1. Ministry of Interior e-government projects

2. MINEFI/DGE/STSI march 20052 Internal projects internal e-administration in information system of Ministry of Interior e.g public agent smart card

3. MINEFI/DGE/STSI march 20053 Institutional projects e-government between Ministry of Interior and institutional partners (Europe, other French ministries, local administration) e.g “ACTES” project

4. MINEFI/DGE/STSI march 20054 Citizen projects e-government between French administration & citizens e.g electronic ID card

5. MINEFI/DGE/STSI march 20055 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

6. MINEFI/DGE/STSI march 20056 ACTES project (2) Dematerialization Automation of repetitive tasks Secure authentication Piloted since December 2003, with FAST from CDC

7. MINEFI/DGE/STSI march 20057 INES project To provide electronic services to citizens –transform traditional processes into electronic processes e.g car ID –secure electronic ID

8. MINEFI/DGE/STSI march 20058 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

9. MINEFI/DGE/STSI march 20059 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

10. MINEFI/DGE/STSI march 200510 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

11. MINEFI/DGE/STSI march 200511 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

12. e-Health in France Internet to rationalise healthcare system

13. MINEFI/DGE/STSI march 200513 French Health System Multitude of actors –health insurance (compulsory & complementary) –300 000 professionals (110 000 doctors), 24 000 pharmacies, 4 000 laboratories –4000 hospitals, 1.1 million employees (50 000 doctors) …with high degree of autonomy

14. MINEFI/DGE/STSI march 200514 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 + 5.2 % in 2001

15. MINEFI/DGE/STSI march 200515 Two main ICT projects SESAM-Vitale smart card & system –simplify administrative procedure to refund health expenses Electronic health records –improve doctor-patient relationship

16. MINEFI/DGE/STSI march 200516 Health Insurance Card Vitale card  user-friendly & identifies holder  for all citizens over 16 - 55 million cards  1994 - test  1998 - first pilot run in region  2001 - widespread use

17. MINEFI/DGE/STSI march 200517 How does it work?

18. MINEFI/DGE/STSI march 200518 SESAM-Vitale Scoreboard December 2004 –All French > 16 years have a card –76.9 million transactions –204 555 professionals using system (71.1%) 81.26% of doctors 94.84% of pharmacies but 13.77 % of laboratories.

19. MINEFI/DGE/STSI march 200519 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 Netc@rds consortium  6 member States - Austria, France, Germany, Greece, Italy, Finland + Czech Republic, Slovak Republic, Slovenia  Third Country (Québec/Canada) as observer  Coordinator SESAM-VITALE

20. MINEFI/DGE/STSI march 200520 Agenda Pilot during Athens Olympic games (2004) 2008 : EHIC for all members & interoperability of national system Other countries ?

21. 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

22. MINEFI/DGE/STSI march 200522 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)

23. MINEFI/DGE/STSI march 200523 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

24. MINEFI/DGE/STSI march 200524 Gracias Thank you Merci! Jean-Bernard GRAMUNT jean-bernard.gramunt@industrie.gouv.fr