For a health-care system with a future. The electronic health insurance card.

Transcription

1 For a health-care system with a future. The electronic health insurance card. Find out more

2 What will change with the electronic health insurance card? Opportunities The electronic health insurance card (ehc) / Highest priority is hereby placed on data security elektronische Gesundheitskarte (egk) will replace and the right of self-determination concerning the current health insurance card, which was the information of the respective patient. This severely limited regarding its capabilities and means: Each insured person can decide for security standards. himself or herself whether and how medical data is stored, who is able to access what The ehc will provide the technical framework Who will receive the new card when and how? A solution for everyone data, and what information can be shared. conditions, so that in the future medical data Everyone who is insured through a statutory insurance will have received the new card. For can be exchanged and processed electroni- In short: The electronic health insurance card will health insurance will receive the electronic health this reason insured persons are being contacted cally in a secure and quick manner. improve the service and care quality for pa- insurance card. It is being issued in increments by their health insurance providers - with a re- tients, prevent errors, and make processes more since October 1, The ehc/egk will be quest to provide a photograph which can then efficient and thus more economical. Documents can be lost, arrive too late, or reach valid as an insurance card and replace the be printed onto the ehc. The insured persons are the wrong recipient if they are sent by mail, fax, old health insurance cards. During the transi- also receiving further information regarding the or . A unified system is being introduced tional period, both cards will be valid. In the necessary steps for the issuing of the ehc. Chil- to avoid such problems. This system, which con- future, only electronic health insurance cards will dren below the age of 15 and persons who are in nects all parties involved in health care, is called be issued. By the end of 2012 about 70 percent severe need of care do not require a photo. telematics infrastructure. of the persons insured through a statutory health

3 What will change? Right away and especially in the future. Avoid confusion The real revolution of the card, however, is contained in the processor chip. Intelligent helpers The photo on the new health insurance In the first step, as before, administrative In contrast to the externally very similar mem- the information on the card may prevent card is the most visible change compared data will be stored on the health insurance ory chip of the current health insurance card, subsequent health implications and even to the previous card. But in the future the card (name, date of birth, gender, address, in- the chip of the electronic health insurance save lives. As already mentioned, these new card will be able to do much more. surance number, insurance status, etc.). The card is actually a miniature computer. It will enhanced applications are still in the process back side contains the European Health Insur- provide the technical foundation for a wealth of development and security testing. Only With the implemented technology, the elec- ance Card. The ehc/egk, for example, enables of highly useful applications in the future. after this process has been successfully tronic health insurance card will create the travelers in Europe to provide proof of insur- completed will the additional functions be framework conditions for an entirely new level ance in the event of an emergency and thus It is planned, for example, that the card will implemented. of quality in medical care. receive medical care. provide access to emergency information, patient details, patient care, therapeutic Very important! The patient is able to The photo on the card will help physicians to measures, organ donor statements, phar- make a decision regarding every single identify the insured person and thus make it maceutical documentation, vaccination storage, access, or use of medical data more difficult to misuse the card as proof of documentation, or even the complete contained on the card. Without personal insurance. The occurrence of these incidents is electronic medical patient record, if the consent, no data can and will be stored and increasing and produces high costs, which must insured person desires. All of these features access will not be possible. Only the admin- then ultimately be borne by all insured persons. will support faster and better medical care istrative data must as before with the old for the patient. In the event of an emergency, health insurance card be stored on the card.

4 How secure is the electronic health insurance card? Maximum data protection To make it clear in advance: The electronic health insurance card meets the highest The electronic health insurance card even goes one step further. Because unlike the data himself/herself with his/her smart card (the socalled Health Professional Identification Card/... whether he/she wants to use advanced, approved medical applications that support security standards. The new card is in acquisition conducted by banks and airlines, Heilberufsausweis; HBA). Only emergency data his/her medical care. a completely different security dimension where the individual user has no or only a stored on the card can be accessed by a physician compared to the current health insurance card. limited influence on the subsequent use of or paramedic in cases of emergency without the... which data is stored and processed in these the data, the new health insurance card works entering of a PIN to provide emergency medical applications. The telematics infrastructure will only have completely differently. assistance. applications and functions available which have... who should have access to this data as well as been proven to be secure within the scope of Only the insured person is able to authorize Every insured person can choose his/her when and to what extent. approval testing conducted by gematik. which data is stored or used. own customized PIN and modify it if necessary. The insured person is also free to choose to use In the future, private medical data can be Access to any medical data by a physician The last 50 data accesses are recorded on the electronic health insurance card solely as securely encrypted with the electronic health always requires the consent of the patient, the card. And: The patient can determine proof of insurance. This will still contribute to a insurance card. This means that all data is relia- which he/she gives by entering his/her PIN himself/herself... cost reduction in the health-care administration. bly protected from hackers or other institutions (personal identification number) into a card pro- which have not been authorized by the patient. cessing terminal. The physician must also identify

