With the support of the European Commission

HPRO CardHealth Professional Card

LuxemburgApril, 2 2009

With the support of the European Commission

Contents

1.1. BackgroundBackground

2.2. Towards interoperability of HPCTowards interoperability of HPC

3.3. Philosophy of the projectPhilosophy of the project

4.4. StructureStructure

5.5. Future worksFuture works

With the support of the European Commission 3

Contents

1.1. BackgroundBackground

2.2. Towards interoperability of HPCTowards interoperability of HPC

3.3. Philosophy of the projectPhilosophy of the project

4.4. StructureStructure

5.5. Future worksFuture works

With the support of the European Commission 4

Objectives

• To ensure security of patients all around Europe

• To facilitate mobility of health professionals in all EU State Members

With the support of the European Commission 5

The European Directive on professional qualifications

• Directive published in the official journal in September 2005

Transposition foreseen for the autumn 2007

Objective : facilitate recognition of professional qualifications

New: Free provision of services. A professional established in a member state is allowed to provide his/her services in an other member state on a temporary and occasional basis more easily

With the support of the European Commission 6

• Mrs Vergnaud’s report (MEP) : “Impacts and consequences of the exclusion of health services from the Directive on Internal Market Services (May 2007)

Chapter 43 : asks for the creation of a mechanism for data exchanges between competent authorities and a European card

• The report of Alain Lamassoure (MEP) on "The citizen and the application of Community law » was submitted to the President of the French Republic on June 2008 4.6. “… a private initiative, accompanied by DG Employment,

should be highlighted during the period. This is HPRO Card project: European health professionals Cards, …”

Recommendation N°7 : « 7. To Facilitate the European health professional Card, a noteworthy private initiative »

With the support of the European Commission 7

• Mrs. Cederschiöld’s report (MEP) about health professional cards

• European Commission’s Green Paper about mobility of health professionals : adopted on December 10, 2008.

• Proposition of a Directive on patients’ rights recognition

With the support of the European Commission 8

Contents

1.1. BackgroundBackground

2.2. Towards interoperability of HPCTowards interoperability of HPC

3.3. Philosophy of the projectPhilosophy of the project

4.4. StructureStructure

5.5. Future worksFuture works

With the support of the European Commission 9

Creation of the working group HPRO card

2007 creation of a European working group (doctors, dentists, midwifes, pharmacists, nurses)

Meetings in several European MS July 2007 presentation to the European

Commission (DG Empl) October 2007 Presentation to the EP and

agreemnt on the design of the cars February 2008 subvention of the EC

(interoperability)

With the support of the European Commission 10

Phase 1 : The agreement of Brussels

With the support of the European Commission 11

Specifications of the card

• Credit card format

• 2 sides :National side (specific to every profession

and MS)European harmonized side

With the support of the European Commission 12

Phase 1: The agreement of Brussels – presentation to the EP October 2007

•

• Harmonised presentation

• Profession• Contact details of

the competent authority

• Two languages

With the support of the European Commission 13

With the support of the European Commission 14

• From 2008 onwards the card without chip is beeing used

• Work on interoperability in order to allow the progressive introduction of chips (2009 – 2010)

With the support of the European Commission 15

Phase 2 : Work on interoperability issues

PILOTAGEPILOTAGE

With the support of the European Commission 16

Details of the project

NAME : HPRO Card – Health Professional Card

START DATE : March 1, 2008

DURATION : 18 months

BUDGET : 408,339.70 euros

FUNDING : 296,254.70 euros

Number of partners in the Consortium : 7

With the support of the European Commission 17

Work packages list

WP1 : Identification of the competent authorities and the authorized organisations in charge of validating continuing education and training for health professionals in the European Union Member States

WP2 : Knowledge of the progress of Health Professionals Cards in Europe

WP3 : Conditions for the implementation of strong authentication of health professionals

WP4 : Interoperability of different health professionals authentication systems

WP5 : Project management

WP6 : Dissemination

With the support of the European Commission 18

Contents

1.1. BackgroundBackground

2.2. Towards interoperability of HPCTowards interoperability of HPC

3.3. Philosophy of the projectPhilosophy of the project

4.4. StructureStructure

5.5. Future worksFuture works

With the support of the European Commission 19

Who will use the card ?

• Every health professional covered by the directive 2005/36/EC and which benefit from automatic recognition of their diploma : doctors, dentists, midwifes, nurses and pharmacists.

With the support of the European Commission 20

Who will issue the card ?

Competent authorities as defined in the directive 2005/36/EC.

