Ministry of Interior e-government projects

MINEFI/DGE/STSI march Internal projects internal e-administration in information system of Ministry of Interior e.g public agent smart card

MINEFI/DGE/STSI march Institutional projects e-government between Ministry of Interior and institutional partners (Europe, other French ministries, local administration) e.g “ACTES” project

MINEFI/DGE/STSI march Citizen projects e-government between French administration & citizens e.g electronic ID card

MINEFI/DGE/STSI march ACTES project (1) “Legacy control” Local collectivities Mayor etc Prefect (State civil servant) Acte Act 8 million/year AKR Prefecture Acts Marriage, Building Permit etc Checks if legal or not Special network FAST

MINEFI/DGE/STSI march ACTES project (2) Dematerialization Automation of repetitive tasks Secure authentication Piloted since December 2003, with FAST from CDC

MINEFI/DGE/STSI march INES project To provide electronic services to citizens –transform traditional processes into electronic processes e.g car ID –secure electronic ID

MINEFI/DGE/STSI march Goals of INES Improve security of ID documents –better verification of identity –use of biometrics Simplify administration work & citizens requests –single process for passport & ID card issue (other documents later) –use for other national e-procedures

MINEFI/DGE/STSI march Improve document security Passport –ICAO recommendations contactless chip facial recognition as primary biometric data –France will use fingerprints as secondary biometric data in accordance with EU recommendations ID card –Use of dual interface chip Contact for secure e-transactions Contactless for ICAO compatibility because ID card is also travel document –Storage of fingerprints & portrait in chip –PKI

MINEFI/DGE/STSI march Electronic identity will simplify - Citizens’ lives –E-transactions –New services –Simplified procedures –Security & trust Civil servants’ lives –Dematerialization –Use of new technologies –More reactivity e-Economy First ID-cards issued at end of 2006

MINEFI/DGE/STSI march Privacy issues Identification of citizens –No global “personal number” in France ID card not only way to access e-transactions –“VITALE” used in health field –“Carte de Vie Quotidienne” (CVQ) for local administration & local services Introduction of biometrics will require a new law ID Cards need interational interoperabolity

e-Health in France Internet to rationalise healthcare system

MINEFI/DGE/STSI march French Health System Multitude of actors –health insurance (compulsory & complementary) – professionals ( doctors), pharmacies, laboratories –4000 hospitals, 1.1 million employees ( doctors) …with high degree of autonomy

MINEFI/DGE/STSI march Health Management National expenditure for health –148 billion €, 10% of GDP (USA:14%) One of the most expensive among developed countries Higher growth than GDP þ % in 2001

MINEFI/DGE/STSI march Two main ICT projects SESAM-Vitale smart card & system –simplify administrative procedure to refund health expenses Electronic health records –improve doctor-patient relationship

MINEFI/DGE/STSI march Health Insurance Card Vitale card  user-friendly & identifies holder  for all citizens over million cards  test  first pilot run in region  widespread use

MINEFI/DGE/STSI march How does it work?

MINEFI/DGE/STSI march SESAM-Vitale Scoreboard December 2004 –All French > 16 years have a card –76.9 million transactions – professionals using system (71.1%) 81.26% of doctors 94.84% of pharmacies but % of laboratories.

MINEFI/DGE/STSI march EU NETCARDS Eliminate legal barriers to citizen mobility  simplify procedure  align insured rights To provide reliable evidence of entitlement to receive health care & social services in EU  card authentication  secure network applications consortium  6 member States - Austria, France, Germany, Greece, Italy, Finland + Czech Republic, Slovak Republic, Slovenia  Third Country (Québec/Canada) as observer  Coordinator SESAM-VITALE

MINEFI/DGE/STSI march Agenda Pilot during Athens Olympic games (2004) 2008 : EHIC for all members & interoperability of national system Other countries ?

Portal Greek Health Care Provider French Health Care Provider Trans-European Extranet French Health Insurance back-office Portal German Health Care Provider Portal German Health Insurance back-office Other National Schemes Italy Italy Slovenia Slovenia Hungary Hungary Finland Finland… Austrian Health Care Provider Austrian Health Insurance back-office Portal

MINEFI/DGE/STSI march Personal Electronic Health Records (EHR) EHR = Dossier Médical Partagé (DMP) in French effective way to manage patient’s records… … but which must guarantee privacy VITALE + EHR --> Health ID (2006)

MINEFI/DGE/STSI march VITALE 2 32 KO (today 4 KO) Cryptology e-health card e-signature card for access to EHR Validity : 5 years. Photo for a better security

MINEFI/DGE/STSI march Gracias Thank you Merci! Jean-Bernard GRAMUNT