1. E-prescriptions Healthcare card system Italy
Session 12: «e-services for all»
First time-slot: introduction
Healthcare card system
E-prescriptions
Italy
Antonietta Cavallo - Manager “Tessera Sanitaria” project
15th May 2017

2. 1 – organisation Healthcare card system (“Tessera Sanitaria” System)
Built in 2003 (art. 50 DL 269/2003), implemented by MEF (in accordance with the Italian Ministry of Health )
Goal: strengthening national, regional and local instruments for the governance of public health spending
Monitoring the prescriptive appropriateness either in pharmaceutical and specialistic field
How:
«Tessera Sanitaria» (electronic health card) is given to each citizen (access to online services) and provides unique identification
Regional system implementation: online networking of all prescribers and all public and private health facilities nationwide (pharmacies, local health authorities, hospitals, clinics, laboratory)

3. 2 - Project Background starting point (2003)
Standardisation
Registries
Interconnection
Interoperability
Regions Investments
Infrastructures
CF-Unique code

4. 3 - Actors involved Since 2009!!! 800 millions prescriptions/yr
(100% prescribers)
Drugs and medical
services supply
(100% pharmacies
health facilities)
800 millions prescriptions/yr
regions
ASL
Local health authorities
Ministry of health (NSIS)
AIFA – Italian drug agency
national registry

5. 4 – e-prescription: why is it an innovative service?
Since 2016
+ Control strengthening heath expenditure
+ Prescriptive appropriateness
national registry

6. 5 - Joining Forces – Breaking Silos

7. 6 – e-prescription: main results
Initial phase of the system (from 2003)
Registry (facilities, coding, prescriptions, etc), based on NSIS standards
Alignment of citizen registry with national fiscal code registry
Pharmaceutical and specialistic prescription (from 2009)
Precise verification of the exemption for income (from 2011)
Electronic prescription (from 2012)
dematerialization of paper prescription (from 2013)

8. 6 - “Tessera Sanitaria” - National Patient Registry (ANA)
on-line service access
TEAM (European insurance card)
100% population
60mln
CF – unique code
ANPR
ANA
national registry

9. 6 – e-prescription: status
Pharmaceutical:
92% paperless prescription
Specialistic:
50% paperless prescription
Nearing completion
From march 1st 2016
Italian patients can spend pharmaceutical prescription nationwide
national registry

10. Thank You
Antonietta Cavallo