“any authority or body empowered by a Member State specifically to issue or receive training diplomas and other documents or information and to receive the applications, and take the decisions, referred to in this Directive”.

With the support of the European Commission 21

How will this work ?

Direct interrogation of the data base of the competent authority thanks to the chip

Permanently up to date No need to create a new data base at

European level

With the support of the European Commission 22

Data base Data base of the of the

Country Country of originof origin

Data base Data base of the of the host host

countrycountry

Health Health professionalprofessional

H Pro H Pro CardCard

Interrogation on the right to practise

Competent authority

Competent Authority

Employer or Employer or administrationadministration

Fro

nti

ère

Bor

der

AnswerInformation 1

Example of architecture

Information 2

Country of origin Host country

With the support of the European Commission 23

Contents

1.1. BackgroundBackground

2.2. Towards interoperability of HPCTowards interoperability of HPC

3.3. Philosophy of the projectPhilosophy of the project

4.4. StructureStructure

5.5. Future worksFuture works

With the support of the European Commission 24

WP1 and WP2

Euro tour meetings is organised in order:

- To collect information (workflow, questionnaire)

- To present the project- To diversify and widen the contacts

we have

With the support of the European Commission 25

Workflow general modelHP* Diploma’s

providerRight to practise

providerSanction’s provider

Id’s provider

HP card’s provider

training

diploma

registration documents

right to practice / or not

registration documents

identifier

sanction / no sanction

registration documents

HP card

(Initial procedure or changes in the professional situation)

Universities, training organizations…

States organizations…

Health Insurance organizations…

Professional organizations…

Other organizations…

*HP : health professional

With the support of the European Commission 26

With the support of the European Commission 27

WP3 and WP4

The interoperability working group will be an important source of information

The organisation of their work will depend on the identification of European countries concerned by Smart Cards (WP1 and WP2).

For example :Berlin : April 15, 2008

Presentation by the Berliner university of an experimentation for interoperability with smartcards

Using German, Dutch and French cards A software as been developed which recognized both certificates in

cards to secured access

Berlin : September 15, 2008 Meeting with the University of Berlin and the company Open Limit about

the HPRO Card project

Berlin : December 8, 2008 Meeting with the University of Berlin and the Spanish Medical Chamber

With the support of the European Commission 28

HPC-Interoperability-Server

Health Professional Cards (DE, FR, NL)

With the support of the European Commission 29

The use case

Upload file

Download file

Country A Country B

Authentication signature

Authentication signature

With the support of the European Commission 30

WP 6 : Dissemination (1/2)

• Conference under the French Presidency of the European Union November 28, 2008 Paris 210 participants, 24 countries

With the support of the European Commission

Under the auspices of the French Presidency of the

Council of the European Union

Under the patronage of Mrs. Roselyne Bachelot-Narquin,

Minister of Health, Youth, Sports and Associations

With the support of the European Commission 31

www.hprocard.eu

Two parts Public part :

Internet to communicate about the project Private part

For consortium and supportive members To exchange documents, news, …

WP 6 : Dissemination (2/2)

With the support of the European Commission 32

Contents

1.1. BackgroundBackground

2.2. Towards interoperability of HPCTowards interoperability of HPC

3.3. Philosophy of the projectPhilosophy of the project

4.4. StructureStructure

5.5. Future worksFuture works

With the support of the European Commission 33

Further works

• To complete research of information for 5 professions next meetings

- Copenhagen, Athens, Sofia

• To analyse advantages / drawbacks of possible architectures to use strong authentication on European scale European portal, national portals, competent authorities’ portals

• To analyse complementary with other European projects epSOS, Calliope, IMI, STORK, Netc@rds, …

• To check interoperability conditions of existing cards Austria, Hungary, Italy, Slovakia, Slovenia, Spain, Sweden,…

With the support of the European Commission 34

Conclusion (1)

www.hprocard.euA unique identity card for health

professionals

• Continuing education and training• Access to electronic health record• Telemedicine• Access to scientific data bases• Electronic signature…

With the support of the European Commission 35

Conclusion (2)

• Facilitate and promote patient safety and coordination of care

• Protect patients from the small number of health professionals that are at risk

• Facilitate and promote free movement of health professionals

• Better communication between competent authorities

With the support of the European Commission 36

Isabelle BARONibaron@ordre.pharmacien.fr

Tel : 0032/2 734 63 37

Patrick FORTUITHPRO Card Coordinator

patrick.fortuit@gmail.comTel : 0033/1 56 21 34 96

www.hprocard.eu