A step towards the electronic EHIC

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Consortium Organisation Chart

1) GIE SESAM-Vitale (Economic Interest Grouping SESAM-Vitale)

Website: http://www.sesam-vitale.fr

Contact person: Noël Nader
Address: 5, Boulevard Alexandre Oyon, 72019 Le Mans Cedex 2, FRANCE
Phone: +33 (0)2 43 57 44 59
Fax: +33 (0)2 43 57 42 59
E-mail: noel.nader@sesam-vitale.fr

Profile: GIE SESAM-Vitale is a non-profit organisation funded by public and private Health Insurance companies including the complementary insurances since 2001. It functions and acts on behalf of the statutory Health Insurance organisations as well as the French Ministry of Health. Its mission is the technical development and practical promotion of the SESAM-Vitale system. The SESAM-Vitale system simplifies and speeds up the reimbursement of medical care expenses to insured persons through adoption of new technologies such as smart cards (“Vitale Card”), smart card readers, personal computers, and communication networks.GIE SESAM-Vitale is ISO 9001 certified since 27th June 2001.

Role in the project: Project Coordinator, Leader for WP3.

2) CNAMTS - Caisse Nationale de l’Assurance-Maladie des Travailleurs Salariés (National Main Health Insurance Fund of Salaried Workers)

Website:

Contact person: Christophe Lachene
Address: 26-50 av. Professeur Lemière, 75986 Paris Cedex 20, France
Phone: +33 (0) 172 60 18 84
Fax: +33 (0) 172 60 17 34
E-mail: christophe.lachene@cnamts.fr

Profile: CNAMTS is the main health insurance card provider and the main health institution of France, covering over 80% of its population (about 55 million). The covered risks include illnesses, accidents at work, maternity. In 2005, the reimbursed expenses amounted to 140 billion € while 1 billion of reimbursement applications are processed annually.

Role in the project: Member of GIE SESAM-Vitale, NETC@RDS service provider, Contracting Party in the Multilateral Agreement, national coordinator for the billing-clearing procedures between NETC@RDS service sites and local health insurance offices (CPAM).

3) AP-HP - Assistance Publique – Hôpitaux de Paris (Hospitals of the Region of Paris)

Website: http://www.aphp.fr

Contact person: Line Kleinebreil
Address: 3, avenue Victoria, 75184 Paris, France
Phone: +33 (0) 156 09 21 45
Fax: +33 (0) 156 09 20 55
E-mail: linekl@club-internet.fr

Profile: AP-HP is the largest European public hospital group. Its 41 hospitals have a single combined annual budget of approximately 5 billion Euros and serve the 11 million inhabitants in the Paris metropolitan area. AP-HP is under the administrative authority of the Ministry in charge of Health, the Ministry of Finance, the Ministry of Interior. It is also a university teaching hospital centre, a health care centre and a research centre.

Role in the project: National coordinator for all service points set-up, roll-out and follow-up at national scale, public hospitals.

4) CNPS - Centre National des Professions de Santé (Health Professionals National Association)

Website: http://www.cnps.netmedicom.com

Contact person: William Joubert
Address: 54 rue Ampère, 75849 PARIS CEDEX 17
Phone: +33 (0) 156 79 20 65
Fax: +33 (0) 156 79 20 29
E-mail: wjoubert@wanadoo.fr

Profile: CNPS has 25 full-member National Associations. It is represented in all French departments, including those overseas. CNPS objectives are:

• To encourage and co-ordinate various studies with a view to solving the common problems concerning different professions, and to contribute to the definition of a better health and social policy.
• To inform public opinion of a necessity of such a policy of its financing and of the necessary ways and means of implementing such a policy
• To defend the professional interests common to different health-care professionals, and to this end, to be certain of their representative in all national and international instances.
• To inform the members of each professional sector of the specific problems encountered by other sectors, and of overall health care problems.
• To make all national and international instances aware of the positions adopted by the Association.
• To create or participate in the creation and management of all works or institution able to help members of health-care professional, notably in facilitating their installation, their equipment, and the exercise of the profession of each member, or by ensuring their personal and family security through providence societies and retirement benefits.

Role in the project: Follow-up at national scale, private hospitals and Health Professionals of the Ambulatory Care.

