Smart Cards Workshop – Budapest, 2002 Multifunctional Smart Card for Doctors in Hungary – a...

Smart Cards Workshop – Budapest, 2002

Multifunctional Smart Card for Doctors in Hungary – a working

smart card implementation

Dr. László BékésiHungarian Medical Association

E-mail: [email protected]://www.mok.hu/

Dr. Pál SimonTemplar Partnership Co

E-mail: [email protected]

Smart Card Workshop, Budapest 2002 HMA - CIB - FOLD-R - BULL - TEMPLAR

The situation - New tasks that had to be fulfilled by H.M.A. in 1999• The basic registration of the medical licenses

(ordered by law)• The administration of the medical licences

(ordered by law)– Practice administration (practicing physicians)

• The administration of the continuous postgraduate medical education (compulsory by law)– 50 credit points in 4 years

• (Identification as being a M.D.)


The requirements of the whole project

What was the motivation for the initiation of the project?What was the motivation for the initiation of the project?What was the motivation for the initiation of the project?What was the motivation for the initiation of the project?

The Hungarian Medical Chamber The Hungarian Medical Chamber received an administrative task with legal backgroundreceived an administrative task with legal background

Requirements:Requirements:„Only HMA members can do medical practice”

„Every physician has to be registered in the data base”„Every physician must have the valid official licence”


Goals to be reached

• Implementation of the functions of an authentic medical licence for the members of the Hungarian Medical Association (also referred as Medical Chamber)

• Implementation of banking services of European standard, supporting the practice of the Chamber members and their way of life by introducing a multifunctional smart card.

• Implementation of the requirements of the international standards (EMV, CEN-TC224, TC251, ISO, Europay), and possible evolution towards Health Professional Cards.


Evaluating the concept of a multifunctional card

- bank services would support the working and life conditions of bank services would support the working and life conditions of physicians;physicians;- the official administartive function would be realised with modern the official administartive function would be realised with modern means;means;- new, creative role for the bank.new, creative role for the bank.

- bank services would support the working and life conditions of bank services would support the working and life conditions of physicians;physicians;- the official administartive function would be realised with modern the official administartive function would be realised with modern means;means;- new, creative role for the bank.new, creative role for the bank.

The concept of the project could be correct, because:The concept of the project could be correct, because:The concept of the project could be correct, because:The concept of the project could be correct, because:

- the two different services may have been inconsistent with each the two different services may have been inconsistent with each other;other;- the rigorous data protection requirements may have caused several the rigorous data protection requirements may have caused several problems.problems.

- the two different services may have been inconsistent with each the two different services may have been inconsistent with each other;other;- the rigorous data protection requirements may have caused several the rigorous data protection requirements may have caused several problems.problems.

The concept of the project had the following risks :The concept of the project had the following risks :The concept of the project had the following risks :The concept of the project had the following risks :


Additional aspects taken into consideration

Special task : very rigorous and accurate data protectionSpecial task : very rigorous and accurate data protectionSpecial task : very rigorous and accurate data protectionSpecial task : very rigorous and accurate data protection

HMA had no major financial resources for the project therefore the HMA had no major financial resources for the project therefore the solution needed „sponsors”. This could add new services to the card solution needed „sponsors”. This could add new services to the card (bank services - optional)(bank services - optional)

HMA had no major financial resources for the project therefore the HMA had no major financial resources for the project therefore the solution needed „sponsors”. This could add new services to the card solution needed „sponsors”. This could add new services to the card (bank services - optional)(bank services - optional)

The proof of the official medical licence has to be modern and it The proof of the official medical licence has to be modern and it should prepare the way for the health professional cardshould prepare the way for the health professional cardThe proof of the official medical licence has to be modern and it The proof of the official medical licence has to be modern and it should prepare the way for the health professional cardshould prepare the way for the health professional card


The solution

• Multifunctional Smart Doctor Card System (MSDC) implementation that satisfied the listed requirements and still left possibilities for further improvements


