Health ID Management in the Netherlands

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1 Health ID Management in the Netherlands Schiphol Expert Meeting March 20th 2006 Drs Ellen Maat MPA Head of Program Unit Health ICT Ministery of Health, Welfare and Sport Ministerie van Volksgezondheid, Welzijn en Sport

2 Contents of presentation Presumptions & Program Health ICT The Dutch approach: Identifying system Citizen Identification Health Care Professional Identification

3 Presumptions Ministry of Health is responsible for: The creation and monitoring of preconditions to safeguard significant modernizations from the perspective of ICT, quality, efficiency and patient safety in healthcare.

4 Main objective of Program Health ICT Stimulating Health ICT, aimed at affordability, access and quality of healthcare, by creating the preconditions for an optimum and safe usage of ICT. The introduction of the EHR with corresponding infrastructure will function as a lever. It is the safe and reliable exchange of patient information due to the care process

5 Infrastructural Model Identification registers Patients Care providers National Switch point Pointer index Identification & Authentication Logging Authorization Services Communication facilities Applications & Content Local EHR Systems Health care providers Ministerie van Volksgezondheid, Welzijn en Sport Regional Healthcare networks

6 Basic Assumptions Infrastructure and Applications Medical data will remain in the local-ehr systems No central database National Switch Point + technical, communication and content standards Composition of virtual record by NSP No smart card with medical dates Incremental development of EHR

7 Program Health ICT Infrastructure Pilot Projects Identifying System National Switch Point (LSP) Patient summary (WDH) Citizen service number (BSN) Health professional identification (UZI) Medication record Messaging service Insurer identification (EMD) (SBV-z) (UZOVI)

8 Identifying System Essential for implementation of ITapplications Aimed at: Citizens/patients (BSN) Health care professionals (UZI) Insurers (UZOVI) Identifying System BSN UZI UZOVI SBV-z

9 Unique citizen identification (1) Establishment of Civil Service Number (BSN) Issued in 2006 Identical to current social security number Information- and rightless No seperate number for health care sector, because: One number is easier BSN is already in passports Endorsed by Data Protection Authority

10 Unique citizen identification (2) Usage of BSN in health care requires new legislative measures: All parties use BSN Protection of personal information Obligation for identification

11 Unique citizen identification (3) Mandatory usage By: Health care professionals and insurers that are registered For: Exchange of information on a person/file

12 Unique citizen identification (4) Usage in practice: Identification of the patient Verification of BSN Recording BSN in administration Exception of emergencies

13 Unique Health care professional Identification Registered HP s receive a card (UZI): Authentication Confidentiality Irrefutability

14 Unique Insurer Identification Necessary for validation of citizens identification UZOVI-certificate: Authentication Insurers don t have acces to medical data

15 Thank you for your attention

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