5) ZI - Zentralinstitut für die Kassenärztliche Versorgung in der Bundesrepublik Deutschland (Central Research Institute of Ambulatory Health Care in the Federal Republic of Germany)

Website: http://www.zi-berlin.de

Contact person: Ramin Tavakolian
Address: Herbert-Lewin-Platz 3, 10623 Berlin, Germany
Phone: +49 (0) 30 40052418
Fax: +49 (0) 30 39493740
E-mail: Rtavakolian@kbv.de

Profile: The Central Research Institute of Ambulatory Health Care in the Federal Republic of Germany (Zentralinstitut für die kassenärztliche Versorgung in der Bundesrepublik Deutschland) is a non-profit research institute. It was founded in 1973 and is financed by the indirect contributions of the about 120.000 SHI-accredited physicians that are registered at the legal sickness funds. The field of research concentrates on issues of the health system with priority on out-patient care. The research work of the Central Research Institute is based on empirical inquiries and anonymous data of the patient's demand for services as documented by out-patient care providers. A focus is given to disease management programs, screening programs and the introduction of secure telematic applications in healthcare.

ZI also acts as representative of all physicians working outside hospitals in Germany. It cooperates with the national Ministry of Health, AOK Baden-Württemberg (Germany) as well as with all the relevant organisations in the area of health policy.

The technical specification of the German Health Professional Card Version 2.0 (download at www.zi-berlin.de) was co-ordinated and issued by ZI on behalf of the national German organisations of health-care providers e.g. physicians and pharmacists. The Health Professional Card is a key-issue for the legally prescribed introduction of a telematic infrastructure in the health-care system in Germany.

There is a close co-operation between the Central Research Institute, university departments and - if projects are financed by public funds - the Federal Ministry of Labour and Social Affairs, the Federal Ministry of Research and Technology and the Federal Ministry of Health. The Central Research Institute presents the results of its research work in a progress report or in reports given on the occasion of national and international congresses dealing with research of health systems and health economics.

Role in the project: Leader for WP4.

6) AOK Baden-Württemberg (AOK BW)

Website: http://www.aok.de/bw

Contact person: Carola Giesinger
Address: Heilbronner Str. 184, 70191 Stuttgart, Germany
Phone: +49 711 2593496
Fax: +49 711 2593376
E-mail: carola.giesinger@bw.aok.de

Profile: Germany has a compulsory health care system with more than 300 providers (health insurance companies). Some of them insure only a few thousand persons. The AOK-System is organized in geographical accordance with the member states of the federal German system. The AOK Baden-Württemberg has about 8000 employees and insures nearly 4 million persons, which is about half of the population of Baden-Württemberg. Its annual turnover is about 8 billion Euros. Because of its decentralized structure, the AOK Baden-Württemberg maintains 292 service offices. Therefore most visitors or workers/students, who come to Baden- Württemberg carrying the EHIC with them and who need immediate medical treatment, contact one of AOK service offices because they are the nearest reachable ones. In consequence the AOK-system pre-finances more than 80 % of all costs concerning the treatment on basis of the EHIC. The AOK was engaged in the Netlink-Project which allowed French dialysis patients the treatment in German dialysis-centers on basis of the French health insurance card (with a stored E 112 form).

In September 2005, every AOK in the 17 federal states in Germany declared their participation in the NETC@RDS project. This means, that one entire branch of the German compulsary health system has joined NETC@RDS (coordinates by AOK Baden-Württemberg). In the total the AOK system insures about 25 million people in Germany.

Role in the project: NETC@RDS service provider. Contracting Party in the Multilateral Agreement. Responsible for the service access points set-up, roll-out and follow up at national scale.

7) Institut für Pflege und Gesundheitssystemforschung (Institute for Health Systems Research, University of Linz)

Website: http://www.ipg.uni-linz.ac.at

Contact person: Reli Mechtler
Address: Altenberger Straße 69, 4040 Linz
Phone: +43 732 2468 9383
Fax: +43 732 2468 9347
E-mail: ipg@jku.at

Profile: IPG is a research institute of the University of Linz/Faculty of Business, Economics and Social sciences. It is mostly funded by research projects. The Institute includes 2 departments. The first one is the Department of Health System Research, located at the University of Linz, and the second is the Department of Nursing Care Research, located in Vienna. It was founded in 1992 as an interdisciplinary Institute. The mainly involved professions are: Physicians, Social Scientists, Economists and Computer Scientists.

Role in the project: Leader for WP6.

