1. Gemalto in the Electronic Healthcare at the heart of your healthcare system
Robert Isnard
VP Government Programs 1

2. Gemalto in key figures Innovation: € 1.68 billion revenue
Financials 2008
Innovation:
9 R&D sites worldwide
1,300 engineers
80 inventions first filed in 2008
Over 5000 patents
Global footprint:
17 production sites
30 personalization facilities
75 sales & marketing offices
Experienced team:
11,000 employees
90 nationalities
40 countries
€ 1.68 billion revenue
€ 344 million net cash
Revenue by business segment
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3. Billions of people use our solutions each day
Crypto Password Generator
Mobile Subscription Management & Services
Chip & Contactless Payment Cards
Software Applications and
NFC Solution & Services
Over-the-air (OTA)
Managed Services
Personalization Services
Secure Software & Data Management
Secure e-Documents and Issuance Software
Online Authentication Software & Services
End-to-end Solutions for Government Applications
Two-factor Strong Authentication Personal Devices & Applications
Illustrative and not an exhaustive list of Gemalto solutions
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4.  World Leader in Digital Security   Markets in strong development 
 Unique technology portfolio 
 Blue chip customers 
Leading Provider of Secure Documents,
Identity Solutions & Services 
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5. Drivers requires a secured healthcare IT infrastructure
Operation cost reduction:
Automation of data capture (claim management, prescription…)‏
Business process rationalization
Electronic transfer for patient files
Migrating from paper to electronic documents which increases reliability and accuracy
Tackling fraud: Only eligible patients have access to re-imbursement
Electronic identification & authentication
On-line pre-authorization and right validity checks
Visual security (picture, security features)‏
Social benefits distribution (free transport, cash…) -> electronic « social » granted money
Providing better managed health services
Coordinate heath services  electronic Personal Medical File
Mobility: Access to medical services in remote locations
Emergency data available in the card/server
Access to self-service kiosks for real-time updates
requires a secured healthcare IT infrastructure
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6. New subsystem needed to manage e-healthcare
Typical healthcare IT infrastructure and actors
New subsystem needed to manage e-healthcare
TRUST CENTER
Independent
Health Professional
Hospitals
Others
- Added value
Pharmacies
Patient
DataBase
Health Prof.
A c t o r s
Health Prof. Card
/ Token
Reader
Health
Insurance Card
E n t i t l e m e n t
C M S
Authentication
Gateway
H e a l t h c a r e
I T n e t w o r k
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7. Gemalto healthcare document offer: Overview
For Health Insurance Companies
Card Issuance
Health insurance smart card
Personalization services
Card Management System
For Health Professionals and Hospitals
Card Acceptance
Health professional smart card
Health professional Token
Smart card readers
Healthcare applications
For Health Operators
Authentication
PKI infrastructure
Trust center
Authentication gateway
Flow management
Integration Services
Specifications definition
Program management
Connection of the different bricks to create the complete solution
Installation and deployment
Training
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8. Why Gemalto
More than health insurance cards successfully deployed !
From subsystem provider to complete Healthcare IT deployment - the most flexible offer in the market
France:
60 M personalized health insurance cards (Vitale), over 1 M health professional cards (CPS) and dual slot readers
Germany:
More than 30 M personalized health insurance cards (KVK) and dual slot readers
AOK award for 35M personalized new PKI heath insurances cards (eGK)‏
Finland:
More than 9 M personalized health insurance cards (Kela)‏
Slovenia:
More than 2 M health insurance cards, dual slot readers and personalization subsystem solution
Mexico:
3,7 M personalized health insurance cards (Seguro Popular), PC/SC readers
UK:
1,2 M health professional cards (NHS Connection for health) and internet Authentication Gateway subsystem solution
Puerto Rico:
1 M health insurance cards
Algeria:
Complete healthcare IT definition and deployment, including cards and readers
European health card:
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9. References GIE SV France GIP CPS France AOK Germany BKK Germany
Bundesnapschaft Germany
NHS UK
Seguro Popular Mexico
Puerto Rico
Denver health hospital US
Kela Finland
CFT Russian social card
ZZZS Slovenia
NETCARDS Europe
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10. Customer implementation France
Eco-system
The current system has remained the same since 1948
Healthcare spending in 2005 : 190 Billion Euros
National health insurances : 136 Billion €
Complementary health insurances : 30 Billion €
Paid by the patient : 24 Billion €
State Budget = 320 Billion Euros
1995: first deployment of eHealthcare application “Vitale” project
Concept of the “Vitale“ project
Reduce the operating cost of the French insurance systems
Create an IT system to bring healthcare savings of 300 M€ per year
On going project : “Vitale2 “
On-line capability
Possibility to run multi-applications - Healthcare and then pay for the debit card
ePrescriptions
Prepare the technology base for the central Medical Data File
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11. Customer implementation Germany
Eco-system
Healthcare spent in 2005 : 220 billion €
State Budget = 290 billion €
1990: first deployment of eHealthcare application: “KVK” project
Concept of the “KVK“ project
Reduce the operating cost of the German insurance systems
Pure Off-line mode
Cost saving per year : 250 M€
Total project costs : 270 M€
On going project “eGK”
On-line pre-authorization
PIN for strong authentication
ePrescription on board
Emergency medical information
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12. Algeria e-HealthCare case study Objectives: Fraud reduction (internal & external) , cost control (authentication & traceability) and improved services 12

