Patient Records Health Insurance Service Smartcard Data
Electronic Health Service Smart Cards
Various countries with national health care programs have deployed smart card systems. The largest is the German solution which deployed over 80,000,000 cards to every person in Germany and Austria.
These memory cards are issued by the health insurance organisations and contain the insured person's personal data which used to be entered on the paper insurance form. The smart patient data stored in the chip can be read very simply with the aid of the appropriate smart card reading device and facilitates the secure sharing of patient clinical data amongst multiple healthcare providers. Altogether they have been responsible for a considerable reduction in administrative work for the insurance organisations and in the hospitals and medical practices seeking smart health solutions.
Patients will no longer need to fill out their personal information each time they visit their doctors since the cards will contain pertinent critical information such as medications, allergies and chronic conditions along with demographics and insurance history. By inserting the patient card in a computer in the exam room, the physician can have instant access to accurate and up-to-date information on the patient. Patients can also check their stored information by using a computer kiosk in the physician's office or they may purchase a card reader to use with a home computer. For the patient, a PIN is required to gain access to their data.
When visiting a doctor's office, emergency room or clinic, upon presentation of the patient's card, a form specific to the site visited will print out. The card will maintain a record of clinical history such as blood pressure, pulse, and medications. In the future, the cards will be used to fax medical records from incoming ambulances to the destination emergency rooms.
Here are three health-related examples. In Germany, the Krankenversichertenkarte is used to manage billing to various health-insurance companies for all services received by the public. In Wyoming, the Health Passport Card is used, right in the grocery store, to check how pregnant and breast-feeding women spend their allowance for nutritional supplements (on food rather than on diapers, for example). Ontario plans to use a smart card to reduce fraudulent access to public health services.
The goal is to streamline treatment, reduce test duplication and automate interactions between patients, healthcare providers
organisations. The three critical aspects addressed are quality of care, patient safety and costs through an advanced approach
to Information Management.
· Availability of clinical information to doctors and other providers
Shared Electronic Health Records
Smart Cards provide the enabling of shared Electronic Health Records amongst doctors and other healthcare providers. It is
simple to use, low cost and proven.
The approach provides on-line access to event summaries provided by healthcare peers (radiology, pathology, specialists,
etc.). It provides doctors in the community with immediate access to hospitalisation information. Many of these communications
are currently paper-based, rely on the patient's memory or are simply non-existent. Doctors waste valuable time trying to
communicate with each other to learn about patient treatment.
Italian Smart Cards for Health Professional Providers
12/04 Health care facilities in Northern Italy are in the midst of a major smart card rollout that requires adding smart
card readers to roughly 35,000 computers. Each computer is equipped with a reader that can communicate with both the doctor’s
and the patient’s smart cards; it also has a PIN pad.
Hospital Patient Smart Cards
01/05 - NASHVILLE, TN - Saint Thomas Hospital has announced a new benefit for patients and a first for healthcare in Middle Tennessee - SmartCards.
The new SmartCard is the first phase of a pilot program and will consist of a patient's ID photo and a computer chip housing
the patient's medical history, personal and insurance information.
Instant Access Medical Records on a Smart Card
02/05 - Ostara Corporation announced that Health One Global LTD.
plans to launch the Instant Access Medical system "I-AM", an Internet personal health record, combined with the world-leading
patented I-AM Smart card in the fourth quarter of 2005. The application allows people to carry their entire medical history on a
Smart Cards to Access Sun Ray Clients in VA Hospitals
02/05 - Sun Microsystems and its partners are delivering innovative technology solutions to meet the latest IT needs of healthcare providers. Healthcare facilities can improve the efficiency of the services they deliver using systems for radio frequency identification (RFID) and electronic medical records (EMR).
Upon inserting a smart card and entering a password, doctors at VA Hospitals now have immediate access to patient files and other critical applications. Once the doctor has finished reviewing files, removes the smart card and walks away, the ultra- thin client display automatically turns blank and is locked.
Sun Ray ultra-thin clients are located throughout VA Hospitals and clinics, in convenient locations such as emergency rooms and admission centers, allowing doctors to have easy and secure access to patient records as they move throughout the hospital.
Australian Medicare Smartcards
03/05 - AUSTRALIA Post has emerged as the surprise leader of a consortium testing Medicare smartcards in Tasmania.
Health care system in France uses smart card technology
11/06 - The French health care system has selected a smart card chip technology company to help develop the cutting-edge Sesam-Vitale2 health card. NXP Semiconductors will help develop a card with which users can sign invoices and have safe access to their personal medical files electronically.
France has been using the Sesam-Vital contact card since 1998, but the original version could only store a small amount of data and had no photographic identification. The new version, Sesam-Vitale2, includes a photograph and a much greater capacity to store information such as complementary health insurance details. It also allows holders to have secure access to their personal medical files electronically. In addition, with the increased storage capacity, administrative processes can also be performed faster.
The latest identity protection technology, based on IAS (Identification, Authentification and Signature) application software, is used in Sesam-Vitale2. The new card contains Common Criteria EAL5+ security certified NXP SmartMX chip technology. The 36K EEPROM public key infrastructure contact microcontroller offers highly advanced encryption hardware and physical hacking counter measures. The chip's software is using NXP's advanced common criteria security certified cryptographic software library.
Sesam-Vitale is a smart card-based infrastructure incorporating many components, including a telecoms network and a message service, 223,000 health care professionals, 230 health software applications, 210,000 card readers, 25 servers handling the flows and 23,000 terminals for card updating, this enables insurers nationwide to access personal information and expedite claims as quickly as possible. NXP is based in the Netherlands and was formerly a division of technology giant Phillips.
Smart Health Cards - Discussion of problems with government implementation of smart health card, designing the architecture and ergonomics of electronic consent given the potential multitude of complexities involved, and the need for public consultation.
Social and political risks involved in identification schemes - research paper
Health eSignature Authority - Australia health medical smart card - Healthcare Digital Keys and Certificates.
U.K. based E-Health Insider - Latest health care IT news - very informative site
U.K. Doctors wishing to get a National Health Service NHS smart card. - pdf brochure from Department of Health - for GMC-registered medical practitioners, doctors' smart card from General Medical Council (GMC) Registration Department.
Occupational Health Smart Card scheme - U.K. Department of Health website search results