8) Hauptverband der österreichischen Sozialversicherungsträger (HVOS, Main Association of Austrian Social Insurance Institutions)

Website: http://www.sozialversicherung.at, http://www.chipkarte.at

Contact person: Wolfgang Kreutzer
Address: Raimundgasse 1, 1020 Wien, Austria
Phone: +43 50 124 714 4140
Fax: +43 50 124 714 3776
E-mail: wolfgang.kreutzer@svc.co.at

Profile: The Austrian Social Insurance contains the Health - the Accident - and the Pension Insurances. The enforcement of the Social Insurance has been given to individual corporate bodies – the Insurance Companies, some of which carry out two or more branches of Social Insurance. Due to historical reasons, the subdivisions are not only territorial but also occupational.

All Insurance Companies are combined in the Main Association of Austrian Social Insurance Institutions. This umbrella organization is responsible for the preservation of general interests of the Social Insurance and for the representation of the Insurance Companies regarding common affairs (e.g. conclusions of treaties with hospitals, doctors, etc.). It further represents the Austrian System of Social Insurance at meetings with similar institutions abroad and functions as a contact for the Health- Accident- and Pension Insurances in interstate and international areas.

Organisation Structure:

Role in the project: NETC@RDS service provider. Contracting Party in the Multilateral Agreement. Leader for WP2, also responsible for the service access points set-up, roll-out and follow up at national scale.

9) Aristotle University of Thessaloniki, Informatics Laboratory Computer Division

Website: http://www.auth.gr

Contact person: George Pangalos
Address: Aristotle University of Thessaloniki, PO Box : 495, Post Code : 54006, Thessaloniki, Greece
Phone: +30 2310 995943
Fax: +30 2310 995949
E-mail: pangalos@auth.gr

Profile: The University of Thessaloniki is by far the largest university establishment in Greece. The number of students enrolled is about 56.000 in 35 Faculties that cover the full range off scientific disciplines, some of them unique in Greece. The teaching and research staff consists today of over 1650 professors and lecturers and 2700 support teaching and technical personnel. The Faculty of Technology consists today of seven Departments. The Informatics laboratory is part of the Computers Division of the Faculty of Technology.

The Informatics Laboratory
The Informatics laboratory was established in 1992 and has as its main objectives to undertake research work in informatics and to support the educational and practical training activities in informatics of the students of the faculty of technology. The laboratory is well equipped with a variety of modern computers and other informatics hardware and software. This currently includes over seventy modern workstations and personal computers. It is also well connected to local, university wide and international networks.

Research Activities
The laboratory is active today in several research areas, mostly through research programs financed by the European Commission and the Greek Science and Research council. These include the areas of Health care informatics, database systems design and implementation, information security, database security and Health care informatics. It also maintains close links with the AHEPA university Hospital.

Role in the project: Responsible for roll-out of the service at national scale. Leader for WP5. Project Web site manager.

10) Idryma Koinonikon Asfaliseon (IKA, Greek Social Security Organization)

Website: http://www.ika.gr

Contact person: George Houliaras
Address: Agiou Kostantinou 8, Athens 10024, Greece
E-mail: ghouliar@otenet.gr

Profile: IKA is the largest Social Security Organisation in Greece. It covers 5,530,000 workers and employees and provides 830,000 pensioners with retirement pension. IKA covers those in dependent employment in Greece or abroad for an employer who is based in Greece, as well as those who offer full-time or part-time personal labour on commissioned work agreements and are not insured with any other Main Insurance agency. IKA also covers certain groups of people who offer their labour to various employers at various times and whose insurance is realized through their Unions or Insurance Associations, (e.g. porters, news-stand vendors, slaughterhouse workers etc.) or through special provisions (e.g. exclusive nurses).

Role in the project: NETC@RDS service provider. Contracting Party in the Multilateral Agreement.

11) STAKES - National Research and Development Centre for Welfare and Health

Website: http://www.stakes.fi

Contact person: Pekka Ruotsalainen
Address: Lintulahdenkuja 4, PO box 220, 531 Helsinki, Finland
Phone: +358 9 39672351
Fax: +358 9 39672443
E-mail: pekka.ruotsalainen@stakes.fi

Profile: STAKES, the National Research and Development Centre for Welfare and Health (www.stakes.fi), is an expert agency under the Ministry of Social Affairs and Health. Established in 1992, Stakes promotes health and well-being and works to secure effective, high-quality social and health services on an equitable basis for the whole population. It produces and communicates information and expertise on the social and health sector to decision makers and actors in the field. Stakes is a centre of expertise, and its core functions lie in monitoring operations and influencing policy through research, development and information resources on social and health care.