The card technology behind the MSDC system

Multifunctional chip with divided functions: - credit/debit bank function- special medical professional functions

Multifunctional chip with divided functions: - credit/debit bank function- special medical professional functions

MSDCHUNGARIAN MEDICAL

CHAMBER * CIBIT REALISATIONFOLD-R Co: Application software, Personalisation, Photo digitalisationReader/writer equipments (50)CIB Bank Co:Assembling and roll-out and distribution of the cardsBULL-HUNGARY:Transporting of the smart cards (40.000), IT Support, EMV Standard knowledge, Know how (Sesam Vitale)

IT REALISATIONFOLD-R Co: Application software, Personalisation, Photo digitalisationReader/writer equipments (50)CIB Bank Co:Assembling and roll-out and distribution of the cardsBULL-HUNGARY:Transporting of the smart cards (40.000), IT Support, EMV Standard knowledge, Know how (Sesam Vitale)

PHOTODIGITALISATION

PHOTODIGITALISATION

Type of card: EMV OTS hibrid smart card (Bull)Traditional magnetic stripe: Cirrus/Maestro (Europay) Standards: EMV OTS Europay, based EMV,Off-the-Shelf international standard Credit-Debit mask (Bull)ISO/IEC 7816 standards and the EMV 3.1.1. specification

Type of card: EMV OTS hibrid smart card (Bull)Traditional magnetic stripe: Cirrus/Maestro (Europay) Standards: EMV OTS Europay, based EMV,Off-the-Shelf international standard Credit-Debit mask (Bull)ISO/IEC 7816 standards and the EMV 3.1.1. specification

PROJECT MANAGEMENT:Templar Partnership Company, BudapestPROJECT MANAGEMENT:Templar Partnership Company, Budapest


The functional model of the MSDC system

CIB BANK

MULTI-FUNCTIONAL

TRANSACTIONS

LOCAL CHAMBER

HUNGARIANMEDICAL CHAMBER

FOLD-RFOLD-R

MULTI-FUNCTIONAL

TRANSACTIONS

BULLBULLHUNGARYHUNGARY

CIB BANK FILIALSCIB BANK FILIALS

MEMBEROf

CHAMBERMSDC

HUNGARIAN MEDICAL CHAMBER * CIB

HEALTH INSTITUTES

HEALTH INSURRANCE

F1.F1.

F2.F2.


The Medical Chamber functions (F1)

Further informatics supporting services for the members and the Further informatics supporting services for the members and the administrative Chamber functions of the HMCh :administrative Chamber functions of the HMCh :Further informatics supporting services for the members and the Further informatics supporting services for the members and the administrative Chamber functions of the HMCh :administrative Chamber functions of the HMCh :

MULTI-FUNCTIONAL

TRANSACTIONS


CHAMBER * CIB

Issue of the authentic Issue of the authentic medical licence for the medical licence for the members:members: • 38.000 cards are issued, 38.000 cards are issued, • out of these 31.000 areout of these 31.000 are distributeddistributed. . • out of these approxout of these approx 40% are activated as a40% are activated as a bank card, too.bank card, too.

Issue of the authentic Issue of the authentic medical licence for the medical licence for the members:members: • 38.000 cards are issued, 38.000 cards are issued, • out of these 31.000 areout of these 31.000 are distributeddistributed. . • out of these approxout of these approx 40% are activated as a40% are activated as a bank card, too.bank card, too.

• continuous supply of the authentic practice licence for the all HMCh members;continuous supply of the authentic practice licence for the all HMCh members;• continuous supply of the authentic practice licence for the all HMCh members;continuous supply of the authentic practice licence for the all HMCh members;

• MSDC application for recording the education and qualification data;MSDC application for recording the education and qualification data;• MSDC application for recording the education and qualification data;MSDC application for recording the education and qualification data;

• preparation of MSDC for the implementation of digital signature, preparation of MSDC for the implementation of digital signature, • preparation of MSDC for the implementation of digital signature, preparation of MSDC for the implementation of digital signature,

• medical professional functions in health insurance and in health care. medical professional functions in health insurance and in health care. • medical professional functions in health insurance and in health care. medical professional functions in health insurance and in health care.

