Transcript 01_-_Keynote_(Blagoy_Mirov)

NETC@RDS for eEHIC Mid Term
Workshop
Blagoy Mirov, NHIF of Bulgaria
[email protected]
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Social security is a key issue for persons
exercising their fundamental right to free
movement
However, without coordination at European
level, national social security legislations may
lead to disadvantages in the field of social
security for European citizens and their
families who move within Europe
True free movement therefore needs protection
of these rights
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Regulation (EEC) 1408/71 and its implementing
Regulation (EEC) 574/72 offer solutions to most of the
cross-border problems that may arise in the field of
social security
These two Regulations coordinate the social security
schemes of Member States - they do not replace the
different national social security systems by a single
European scheme
Member States are, therefore, free to determine the
details of their own social security systems, including
which benefits shall be provided, the conditions of
eligibility and the value of these benefits, as long as
they adhere to the basic principle of equality of
treatment and non-discrimination.
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Article 78 – Data processing
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Member States shall progressively use new technologies for the
exchange, access and processing of the data required to apply
this Regulation and the Implementing Regulation.
The Commission of the European Communities shall lend its
support to activities of common interest as soon as the Member
States have established such data-processing services.
This article actually enables electronic data
exchange
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There is a new legal obligation in Article 4 of the new
implementing regulation of Regulation 883/2004
which requires the transmission of data between
Member States to be carried out by electronic means
under a common secure framework that can guarantee
the confidentiality and protection of exchanges of data
This constitutes the new reference for coordination of
social security and will simplify the lives of European
citizens, who can more easily exercise their right to free
movement within the EU
Moreover, the new regulations consolidate and place
emphasis on the cooperation obligations of Member
State administrations in the field of social security
Sector
Volume of information
exchange (in E-forms)
Accuracy
Pension
2,195,000
Moderate, ± 20%
Health
3,535,000
Moderate, ± 20%
Unemployment
1,000,000
Very low
Family benefits
1,000,000
Very low
Posting
Total
800,000
8,530,000
High, ± 5%
Moderate, ± 30%
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To ensure that Member States exchange data
electronically once the new modernised
European Regulations coordinating social
security begin to apply
Ultimate aim is to strengthen the protection of
the social security rights of citizens who are
mobile
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eEHIC should not be viewed as just an
electronic version of a plastic EHIC
eEHIC means electronic services for European
citizens related to European Health Insurance
Card
eEHIC will come to facilitate the transfer of
data in cross boarder health care environment
by the means of triggering appropriate
business flow
Ad-hoc working group on eEHIC will
recommend step-by-step approach for
implementing eEHIC
1. Development of eEHIC with current
functionalities of EHIC and parallel work of
two card types
2. Extension of the eEHIC to other portable
documents
3. Extension of the eEHIC to other functionalities
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Adoption of the CWA as the basis for all
further work on eEHIC
Development of a Common Baseline Security
Policy encompassing national health networks
Development of Reference implementation of
eEHIC processing software
Making of some pilot projects
Preparation of decision documents
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Established in 1999 to deal with obligatory
health insurance in Bulgaria
In 2009 is still the only institution for national
health insurance
Competent institution according to EU
regulations
Will be an Access Point in EESSI for health
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NHIF recently finished big project for building
the integrated information system for
obligatory health insurance (billing system)
Currently two major projects are in progress
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creation of electronic health records of citizens
development of eHealth portal
There is no specific experience in projects with
eHealth cards, except one small pilot
There is a big usage of ICT in doctor’s practices
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Recent publication of the European
Commission shows that 87 % of European
doctors (General Practitioners) use a computer,
48% with a broadband connection
The report also highlights that doctors could
make better use of ICT to offer services such as
telemonitoring, electronic prescriptions and
cross border medical services
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Viviane Reding, EU Commissioner for
Information Society and Media said:
“Europe is starting to reap the benefits of broadband
connections in the eHealth Sector. I welcome the
efforts made by healthcare administrations and
doctors to work more efficiently"
“This diagnosis also shows that it is now time to use
these electronic services much more widely as they
have the potential to bring extraordinary benefits to
all patients, all over Europe.”