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Ministry of Interior e-government projects
MINEFI/DGE/STSI march 2005 2
Internal projects
internal e-administration in information system of Ministry of Interior
e.g public agent smart card
MINEFI/DGE/STSI march 2005 3
Institutional projects
e-government between Ministry of Interior and institutional partners (Europe, other French ministries, local administration)
e.g “ACTES” project
MINEFI/DGE/STSI march 2005 4
Citizen projects
e-government between French administration & citizens
e.g electronic ID card
MINEFI/DGE/STSI march 2005 5
ACTES project (1)
“Legacy control”
Local collectivities
Mayor etc
Prefect (State civil
servant)
ActeActeAct
8 million/year
AKR
Prefecture
Acts
Marriage, Building Permit etc
Checks if legal or
not
Special network
FAST
MINEFI/DGE/STSI march 2005 6
ACTES project (2)
Dematerialization
Automation of repetitive tasks
Secure authenticationPiloted since December 2003, with FAST from CDC
MINEFI/DGE/STSI march 2005 7
INES project
• To provide electronic services to citizens– transform traditional
processes into electronic processes e.g car ID
– secure electronic ID
MINEFI/DGE/STSI march 2005 8
Goals of INES
• Improve security of ID documents– better verification of identity– use of biometrics
• Simplify administration work & citizens requests– single process for passport & ID
card issue (other documents later)– use for other national e-procedures
MINEFI/DGE/STSI march 2005 9
Improve document security
• Passport– ICAO recommendations
• contactless chip• facial recognition as primary biometric data
– France will use fingerprints as secondary biometric data in accordance with EU recommendations
• ID card– Use of dual interface chip
• Contact for secure e-transactions• Contactless for ICAO compatibility because ID
card is also travel document– Storage of fingerprints & portrait in chip– PKI
MINEFI/DGE/STSI march 2005 10
Electronic identity will simplify -
• Citizens’ lives– E-transactions
– New services
– Simplified procedures
– Security & trust
• Civil servants’ lives– Dematerialization
– Use of new technologies
– More reactivity
• e-Economy
First ID-cards issued at end of 2006
e-Health in France
Internet to rationalise healthcare system
MINEFI/DGE/STSI march 2005 13
French Health System
•Multitude of actors – health insurance (compulsory & complementary)
– 300 000 professionals (110 000 doctors), 24 000 pharmacies, 4 000 laboratories
– 4000 hospitals, 1.1 million employees (50 000 doctors)
• …with high degree of autonomy
MINEFI/DGE/STSI march 2005 14
Health Management
• National expenditure for health
– 148 billion €, 10% of GDP (USA:14%)
• One of the most expensive among developed countries
• Higher growth than GDP
+ 5.2 % in 2001
MINEFI/DGE/STSI march 2005 15
Two main ICT projects
• SESAM-Vitale smart card & system
– simplify administrative procedure to refund health expenses
• Electronic health records
– improve doctor-patient relationship
MINEFI/DGE/STSI march 2005 16
Health Insurance Card
•Vitale carduser-friendly & identifies holder
for all citizens over 16 - 55 million cards
1994 - test
1998 - first pilot run in region
2001 - widespread use
MINEFI/DGE/STSI march 2005 17
How does it work?
MINEFI/DGE/STSI march 2005 18
SESAM-Vitale Scoreboard
• December 2004– All French > 16 years have a card– 76.9 million transactions–204 555 professionals using system (71.1%)•81.26% of doctors•94.84% of pharmacies•but 13.77 % of laboratories.
MINEFI/DGE/STSI march 2005 19
EU NETCARDS
• Eliminate legal barriers to citizen mobilitysimplify procedurealign insured rights
• To provide reliable evidence of entitlement to receive health care & social services in EU
card authenticationsecure network applications
• Netc@rds consortium 6 member States - Austria, France, Germany, Greece, Italy, Finland + Czech
Republic, Slovak Republic, Slovenia
Third Country (Québec/Canada) as observer Coordinator SESAM-VITALE
MINEFI/DGE/STSI march 2005 20
Agenda
• Pilot during Athens Olympic games (2004)
• 2008 : EHIC for all members & interoperability of national system
• Other countries ?
Portal
Portal
Greek Health Care Provider
French Health Care
Provider
Trans-European Trans-European ExtranetExtranet
French Health Insurance back-office
Portal
German Health Care
Provider
Portal
German Health Insurance back-office
Other National SchemesOther National Schemes ItalyItaly SloveniaSlovenia HungaryHungary FinlandFinland
……
Austrian Health Care Provider
Austrian Health Insurance back-office
Portal
MINEFI/DGE/STSI march 2005 22
Personal Electronic Health Records (EHR)
• EHR = Dossier Médical Partagé (DMP) in French
• effective way to manage patient’s records…
• … but which must guarantee privacy
• VITALE + EHR --> Health ID (2006)
MINEFI/DGE/STSI march 2005 23
VITALE 2
• 32 KO (today 4 KO)
• Cryptology
• e-health card
• e-signature card for access to EHR
• Validity : 5 years.
• Photo for a better security