As well as legislation STAKES' operations are also guided by the Government's Target and Action Plan for Social Welfare and Health care, the strategy of Ministry of Social Affairs and Health and performance agreement with the Ministry. The direct costs of STAKES' operations amounted (2002) to €34.8 million. STAKES' operational expenditure is covered by appropriations from State (about. 65%) and the balance from independent sources.

From the Healthcare ICT point of view, two scientific centres of excellence are included in Stakes: OSKE – the Centre of Excellence for Information and Communication Technology in Welfare and Health, collaborating with the international and national Networks of Excellence Centres in this field (http://www.oskenet.fi/english); and FinOHTA – the Finnish Office for Health Care Technology Assessment. OSKE's activities lies on secure health care infrastructure, on the interoperability of health information systems and the assessment of health information systems. OSKE has been active at national and international level on health cards. As a part of National Electronic Patient Record Development Program (2003-2007) initiated by the Government, OSKE is responsible for coordination of the secure health care communication platform initiative.

Role in the project: National co-ordinator. STAKES will define together with KELA new administrative processes and evaluate the national implementation plan.

12) KELA - The Social Insurance Institution of Finland

Website: http://www.kela.fi

Contact person: Tarja Jehkonen
Address: Nordenskiöldinkatu 12, PO box 450, 00101 Helsinki, Finland
Phone: +358 20 6341 808
Fax: +358 20 4341 888
E-mail: tarja.jehkonen@kela.fi

Profile: Kela provides basic security for all persons resident in Finland, covering the different stages of their lives. Founded on 16 December 1937, Kela was at first exclusively a pension provider. Since then, operations have been expanded, diversified and modernized, so that the services now reach the whole Finnish population. Benefits available from Kela: National pension insurance, national health insurance, basic unemployment security, family benefits, rehabilitation, disability benefits, general housing allowance, financial aid for students, school transport subsidy, conscripts' allowance. Kela issues the Finnish national health insurance card and the European Health Insurance Card (EHIC) to all persons covered by the Finnish social security.

Kela operates under the supervision of Parliament. Though supervised by Parliament, Kela enjoys considerable administrative and financial autonomy. The parliamentary supervision is exercised by the Trustees (MPs appointed to the task by Parliament).

Role in the project: NETC@RDS service provider. Responsible for service access point set-up, roll-out and follow-up. Implementation of NETC@RDS electronic common data set.

13) Regione Lombardia – Region Lombardy

Website: http://www.regione.lombardia.it, http://www.sanita.regione.lombardia.it

Contact person: Claudio Beretta
Address: Via Pola 9/11, 20124 Milano, Italy
Phone: +39 02 6765 3190
Fax: +39 02 6765 4924
E-mail: claudio_beretta@regione.lombardia.it

Profile: Regione Lombardia is the governing authority in charge for the implementation of health and ehealth policies and programmes at regional level. The administrative level of the Lombardia regional government is established through Directorates General (DGs), each of them competent for a number of subjects. Directorate General for Health – in charge for the NETC@RDS activities - is one of the most strategic in terms of dedicated budget, resources and impacts on territory. Its mission is specifically dealing with the design and implementation of the socio-sanitarian policies and management of the welfare resources in terms of budgetary and finance subsidies, human capital and professionals (GPs and healthcare personnel), technological and logistic infrastructure, territorial governance systems. DG Health objectives can be listed as follows:

In the light of its governing role and organisational structure, Regione Lombardia – DG Health has established strong complementarities with primary regional and national healthcare providers, local governing bodies, research centres and academia specialised in life-science and healthcare domains – including ICT -, industries and entrepreneurial representative entities, technology centres and medical associations. Due to its central position in the health and socio-sanitarian regional system the Regione Lombardia – DG Health is enabling to create and coordinate a critical mass of stakeholders involved in the mentioned field also playing a pivotal role in increasing the potentiality of different actors through cooperation schemes. In addition the DG Health, as a policy maker, is in the position to identify major priorities to be addressed through the definition of governance guidelines, policy recommendations, and thematic programmes.

