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Healthcare smart cards - at last?

Healthcare smart cards - at last?. LifeHouse. Mike McCurry Smart Cards Project Manager SCNF 5 November 2002. My Background. 1984 - 1989: Rhydfellin and Exmouth projects 1990 - 1995: ‘Eurocards’ EC Concerted Action 1996: EC’s PHARE project in Poland

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Healthcare smart cards - at last?

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  1. Healthcare smart cards - at last? LifeHouse Mike McCurry Smart Cards Project Manager SCNF 5 November 2002

  2. My Background • 1984 - 1989: Rhydfellin and Exmouth projects • 1990 - 1995: ‘Eurocards’ EC Concerted Action • 1996: EC’s PHARE project in Poland • 2000 - 2001: Business Development, USA smart card software company

  3. 1983 - 1995: UK Department of Health representative on issues involving smart cards • Former chair of the Smart Card Club’s Healthcare Cards Forum

  4. What is LifeHouse? • A London-wide database of clinical information taken from operational systems • primary care • secondary care • NHS Direct • London Ambulance Service

  5. National Registration System Consent Template Informed consent NHS Wide Clearing Service Secure Cards email Server Govt Gateway CMDS IOS London Doctors PMI London NHS Clinical Policy Statistical Policy Budgetary Epidemiology Site Management Clinical Research Biotech Companies Pharmaceuticals FDA Anonymous Ethics Governance Pilot Hospitals Pilot GPs Hospitals Anonymous Data National Strategy Alignment PMI ICRS NPRAS

  6. IA CID/HRI NSTS/ Extr CDR GP - Item of Service Hospitals - CMDS GP Key NHS Current Clearing Next stage Trust Service Future LH GP Future LH & IA Possible NHS Trust Design Data Quality Anonymised Management PMI Database Team

  7. NHS LifeHouse Design Authority Data Quality • Pilots • 1. PMI, CMDS and IOS (March 2003) -- Goldfish Bowl Studies • 2. Clinically rich: C&W (March 2003) • 3. Mayday & Croydon (March 2003) • 4. Community/Primary (July 2003) London Amb Service Access Card Readers NHS Direct Access Gateway SecureCards

  8. Why a smart card Authentication token for secure access to clinical records • PKI • Biometric • Visible NHS number • Emergency medical information • No clinical data on the card

  9. Card Overview • Multi-application smart chip • Open systems • Using existing standards • Card management system • Robust registration procedures Creating an opportunity for shared cards

  10. SecureCards • Objective - 200,000 cards issued to healthcare professionals and patients • Procurement process - OJEC advert • Uses and users, public, staff, etc • Implementation routes

  11. Not re-inventing flat tyres Seeking advice from and working with: • NHS Information Authority • eEnvoys Office • CEN TC 251 • ISO TC 215 • LondonConnects

  12. Card holders Patients • Voluntary (no charge for the card, proposed) • By application Healthcare professionals • All who are involved in the process of healthcare delivery

  13. Pilots sites • Users awareness programme and publicity • the citizen • GPs • hospitals • ambulance service staff

  14. Pilot sites Suppliers • ‘total solution’ • probably not registration • everything else from the white card to issuance • Card life cycle management • outsourced

  15. Hurdles • Public acceptance • Healthcare Professions • Costs • Perceived benefits and many others I’ve probably not thought of yet!

  16. Thank you mikemccatehto@msn.com

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