-card operates in the fields of e-Social Security, e-Health, e-Government and e-…“

5 page 5 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Vision of e-card System and Basic Application Project Figures, Features, System Overview e-card Project: Multi-Organisation Enterprise Time Schedule and Rollout Figures The e-card Project meets Goals Extended e-card Usage

6 page 6 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich FrontBack with European Health Insurance Card The Austrian e-card project - An Overview The e-card layout

7 page 7 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Features of the e-card  The e-card is a smart key card and signature card enabling reliable verification of health care entitlements  The e-card incorporates 2 signature applications which support  Secure Electronic Signatures (for e-gov applications according to SigG and SigV)  Social Insurance Signatures  The e-card stores holder's name, date of birth, sex, social insurance number, card serial number and user group identification  The e-card is the European Health Insurance Card  replaces form E-111 for stays abroad  valid in the EU, EEA and Switzerland

8 page 8 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Result: The e-card Process „Consultation with a General Practioner“ Accounting via physician‘s EDP Online Eligibility Check (SV-Signature protected) General Practioner Employer Online Electronic Data Transmission Computer System(s) Social Security Instit. Insurance status: Registration - Deregistration e-card data centre Eligibility Data (1) (2) (3) (4)

9 page 9 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview The e-card Basic Application „Replacement of Health Insurance Vouchers“ in Figures Substitution of about 42 million health insurance vouchers per year 8.2 million e-cards for insured 24.000 administrative professional cards 5 – 9% spare cards per year IT-integration of 12.000 medical practices: Medical Practice Units incl. Software Clients chip card readers 650 training courses at regional level for medical help persons and doctors about 600.000 calls to the e-card service line

10 page 10 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Advantages of the e-card Easier access to medical help Protection of privacy Insured No issue of health care vouchers Employer Efficient use of IT Minor administration expenses General Practioner Reliable verification of entitlements Minor administration expenses Social Insurance

11 page 11 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Requirements to the Compound System - Government Requirements  Design of the e-card as a „Key card“  Access to personal data after approval of the cardholder (§31a (2) ASVG)  Reload ability of health data on the smart card  The e-card system shall support the transparency of medical services and costs  Acceptance of other cards with „Citizen Card Functionality“ (i.e. prepared for e-government).

12 page 12 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Requirements to the Compound System - Openness of the System  Modification of „Conditions for Entitlement“- rules: Requires software-updates by the operating company, which is specifically supported by the online-system  Load ability of new applications: Post Issuance Personalization and downloading of data, data structures and cryptographic key-files to the e-card  Innovation and migration: Simultaneous operation of several „generations“ of smart cards with different scope of applications

13 page 13 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Medical Practice Unit (MPU) and Single Workstation PSTN LAN Chip- card Reader Splitter Box MPU ADSL- Route r Working Area (Reception Desk) (Application „ Replacement of Health Insurance Vouchers“) Telephone Workstation of Medical Assistant Patient WAN (Health Information Network)

14 page 14 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview The e-card network

15 page 15 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich Risk potential  High degree of innovation – technological risks:  deadline constraints  multiple applications, open system  Online system: max. 5 s response time  high availability: 99,97 p.a.  Digital signature cards: 8 Mio. citizens  Implemented in approximate 12.000 Medical Practices  Network: consistent Broadband connection (ADSL)  Citizen card functions  domains: social insurance, e-Health, e-Gov, e-Commerce  Interoperability (EU application „eE111“)  virgin soil:  Signature procedure (algorithms, processes, applications)  Diversity of targets:  interest of the political clients changed:  „electronic administrative system“ of the social insurance changed to an infrastructure for e-health & e-government projects The Austrian e-card project - An Overview

16 page 16 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Vision of e-card System and Basic Application Project Figures, Features, System Overview e-card Project: Multi-Organisation Enterprise Time Schedule and Rollout Figures The e-card Project meets Goals Extended e-card Usage