Regional Healthcare System

• 9.300.000 Citizens
• 160.000 Healthcare employees
• 7.900 GPs and Pediatricians
• 2.540 Pharmacies
• 15 Local Health Authorities
• 212 Public and Private Hospitals
• 983 Public and Private Medical Ambulatories
• 770 Shelters for ageing people
• 14,5 Billion euro budget for public healthcare (5,0% of GDP)
• 70% of Healthcare services provided by public providers

The major implementation carried out for empowering the regional healthcare system is the CRS-SISS project. The core of the project is an ‘Healthcare Extranet’, which links professionals, social services, organizations and citizens, tracking all the events which occur in the patient treatment and providing value added services. The project is based on smart card technologies, ensuring access to the Network to both citizens and operators by their personal smart cards.

Citizens smart-card allows:
- Identification and authentication
- Access to Public Administration services
- Certification of the “presence” of the Citizen (through electronic signature of documents)

Professional smart-card enables:
- Identification and authentication
- Authorization to access the System
- Electronic Signature

CRS-SISS network infrastructure

Role in the project: Leader for WP8. NETC@RDS service provider. Contracting Party in the Multilateral Agreement. Responsible for service access point set-up, roll-out and follow-up at regional level.

14) Regione del Veneto – Region of Veneto

Website: http://www.regione.veneto.it

Contact person: Giuseppe Solomita
Address: Palazzo Cavalli Franchetti, S. Marco 30124 Venezia, Italy
Phone: + 39 04 12 79 14 30
Fax: +39 04 12 79 13 66
E-mail: c_giuseppe.solomita@regione.veneto.it

Profile: Veneto Region is divided into seven provinces from the Lake of Garda to the Dolomites. It covers 18,380 square km and has about 4.4 million inhabitants that live in 580 cities. About 71% of the population live in small towns with less than 30,000 inhabitants and the average population density is 244.2 per square km. Venice is one of the Italian regions with a positive growth rate (0,5%). It has an increasing population above the age of 65 (17.5%) that gives an elderly population index of 132.6%. The Regional Government is based in the city of Venice.

The Region of Venice provides health and social services through 21 local health units (called Aziende Sanitarie Local - ASLs or Unità Locali Socio Sanitarie – ULSS) and 2 Hospital Trusts. The local health units manage GP contracts, polyclinic, Hospital and other health care and social services, health promotion and prevention of communicable diseases at local level. The health care system is funded mainly through taxation. There are mainly public Hospitals, funded through a predetermined budget and primary care physicians are paid mainly by capitation. The local health units as well as the Hospital trusts are managed by general directors appointed by the region.

The Regional Government aims to have a better control on the healthcare request and provision to individual patient, from Primary Care upwards. To achieve this objective the Regional Healthcare Information System is currently undergoing a re-design and re-engineering process.

Role in the project: NETC@RDS service provider. Contracting Party in the Multilateral Agreement. Responsible for Service access point set-up, roll-out and follow-up at regional scale. Leader for WP7.

15) Azienda Sanitaria Lamezia Terme

Website:

Contact person: Angela Di Tommaso
Address: Via Arturo Perugini 1, 88046 Lamezia Terme, Italy
Phone: +39 968 208704
Fax: +39 968 208771
E-mail: rafdil@libero.it

Role in the project: NETC@RDS service provider. Contracting Party in the Multilateral Agreement. Responsible for Service access point set-up, roll-out and follow-up at regional scale

16) MEDTEL

Website: http://www.medtel.cz

Contact person: Jirí Ochozka o.p.s.
Address: Veletrzni 67, 17000 Praha 7, Czech Republic
Phone: +420 2 33376194
Fax: +420 2 33379192
E-mail: ochozka.jiri@aproks.cz

Profile: MEDTEL is positioned as the Czech national equivalent of ETHEL. It is the basis of the national network of health telematics and, consequently, a partner of European organisations, particularly of the ETHEL network of health telematics. It has association with the following principal stakeholders in the Czech healthcare system:

• Authorities dealing with health care (the Ministry of Foreign Affairs, schools, research establishments)
• Health care providers
• Health insurance companies
• Associations of patients, citizens, and interest groups
• Business companies operating in the field of health care.

Role in the project: Responsible for service access point set-up, roll-out and follow-up at national scale.