MEMBER OF

CHAMBER

HUNGARIANMEDICALCHAMBER

LOCAL CHAMBER

F1.F1.


The Banking functions (F2)

MULTI-FUNCTIONAL

TRANSACTIONS


CHAMBER * CIB

MEMBER OF

CHAMBER

EUROPAY hybrid EMV OTS Cirrus – Maestro standards provideEUROPAY hybrid EMV OTS Cirrus – Maestro standards provideSpecial bank services for the members of HMCh:Special bank services for the members of HMCh:EUROPAY hybrid EMV OTS Cirrus – Maestro standards provideEUROPAY hybrid EMV OTS Cirrus – Maestro standards provideSpecial bank services for the members of HMCh:Special bank services for the members of HMCh:

• Participation in establishment of private health insurance funds;Participation in establishment of private health insurance funds;• Participation in establishment of private health insurance funds;Participation in establishment of private health insurance funds;

• Supporting the medical education;Supporting the medical education;• Supporting the medical education;Supporting the medical education;

• Preferencial credit for young physicians starting out on a career;Preferencial credit for young physicians starting out on a career;• Preferencial credit for young physicians starting out on a career;Preferencial credit for young physicians starting out on a career;

• Preferential credit for modernisation of medical consulting room;Preferential credit for modernisation of medical consulting room;• Preferential credit for modernisation of medical consulting room;Preferential credit for modernisation of medical consulting room;

CIB BANKCIB BANK CIB BANK FILIALSCIB BANK FILIALS

F2.F2.


MOKMagyar Orvosi Kamara

Technical possibilities: Implementing digital signature / fingerprint

IndividualIndividualpreparation ofpreparation of

identifiersidentifiers

HDW BOXHDW BOX- authorizationauthorization

digitalization,digitalization,personalizationpersonalization

electroonicelectrooniccontrolcontrol

Preparation for Preparation for National or InternationalNational or International

AccreditationAccreditation

IndividualIndividualfunctionfunctioncontrolcontrol


Use of the card in the social security system

IMPLEMENTATION- development,- implantation,- conversion,- care,

MOK Regions- query,- modification

NATIONAL HEALTH INSURANCELocal doctor-insurance fund transactions:

- modification- query

NATIONAL HEALTH INS.contract database,change management:

- modifictaion- query

EXTENDED MEDICAL LICENCE FUNCTIONS:access of stored medical databases- data processing,- modification,- cancellation,- query

HDW BOX- authorization



Continuous postgraduate education ( E-learning )

HEALTHEDUCATION

BOARD

HEALTHEDUCATION

BOARD


HDW BOX- authorization

PREPARATIONPREPARATIONFor InternationalFor InternationalACCREDITATIONACCREDITATION

MOK terminalsMOK terminals

LEARNINGTERMINALS

UNIVERSITYUNIVERSITY


The Present

• ~ 40,000 members of Hungarian Medical Chamber• ~ 38,000 cards are issued (roll-out in June 2000)• ~ 31,000 cards are delivered• ~ 12,500 are used as a bank card (debit card) as

well• Possible other usage:

– loyalty card– key card for SW-s– bank loan / credit card– other price reductions, loyalty

• Problems about protection of personal data (card delivery)


Maintaining the work of the system

• Educate the users

• Card issuing• Card personalization• Card delivery• Renewal of the old cards

– 2 yrs as a bank card– 5 yrs as a membreship card

• Change management• Improvement in card services (new card

generation?)


The Future?

• There is a future: Doctors need to get used to the special card

• Encourage the use of the card– Installing low function terminals

• Supporting healthcare SW vendors

• Acceptation of IST initiatives• Support for other Hungarian Healthcare

related card ideas• Joining other projects• Introducing E-Learning for Doctors


THANK YOU FOR YOUR ATTENTION!

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