Cegetel.RSS The Intranet of Health Care Professionals

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Cegetel.RSS The Intranet of Health Care
Professionals
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The concept

• The Actors of the health sector will increasingly
  work in a networking mode
• The technology will be Internet based
• Internet in itself is not reliable and fast
  enough, so we need a special
• Internet network (Intranet)
• The French Social Security System (CNAM) has a
  strong interest in the
• development of such an Intranet the
  transmission of
• Electronic Care Forms
• In order to speed up the creation of a federating
  health network
• the State has taken a leadership role and has
  created a Public Service
• This service however is not in a monopoly
  position, except for the
• delivery of Electronic Care Forms
• Cegetel is the operator of this Public Service

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Cegetel a global operator
24 month of experience, but... 12 years
of experience (SFR) Sales of FF 20 billion (C 3
billion) - 1998 5 millions customers (1998) A
strong share holding (BT, SBC, Mannesmann,
Vivendi) An active partnership (SNCF- National
Railways) An operational team (gt 7000 persons) A
global coverage of telecommunication needs on
the French market

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The Health - Social Network by Cegetel
National Health Insurance
Health Professional
Health Service Provider
Internet
Smart card terminal
The Intranet Platform
Cegetel Transport Network
Fire - wall
Phone plug
Local network connection
Health professional
Hospital
Local point of presence Cegetel
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A public service - government concession

• A Public Service (national coverage, quality of
  service, controlled prices)
• Delegated to Cegetel for a 5 years period
  (obligation to respect technical requirements
  responsability in transport and security of
  information)
• Governmental control

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Advantages RSS vs. Internet

• Internet
• The ISP are controlled only by their clients
• Non secured exchanges
• Unsure sources of information
• No control on released information
• No warranty of service and flow
• No structuring of information and services

• Le Réseau santé social
• The Government controls the service quality
• Security and confidentiality
• Authentication of emitting person
• Deontology rules, agreement
• Rigorous rules in service quality
• Simplified access to information and service
  (search efficiency)

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A Secured Network

• Objectives
• Authentication
• Confidentiality
• ARL ( Mail Receipt Confirmation)
• Integrity of transferred information
• Traffic fluency by tunneling

• Means
• Fire-wall
• Tunneling
• Encrypting
• Health Care Professional
• Smart Card

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RSS - A Network managed end to end

• Nationally wide access for Health Care
  Professionals at a local call cost
• Specialized connection to 150 points of
  presence
• Supported by the back bone of 10 000 km optical
  cables of Cegetel TD

_at_
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1st November A national network is available
November 1998
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A Network compatible with all major operating
systems

• April Windows 95
• June Windows 3.1
• June Windows 98
• June Windows NT
• UNIX
• PROLOG
• Mac

• December 1998

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The connections and applications are operational

• Hospitals
• Associated networks
• Connecting or hosting health services providers
• Applications
• Mail
• Internet
• Intranet
• FSE ( Electronic Health Care Form for Social
  Security Systems use reimbursement, third -
  party payment )

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The different actors begin joining RSS
Physicians Pharmacists Hospitals Medical
organizations Health services providers Institutio
ns
H
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Physicians more than 7200 connected

• A regular growth

Physicians Connection dynamic
Subscription rate/weekly September
20 October 50 November 70 May 550