17) VZP - Všeobecná zdravotní pojištovna Ceské republiky (General Health Insurance Company of the Czech Republic)

Website: http://www.vzp.cz

Contact person: Petr Damborsky
Address: Orlická 4/2020, 130 00 Praha 3, Czech Republic
Phone: + 420 2 2217526010
Fax: + 420 2 21754600
E-mail: petr.damborsky@vzp.cz

Profile: The General Health Insurance Company of the Czech Republic (hereinafter referred to only as the VZP CR) was established by law and carries out public health insurance. The VZP CR ensures the collection of insurance payments for public health insurance and the covering of health care from the means of health insurance and other activities. The organisational structure of the VZP CR consists of the Central Insurance Company, 77 district insurance companies and offices. The bodies of the VZP CR ensure the participation of the insured persons, the employers of insured persons and the state in the management of the VZP CR. The VZP CR keeps a register of persons insured with public health insurance and is the administrator of the special account of public health insurance.

The General Health Insurance Company of the Czech Republic has, since its establishment in 1992, become the main pillar of the Czech health service. Almost 7 million of the 10 million inhabitants of the Czech Republic are insured with the VZP CR, which pays on their behalf over 80 % of all payments for health care covered from public health insurance. The VZP CR is therefore the main guarantee of the reliability and availability of medical care in the Czech Republic.

VZP CR has a long tradition as the chief initiator of the use of smart cards as a modern electronic identification for insurance entitlement. In 2003, after a pilot project during 1996 – 2000, it began an extensive analysis of the use of personal electronic identifier card for verification of persons insured with health insurance, with the idea of gradual implementation of this system by 2008.

Role in the project: NETC@RDS service provider. Contracting Party in the Multilateral Agreement.

18) Všeobecná zdravotná poistovna, a. s. (General Health Insurance Company)

Website: http://www.vszp.sk

Contact person: Petra Balážová
Address: 17, Mamateyova St, P.O.BOX 41, 850 05 Bratislava 55, Slovakia
Phone: +421 2 67 277 101
Fax: +421 2 67 277 238
E-mail: petra.balazova@vszp.sk

Profile: Všeobecná zdravotná poistovna, a. s. (General Health Insurance Company) is the biggest health insurance provider within the compulsory health protection system in Slovakia. It was established as the successor of the Administration of Health Insurance Fund in 1995 pursuant to the National Council’s Act on Health Insurance No. 273/1994 coll. It was transformed in 2005 into the state joint stock company pursuant to the National Council’s Act on health insurance companies, health supervision, and on the amendment and supplementing on certain laws No. 581/2004 coll. The Slovak Republic is the sole stockholder of the General Health Insurance Company. The right of stockholder are managed by the Ministry of Health of the Slovak Republic.

The General Health Insurance Company operates through self governing bodies (the General Assembly, the Board of Directors, and the Supervisory Board) and executive bodies (the Head Office, 35 branches and 48 sub-branches with 2070 employees). At present, the General Health Insurance Company provides health insurance coverage for more than 3.0 million insured, i.e. almost 60 % of the total number of compulsory insured persons in the Slovak Republic.

Apart from the health insurance performance the General Health Insurance Company cooperates closely with the representatives of occupational chambers of health care providers. The principal priorities of the General Health Insurance Company are: to serve it’s insured at the best level, to improve the information exchange between the General Health Insurance Company and health care providers, to make performance of health insurance more efficient, to assure balance of expenditures and incomes.

The General Health Insurance Company is ISO 9001:2000 certified since 12th June 2007.

The General Health Insurance Company has been participating on the solution of the NETC@RDS system since the Phase “Market Validation”. It established and operates the national NETC@RDS portal in the Slovak Republic. To guarantee the secure communication, the secure identification and authentication of NETC@RDS users, there were introduced into the use the personnel certificates of users of NETC@RDS systems in Slovakia. Personnel IDs and passwords are stored on personal smart cards issued especially for the NETC@RDS system.

Role in the project: NETC@RDS service provider, contracting Party in the Multilateral Agreement, responsible for service access point set-up, roll-out and follow-up at national scale.

19) OEP - Országos Egészségbiztosítási Pénztár (National Health Insurance Fund)

Website: http://www.oep.hu

Contact person: Zoltan Szege
Address: Váci út 73/a., 1139 Budapest Hungary
Phone: +36 30 5666025
Fax: +36 1 3501611
E-mail: szege.z@oep.hu

Profile: The National Health Insurance Fund (OEP) is a separate administrative organisation under the supervision of the Ministry of Health. The OEP directs the administrative functions of the insurance branch and controls the calculation and payment of benefits.

The tasks of OEP are as follows:

• Purchasing health care services for the insured.
• Directing the regional and other administrative bodies.
• Operating the health insurance branch system.
• Getting involved in preparation of legislation.
• Preparing and implementing the interstate agreements regarding health insurance.
• Developing and operating the database of the health insurance system.
• Collecting, processing and analysing the statistical data of the health insurance system.

