The European Health Care Information and Clearing Centre Jiří Kofránek, Petr Zinek, Petr Sláma Charles University, Prague & Ministry of Health, Czech Republic

The text proposal to Prague’s Declaration We will seek to have a transparent and quick settlement of health service allowances from the European Union’s member states via the interconnection of European Health Insurance companies through the proposed European Health Care Information and Clearing Center.

Transparency and acceleration of the payment settlement processes by health services

The current status

Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Member state 2 Member state 1

Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Member state 2 Member state

The vision

Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Member state 2 Member state 1 Portal of National Reference Centre Health Care Provider European Health Care Information and Clearing Centre

Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider DE CZ Portals of member states reference centers 1

Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider 2 2 DE CZ Portals of member states reference centers 1 1

Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider DE CZ Portals of member states reference centers 1 1

Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider DE CZ Portals of member states reference centers 1 1 4

Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider DE CZ Portals of member states reference centers 5 1 4

Health Insurance Company European Health Care Information and Clearing Centre AT IT SE NL Health Care Provider Health Insurance Company Health Care Provider Health Insurance Company Health Care Provider CZ Portals of member states reference centers 6 DE 7 1 4

Secure transfer of health documentation

Neutral data document identifier Patient name… (personal ID) document identifier Medical record content Sensitive personal data Medical record content Patient name… (personal ID) Neutral data

document identifier Patient name… (personal ID) document identifier Medical record content Neutral data Cross connection table Medical record database Sensitive personal data Medical record content Patient name… (personal ID) Reconnection is permitted to authorised persons only

European Health Care Information and Clearing Centre Patient IDDocument IDHead ID CROSS CONNECTION TABLE Patient IDDocument IDHead IDDocument ID Medical record content Head ID Patient name… (personal ID) Medical record content Patient name… (personal ID) Portal of National Reference Centre Reconnection is permitted to authorised persons only

Benchmarking of The consumption and price structures of pharmaceuticals in individual E.U. countries The quality and the costs the health care provided

EU pharmaceutical policy coordination Consumption structure Price structure European Health Care Information and Clearing Centre AT IT SE NL DE CZ Portals of member states reference centers Benchmarking Member states comparison