Connected health-it - Germany s Telematics Infrastructure

Transcription

1 Connected health-it - Germany s Telematics Infrastructure Dr. Christof Gessner gematik Gesellschaft für Telematikanwendungen der Gesundheitskarte mbh Friedrichstraße Berlin

2 Shareholders of gematik National Association of Statutory Health Insurance German Hospital Federation Physicians Dentists German Dental Association German Pharmacists' Association German Medical Association 2

3 gematik GmbH Founded in January of 2005 Design of - Telematics Infrastructure (TI) - Components and central services - Electronic Health Card (ehc) - Applications Conformance testing and approval of components Roll-out and operation Central coordination and communication hub for ehealth Today: 260 IT experts, application specialists and project managers CEO of gematik is Alexander Beyer 3

4 The German healthcare system Hospitals General Practitioners Pharmacists Physicians Association 118 Statutory Health Insurance Companies 90% (~70 Mio) Statutory Insured People Hospitals Pharmacies GPs/Medical Specialists/Dentists 2,3 Million other Health Professionals 80,2 Million People Dentists Medical Specialists Health Insurance ehealth Card (ehc) Psychotherapists Patients / insured persons 4

5 Interoperability of the Telematics Infrastructure The gematik is mandated by 291a German Social Code Book V to create an interoperable and secure communication and information infrastructure for the electronic health insurance card (telematics infrastructure). Quelle; , N/A 291b SGB V to license the components and services of the telematics infrastructure. The gematik grants the authorization for the health telematics, after approved and successful testing. The gematik is testing the functionality and interoperability on the basis of publicly known and published testing criterias. 5

6 Architecture: Secure components, central services Physicians, Dentists, Specialists, Pharmacists Central services Application services 6

7 Industry partners: public tenders, contractors Gesamtvorhaben Stufe 1 Online-Rollout (Stufe 1) Karten der TI der Generation G2 Wissenschaftliche Evaluierung Los 1 und 2 (Aufbau und Betrieb Endnutzernahe Dienste in einer Testregion) Los 3 (Aufbau und Betrieb der Zentralen Dienste der TI) Los 1 und 2 (Entwicklung und Bereitstellung von COS, initialisierten Karten und Testkarten) Los 3 & 4 (Personalisierung und Herausgabe HBA und SMC-B inkl. PKI) Los 5 (Aufbau und Betrieb der CVC-Root) Evaluierung Akzeptanz und Praxistauglichkeit I gematik I Unternehmenskommunikation 7

8 Roll-out: Phase I + Phase II Testing phase of the initial applications (Phase I) Infrastructure, central services, secure access, cards Insurance data (ehc) online update Qualified electronic signature (HPC) Secure communication between health professionals More applications (Phase II +..) Link to healthcare data services Electronic Case Records (ECR) Emergency data management Medication plan Organ donation declaration Other projects / applications Telemedicine, electronic health record Standards repository for interoperability 8

9 Secure access to medical data: ehc + HPC 9

10 Secure communication: privacy, end-to-end encryption 10

11 Digital signatures: authenticity and integrity 11

12 Thank you! Any questions? Christof Gessner gematik Gesellschaft für Telematikanwendungen der Gesundheitskarte mbh Friedrichstraße Berlin 12

13 Medication plan for the patient 13

14 Emergency data management 14