To accelerate the efficiency of these activities, OEP are replacing paper forms by electronic forms and are providing Health Professionals with the necessary information, medical databases, and services for identification, authentication, certification and data encryption.

Role in the project: NETC@RDS service provider. Contracting Party in the Multilateral Agreement. Responsible for service access point set-up, roll-out and follow-up at national scale.

20) Krakowski Szpital Specjalistyczny im. Jana Pawla II w Krakowie (John Paul II Hospital)

Website: http://www.szpitaljp2.krakow.pl

Contact person: Zbigniew Les
Address: Pradnicka 80, 31-202 Krakow, Poland
Phone: +48 12 6143404
Fax: +48 12 6326895
E-mail: z.les@szpitaljp2.krakow.pl

Profile: The John Paul II Hospital is a public health care institution. The mission of the Hospital is to fight against the major epidemic and chronic diseases in society induced by factors related to the environment, civilisation, psychological and socio-economic impact.

We offer medical services in the following fields: cardiology, interventional cardiology, vascular surgery, cardiosurgery, transplantology, anaesthesiology and intensive therapy, lung diseases, thoracic surgery, neuroinfections and paediatric neurology, infectious diseases in children, hepatology and viral hepatitis, imaging diagnostics.

Role in the project: NETC@RDS service provider. Contracting Party in the Multilateral Agreement. Responsible for service access point set-up, roll-out and follow-up at national scale.

21) ZZZS - Zavod za zdravstveno zavarovanje Slovenije (Health insurance institute of Slovenia)

Website: http://www.zzzs.si

Contact person: Martina Zorko
Address: Miklošiceva 24, SI-1507 Ljubljana
Phone: + 386 1 3077252
Fax: + 386 1 2312182
E-mail: martina.zorko@zzzs.si

Profile: The Health Insurance Institute of Slovenia (the Institute) was founded on March 1, 1992, according to the Law on health care and health insurance. The Institute conducts its business as a public institute, bound by statute to provide compulsory health insurance. In the field of compulsory health insurance, the Institute's principal task is to provide effective collection (mobilisation) and distribution (allocation) of public funds, in order to ensure the insured persons quality rights arising from the said funds - rights to health care services and rights to several financial benefits (sick leave pay, reimbursement of travel costs and funeral costs, and insurance money paid in case of death).

Organisation structure: The Institute comprises 10 regional units and 45 branch offices distributed around the territory of Slovenia. The functional unit the Information Centre and the Directorate complete the Institute structure.

Under the strategy of continual modernisation of information and organisation systems in the Slovene health care system, the Institute introduced a national health insurance card system. Since October 2000, this system serves the entire population and all health care service providers. In the first phase, the system covers administrative functions, yet enhancement of functionality is in progress.

Role in the project: NETC@RDS service provider. Contracting Party in the Multilateral Agreement. Responsible for service access point set-up, roll-out and follow-up at national scale. Leader for WP9 Cooperation with EU initiatives in respect with eEHIC specifications.

22) Casa Nationala de Asigurari de Sanatate (CNAS)

Website: http://www.cnas.ro

Contact person: Nelly Musat
Address: Calea Calarasilor 248, Bl S19, Sector 3, 30634 Bucarest, Romania
Phone: +40 21 30 26 242
Fax: +40 21 31 68 056
E-mail: infon@casan.ro

Profile: Being a Health Insurance organisation, CNAS is responsible for the administration of the national unique health insurance fund, it has contracts for the provision of the health and pharmaceutical care services with more than 17,000 health care providers. CNAS has a local structure of 42 sites that have assumed the role of liaison bodies regarding the external payments. For the time being, there is under construction an informatics system (SIIS) to which there would be attached a national health insurance card based on smart card.

Role in the project: NETC@RDS service provider. Contracting Party in the Multilateral Agreement. Responsible for service access point set-up, roll-out and follow-up at national scale.

23) Vecozo BV

Website: http://www.vecozo.nl

Contact person: Ron Verschuren
Address: Abeelstraat 1A PO Box 4050, 5004 JB Tilburg, Netherlands
Phone: +31651668023
Fax: +31134625640
E-mail: ron.verschuren@vecozo.com

Profile: It is VECOZO’s mission to contribute to decreasing administrative costs in the health care sector by providing cost effective data exchange between actors by means of internet technology.

