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NETC@RDS in Poland expectations and lessons learned. Andrzej Strug Narodowy Fundusz Zdrowia National Health Fund. Helicopter view. Poland: 38 mln citizens EU accession: 1 May 2004 EHIC introduction in EU: 1 May 2004 NFZ (National Health Fund): 37 mln insurees - PowerPoint PPT Presentation
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NETC@RDS in Polandexpectations and lessons learned
Andrzej StrugNarodowy Fundusz Zdrowia
National Health Fund
Helicopter view
Poland: 38 mln citizens
EU accession: 1 May 2004EHIC introduction in EU: 1 May 2004
NFZ (National Health Fund): 37 mln insurees
NFZ budget: € 14 bln
No of EHICs/year: 1.3 mln Cost of EHICs/year: € 3 mln
2
Everyday practice (& problems)
Reissue of EHICs due to short validity period
Vague procedure for obtaining Provisional Replacement Certificates (PRC)
Electronic data exchange for all internal claims (including EU citizens)
– but paper copies of EHICs needed
3
Our activity in NETCARDS
End 2007 NETCARDS discovery
Mid 2008NFZ’s declaration of accession
Jan. 2009NFZ joined NETCARDS project
Sept. 2009 first pilots
4
Result of our activities
5
but in Poland:
No of HCPs: > 30 000 No of hospitals: > 700 No of pharmacies: > 11 000
Satisfaction ?
6
Expectations
Easy way for patients without EHICs
Facilitating data capture for HCPs
Simplification of reimbursement process(for HCPs and CIs)
7
Next steps
Full satisfaction – deployment on a full scale
New partnership initiative – Business Plan
3 DGs dealing with e-Health solutions
DG INFSO DG EMPLOYMENT DG SANCO
e-StrategyeProjects
NETCARDSepSOS
STORKH-PRO
Reg. 883/04Reg. 987/09
Cross-borderDirective
EESSIEHICeEHIC
??HCPs registries
Services (products) def.
8
EHIC number check
Entitlement check
Authorization level check
Authorization level check
NCEESSI
AP
NCEESSI
AP
HCP
Valid EHIC
ExpiredEHIC
eNHICOther docs
HCP authentication
Docum./Patient
authentication
DB DB
Country A
Country B
CN
9
Lessons learned
Yes, we can
Success of project doesn’t mean success of key idea
Each idea should have its business owner (DG)
Coordination on national level – one of the keys to success
10
Thanks for your attention
Hungarian Presidency:
1 January – 30 June 2011
Polish Presidency:
1 July – 31 December 2011
11