Cegetel.RSS

The Intranet of Health Care Professionals

The concept

The Actors of the health sector will increasingly work in a networking mode The technology will be Internet based Internet in itself is not reliable and fast enough, so we need a special Internet network (“Intranet”) The French Social Security System (CNAM) has a strong interest in the

development of such an Intranet : the transmission of Electronic Care Forms

In order to speed up the creation of a federating health networkthe State has taken a leadership role and has created a Public Service

This service however is not in a monopoly position, except for the delivery of Electronic Care Forms

Cegetel is the operator of this Public Service

Cegetel : a global operator24 month of experience,

but...

12 years of experience (SFR)

Sales of FF 20 billion (C 3 billion) - 1998

5 millions customers (1998)

A strong share holding (BT, SBC, Mannesmann, Vivendi)

An active partnership (SNCF- National Railways)

An operational team (> 7000 persons)A global coverage of telecommunication needs on the French market

The Health - Social Network by Cegetel

Fire - wall

Phone plug

Local network connection

The IntranetPlatform

Cegetel Transport Network

Hospital

National Health Insurance

Local point of presenceCegetel

Health professionalHospital

Health ServiceProvider

Health ProfessionalInternet

Smart card terminal

A public service - government concession

A Public Service A Public Service (national coverage, quality (national coverage, quality of service, controlled prices)of service, controlled prices)

Delegated to Cegetel for a 5 years periodDelegated to Cegetel for a 5 years period (obligation to respect technical requirements (obligation to respect technical requirements + responsability in transport and security of + responsability in transport and security of information)information)

Governmental controlGovernmental control

Advantages RSS vs. Internet

Internet Internet The ISP are The ISP are controlled controlled onlyonly by their clients by their clients

Non securedNon secured exchanges exchanges

UnsureUnsure sources of sources of informationinformation

No control No control on released on released informationinformation

No warranty No warranty of service of service and flowand flow

No structuring No structuring of of information and information and servicesservices

Le Réseau Le Réseau santé santé socialsocial

The Government controls the The Government controls the service qualityservice quality

Security and confidentialitySecurity and confidentiality

AuthenticationAuthentication of emitting of emitting personperson

Deontology rules, Deontology rules, agreementagreement

Rigorous Rigorous rulesrules in service quality in service quality

Simplified accessSimplified access to information to information and service (search efficiency)and service (search efficiency)

A Secured Network

ObjectivesObjectivesAuthenticationAuthentication

ConfidentialityConfidentiality

ARL ( Mail Receipt ARL ( Mail Receipt Confirmation)Confirmation)

Integrity of Integrity of transferred transferred informationinformation

Traffic fluency by Traffic fluency by tunnelingtunneling

MeansMeans

Fire-wallFire-wall

TunnelingTunneling

EncryptingEncrypting

Health Care Health Care ProfessionalProfessionalSmart CardSmart Card

RSS - A Network managed end to end

Nationally wide Nationally wide access for access for Health Care Health Care Professionals at Professionals at a local call cost a local call cost

Specialized Specialized connection to connection to 150 points of 150 points of presencepresence

Supported by Supported by the back bone of the back bone of 10 000 km 10 000 km optical cables of optical cables of Cegetel & TDCegetel & TD

Connection on local network

Switch

Point of presence

@@

1st November :A national network is available

November 1998November 1998

A Network compatible with all major operating systems

April April : : Windows Windows 9595June June :: Windows 3.1Windows 3.1June June : : Windows 98Windows 98June June : : Windows NTWindows NT

UNIXUNIXPROLOGPROLOGMacMac

• December December 19981998

The connections and applications are operational

HospitalsHospitals

Associated networksAssociated networks

Connecting or hosting health services providersConnecting or hosting health services providers

ApplicationsApplicationsMailMail

InternetInternet

IntranetIntranet

FSE ( Electronic Health Care Form for Social FSE ( Electronic Health Care Form for Social Security System’s use : reimbursement, third - Security System’s use : reimbursement, third - party payment )party payment )

The different actors begin joining RSS

PhysiciansPhysicians

PharmacistsPharmacists

HospitalsHospitals

Medical organizationsMedical organizations

Health services providersHealth services providers

InstitutionsInstitutions

HH

Physicians : more than 7200 connected

A regular growthA regular growth

Subscription Subscription rate/weekly : rate/weekly :

September September 2020

October October 5050

November November 7070

MayMay 550550

Physicians’ Connection dynamicPhysicians’ Connection dynamic

3300

4950

5850

66507250

1200

987753 158233 354 475542

1000

2400

4120

0

1000

2000

3000

4000

5000

6000

7000

8000