17 page 17 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview

18 page 18 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Nr.Partial ProjectContractor / Organization Contract Award 1 Consultation System: Operational Server Centre and Terminal Software Siemens Business Services GmbH&Co (IBM-Austria GmbH, Telekom Austria AG, Scientific Games Intern. GmbH.) 03.01.2004 2 Card System: Health Insurance Smart Card System and Trust Center Functions Giesecke & Devrient (Deutsche Post Com, Bell ID B.V., BRZ Austria GmbH) 09.04.2004 3 Communications Services: Data Networks incl. Rollout of e-card IT-Components Telekom-Provider--- 4Call CenterCompetence Call Center18.08.2004 5 Training for Personnel dealing with User Interfaces in Medical Practices Performed by Contractor of TP1CRQ 07/2004 6 Administrative Client of the Social Security Institutions Main Association of Austrian Social Security Institutions--- 7 Coordination of Medical Practice Software Providers Project Management of SVC--- EPC External Project Controlling, Risk and Requirements Management ESG Elektroniksystem- und Logistik-GmbH30.03.2004 At least 15 organizations with substantial contributions

19 page 19 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Vision of e-card System and Basic Application Project Figures, Features, System Overview e-card Project: Multi-Organization Enterprise Time Schedule and Rollout Figures The e-card Project meets Goals Extended e-card Usage

20 page 20 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich project steps200320042005 Award of Partial Projects Implementation Pilot Medical Practice Test Operation ( 86 Med. Pr.) Nationwide Rollout ( 11.700 Med. Practices ) milestones Start Pilot Medical Practice: Dec 15 th, 2004 Start Test Operation: Feb 28 th, 2005 Start rollout: May 30 th, 2005 End Rollout: Nov 30 th, 2005 Dec 31 th, 2005 Rollout to 97% takes place The Austrian e-card project - An Overview Scheduled and reached milestones in the project e-card

21 page 21 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Current ValuePercentagePlanned Value e-cards shipped Spare Cards 9.024.000 824.000 >100,0% 11,5% ~ 8.200.000 5% p.a. e-card Systems installed11.70099,4%~ 11.770 End User Trainings (for Participants) 656 (26.025) >100,0%~ 650 MPUs produced12.500100%~ 12.500 LAN Card Readers produced18.000100%~ 18.000 Transactions (Average per day)320.000 – 590.000214% – 280 %210.000 per day Hotline Calls (Average per year) GPs (Average per Day) Patients (Average per Day) 605.000 400 – 1.100 800 – 1.500 600.000 p.a. Rollout Figures

22 page 22 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich Lessons learned  Modelling of established processes through IT  1:1 - Modelling deteriorates processes  IT functions modifies the processes  Reconstruction of current processes is expected  Legal framework must be adapted  IT-based processes changes the organization  Feedback from practice  GUI-adaptation for the eligibility check (very first application)  Process optimization by IT potentials  Adaptation of the social insurance regulations  Performance in the online operation  Availability of the system  Training concept  Escalation strategy  Call Centre Processes  Telecommunication Provider The Austrian e-card project - An Overview

23 page 23 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Vision of e-card System and Basic Application Project Figures, Features, System Overview e-card Project: Multi-Organisation Enterprise Time Schedule and Rollout Figures The e-card Project meets Goals Extended e-card Usage

24 page 24 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview The e-card Project meets its goals (1) Technical Goals (Functions) (3) Time Goal (21 months until end of RO) (2) Financial Goal (EUR 116 Mio)  2 = + 5,3%  3 = + 7,1%  1 = + 3,2% Initial Goal Final Goal Schedule: Scale: Lines of Specification

25 page 25 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Vision of e-card System and Basic Application Project Figures, Features, System Overview e-card Project: Multi-Organisation Enterprise Time Schedule and Rollout Figures The e-card Project meets Goals Extended e-card Usage

26 page 26 Jan 19 th, 2010 Walter M. Bugnar © Siemens AG Österreich The Austrian e-card project - An Overview Extended e-card Usage  e-Social Security Replacement of all paper based health care certificates  e-Health Key card for secure handling of medical transactions (basic token for eHealth Telematics)  Austrian electronic health record (ELGA)  e-medication  e-government Signature and Encryption Card for all fields of application with corresponding requirements

27 We deliver what we promise.

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