5 Is the new health insurance card only beneficial for patients? Benefits for everyone How and where can data be accessed and sent out in the future? A practical example There will not only be benefits for the patient. The introduction of the electronic health insur- Irene Kruger is visiting her dentist. He X-rays data stored in a decentralized data center or within Everyone involved in the health-care system ance card will create a leading and unified her jaw because of discomfort in the lower right the computer infrastructure of the physician. Unlike physicians, hospitals, pharmacies, health in- nationwide health-care communication wisdom tooth. Unfortunately, because the tooth regular s sent through the Internet, data will surers, as well as emergency service providers system. cannot be saved, he recommends having it ex- never be sent or stored unencrypted. will be able to perform their work more easily, tracted and refers the patient to an oral surgeon. Two weeks later, Mrs. Kruger is on vacation at more safely, and more economically. In the future... The operation is scheduled to take place in eight the Baltic Sea. She has developed acute pain in the... administrative data, such as a change of weeks. After the treatment, the X-ray image is to upper right jaw. The local dentist requires an X-ray Particularly future applications will reduce the address, will automatically be updated online be stored in Mrs. Kruger's private health record. image and would like to X-ray Mrs. Kruger. The pa- administrative burden for everyone. The ex- onto the health insurance card. A replace- For this purpose, she inserts her electronic health tient points out that her image is saved on the card. change of paper documents can then be avoid- ment card is no longer necessary. The updated insurance card into a card terminal located in her Irene Kruger inserts her electronic health insurance ed in most cases, since documents such as lab address information can then be incorporated dentist's office. card into the dentist's card terminal and by entering reports, test results, or the results of opera- into the computer systems of physicians and The dentist inserts his own smart card (Health her PIN authorizes the dentist to access the X-ray tions will no longer have to be sent out. The hospitals from the card. Professional Identification Card) into a terminal. image which her dentist saved to her medical exchange of information among physicians or Irene Kruger enters her personal PIN and thus record two weeks ago. from physicians to pharmacists is significantly... therapeutic measures from different physicians authorizes the dentist to store data in her electronic This now enables a quick and targeted treat- accelerated. can be incorporated into a shared patient record. medical record. ment of Mrs. Kruger with the aid of comprehen- The data is already encrypted in the dentist's of- sive previously acquired information without any fice before the patient can select to either have the additional radiation exposure.

6 And who is behind the electronic health insurance card? A broad base Initiator of the electronic health insurance The gematik Gesellschaft für Telematik- Krankenhausgesellschaft e. V.), the Associ- its efforts with the Federal Commissioner card was the federal government, which at anwendungen der Gesundheitskarte mbh ation of Statutory Health Insurance Funds for Data Protection and Freedom of Infor- that time was headed by the Social Democrat- (Society for Telematics Applications) is mandated (GKV-Spitzenverband), the National Associa- mation as well as the Federal Office for ic Party of Germany (SPD) and the Green Party to carry out the introduction of the electronic tion of Statutory Health Insurance Physicians Information Security. (BÜNDNIS 90/DIE GRÜNEN). The subsequent health insurance card. The leading organi- (Kassenärztliche Bundesvereinigung), and the coalition governments have also supported zations of the German health-care system National Association of Statutory Health In- Gematik ensures that all citizens are able to the implementation of a telematics infrastruc- are among the shareholders of gematik. surance Dentists (Kassenzahnärztliche Bundes- comprehensively exercise their right to infor- ture, for example in their coalition agreement. These are: the Federal Medical Association vereinigung). mational self-determination as responsible Legislation structured the introduction of the (Bundesärztekammer), the Federal Chamber patients within an electronically networked ehc with the law on the modernization of of Dentists (Bundeszahnärztekammer), the Gematik has the statutory mandate to protect health-care system. the statutory health insurance which is reg- German Association of Pharmacists (DAV the rights of patients and to ensure compliance ulated in the Code of Social Law ( 291, Deutscher Apothekerverband e. V.), the with the data protection laws within the tele- 291a SGB V). German Hospital Association (Deutsche matics infrastructure. It closely coordinates

7 Four good reasons for the health insurance card. 1. Improvement in the quality, transparency, and efficiency of the treatment for patients through an electronically networked health-care system. 2. Assurance that the rights and data of patients are protected within an electronically networked health-care system. 3. Simplification of the information exchange between all involved parties. Overall shorter, faster, and securer methods of communication. 4. Less bureaucracy and administrative burden for benefactors and care providers. Current as of May 2012 Friedrichstrasse 136 I Berlin, Germany I Tel: Fax: I info@gematik.de I