13. eGovernment Solutions
Algeria Healthcare card project provision of a turn key solution to modernize the healthcare system
Facilitate healthcare services & decrease costs in a fast-growing country
33 million population, 80% of which benefit from national healthcare
CNAS wants to reduce fraud, speed-up payment settlements and reduce costs, better visibility over the system
Complete system, based on a central repository: Geographically widespread paper system in place, spread out over the 48 Wilayas
Off-line authentication of patients  decentralized health application
On-line authentication & signature of professionals  centralized data collection
Delivery of a turnkey solution over 3 years (ending Q4 2008)‏
Citizen Enrolment, Issuance and eGovernment Solutions (CMS, PKI, Readers, ...)‏
7 million eHealth cards for the families
USB tokens for 20Ku HC professionals
Citizen Enrolment
Issuance Solution
eGovernment Solutions
eBorder Solutions
Secure Documents
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14. System components TURN KEY SOLUTION Token for professionals and APIs
Personnalisation system,
CMS, PKI infra & patient enrolment
Cards & readers
Training
Carte CNAS
TURN KEY SOLUTION
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15. Mexico Healthcare case study How to address 12M people who are not covered with any type of Healthcare benefits or Social Security in Mexico ? 15

16. eHealthCare Customer implementation
12M people who are not covered with any type of Healthcare benefits
or Social Security in Mexico.
Seguro Popular: Key project implemented by Mr. Fox with backing from all political wings. Since 2004, Seguro Popular provides subsidies for medicine and medical care to inhabitants with no healthcare benefits.
Need of a system to control & reduce fraud
Policy Management of a sector where there is no Healthcare information
Need of a portable, trustworthy, secure, auditable means of identification, flexible and controlable means of ID. Also addressing those without a bank account & to ensure the correct distribution of healthcare rights to Mexicans
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17. e-Diagnostic & e-Prescription
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18. Medication delivery
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19. The National Healthcare IT smart card based system
Slovenia healthcare case study objectives: Reduced healthcare costs and improved quality of care
The National Healthcare IT smart card based system 19

20. Customer implementation Slovenia
Eco-system
Population of million
Electronic healthcare insurance infrastructure first deployed in 1998 to modernize paper-based system
On-going project
2,1Mu Health Insurance Cards
Insurance information, cardholder details, status of health insurance, organ donor status and primary care physician
20Ku Health Professional Cards, 5K desktop readers (dual slot)‏
Online network of self-service terminals in healthcare facilities
Healthcare service provider’s network environment
Phase 2
PKI digital signature function for electronic signing of data exchanges
Storage of patient prescriptions on the card
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21. Program objectives
Increase quality of medical services while simplifying procedures
Improve data security and confidentiality
Reduce administrative tasks
Improve communication between HIIS, users and private healthcare providers
Make investment cost-efficient at national level
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22. System Overview HIIS National Network
HIIS database network links all parties involved:
Insurance companies
Social welfare
Claim submission
Eligibility verification
Employer
HIIS National Network
Claim submission
Eligibility verification
Employment verification
Hospital/Clinic
Pharmacy
Self-service terminals
Online record retrieval
Eligibility verification
Claim submission
Eligibility verification
Prescription delivery
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23. Conclusion
Slovenia today the most advanced country in the world using IT in healthcare sector
Slovenia used smart cards to achieve the goal of every healthcare organization: Reduced healthcare costs and improved quality of care
Country’s healthcare data is now accurate and up-to-date
Digital storage of data and automation of paper-based processes has resulted in 35% cost savings for HIIS
HIC program is using PKI for web-based healthcare & insurance services
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24. Bulgaria “Electronic Health Record” Project
implemented at the Military Medical Academy in Bulgaria
by local partner KIM-2000 Ltd.
Objective: to set up an electronic health record system which is
Patient centered
Efficient
Reliable
Secure
User friendly
Gemalto delivered:
Secure Java based MultiApp 72K CC smart cards with IAS classic applet
Terminal GCR 5500-BG - dual slot:
for the patient's card
for the health professional's card
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25. Thank you for your attention25