To achieve this goal VECOZO:

- provides a solid basis for safe and secure (internet)communication, based on digital certificates,
- runs a national portal for data exchange between healthcare providers and healthcare insurers,
- offers customers user friendly and cost effective services.

Organisation structure: VECOZO was founded in 2002. Today, VECOZO has six shareholders (health insurance companies) which represent 70% of the total Dutch insured population.

The Dutch government considers VECOZO as the main portal for administrative internet communication in health care. VECOZO has 40 employees and a yearly turnover of € 4 million.

Main areas of competence :

Role in the project: Vecozo is beneficiary in the project, and responsible for the deployment in the Netherlands, and bound to CZ “Active in Health” as partner in the General Agreement.

24) CZ “Active in Health”

Website: http://www.cz.nl

Contact person: John Stevens
Address: Wilhelminastraat 39, PO Box 55, 6130 MA SITTARD, Netherlands
Phone: +31464595662
Fax: +31464580666
E-mail: john.stevens@cz.nl

Profile: CZ operates as a health insurance company in the Netherlands in a competitive private health care system. It is CZ’s mission to provide its clients fast access to health care of high quality. To achieve this goal CZ contracts with health care providers, based on quality and service levels. With the pay-off “Active in Health” CZ wants to be considered as the most obvious guide and advisor concerning all health related issues.

Organisation structure: CZ is a non-profit organisation It services about 2.6 mln affiliates with a market share of 16%. CZ has about 2.600 employees (FTE’s) and a turnover of € 4.3 billion a year.

Main areas of competence: CZ is a health insurer for both individual and corporate clients. In addition, CZ supports its clients in the complete health-chain, from health promotion and prevention up to and including rehabilitation.

CZ is the national liaison for Dutch citizens, who are working abroad. CZ has a lot of experience with cross border health care: For CZ affiliates in border regions, contracts have been conducted with Belgian hospitals, and as a result of a cooperation with AOK Rheinland/Hamburg easy access to German health care is provided

Role in the project: CZ is member in the project, bound to Vecozo BV and is the Dutch contract partner in the general agreement.

25) Standard Norway

Website: http://www.standard.no

Contact person: Asbjorn Hovsto
Address: Strandveien 18, PO box 242, 1326 Lysaker, Norway
Phone:
Fax:
E-mail: aho@standard.no

Profile: Standards Norway (SN) is responsible for the standardisations areas in Norway and its core functions are to adopt and publish some 1,500 new Norwegian Standards (NS) annually. NS are adopted by SN based on nationally made standards and on European and International standards. Standards Norway is the Norwegian member of CEN and ISO. The annual budget of SN is €10M of which 30% is management of national and international projects.

From the Healthcare ICT point of view, SN hosts the national secretariat for ICT- and security standards including eHealth on behalf of Directorate for Health and Social Affairs. An increasing number of stakeholders from users, hospitals, general practioners, local municipalities and public bodies participate in the work.

Role in the project: As national co-ordinator SN will set-up, roll-out and follow-up the service access points together with sub-contractors Social Security Service – Rikstrygdeverket and University Hospital North Norway (Norwegian Centre for Telemedicine). The national portal will be hosted by Rikstrygdeverket. New service points for health insurance cards will include six hospitals in central and coastal region, one gas terminal at Melkøya close to the Barents Sea serving about 12.000 workers, and three coastal steamers, operated by Hurtigruten, each with a small onboard hospital serving about 500 passengers (mostly foreigners).

26) Liechtensteinische Landesverwaltung, Amt für Gesundheit (Office of Public Health)

Website: www.llv.li

Contact person: Thomas Hasler
Address: Aeulestrasse 51, PO box 684, FL-9490 Vaduz
Phone: +423 236 73 41
Fax: +423 236 73 50
E-mail: thomas.hasler@ag.llv.li

Profile: The Office of Public Health (OPH) is the national authority in health matters. This includes the supervision of the health insurance and accident insurance system.

The OPH is also responsible for the medical officer service, for national programmes designed to promote healthy lifestyles, the agency for therapeutic products and the liaison body.

The OPH is structured in two departments, “Health Insurance and Accident Insurance” and “Public Health”. The OPH coordinates the Netc@rds project in Liechtenstein.

Role in the project: NETC@RDS service provider. Contracting Party in the Multilateral Agreement. Responsible for Service access point set-up, roll-out and follow-up at regional scale.