Health Online case Finland - IKT-Norge...MyData 6 12.11.15 Etunimi Sukunimi 1. Online patient services in Finland Possibility for citizens to view own data (by national My Kanta services):

Health Online case Finland

Anne Kallio MSAH Finland

Etunimi Sukunimi 2 12.11.15

Health and social care in Finland

OECD Economic Surveys: Finland 2012: The highly decentralised health care system with multiple

tracks and parallel financing contributes to inequality and inefficiency

Key principle •  Residence-based, universal and equal right to health and

social care services Provision •  Municipalities (317) organise and fund

•  primary health care and specialised medical care •  20 municipality owned hospital districts and appr 170 health care

centres •  social care

•  employers organise •  preventive occupational health care

•  private health care appr 25%

⇒ Reform is planned Common organiser for social and health care services


National eHealth house in Finland today Functionalities now

§  My Kanta pages - eView and Patient Information service for citizens

§  structured patient information available for professionals

§  ePrescription Roof §  local implementations -> standard patient

information in national repository §  obligatory for private and public, primary and

secundary health care Floors §  adjustement of local EHRs §  auditing of EHRs and health care providers Foundation §  semantic and technical standards for

interoperability §  national repository, ePrescription

National eHealth Kanta-services Local infrastructure 100% EHR, Pacs etc


Patient centered policy goals

Sosially Sustainable Finland 2020: Acces to welfare for all §  Reduce differentials in welfare

and health §  customer-oriented sevices §  new service structures and

operating practises

§  strong sence of social inclusion

eHealth and eSocial strategy 2020: Citizens §  use online services §  produce data for own use and

professionals §  get reliable information on

wellbeing §  get quality and availability

information of services Health care providers §  develop electronic services for

patients Information §  supports online the management

of service production and decision making

use of web: 27% 75-89 y 92% 16-74


PROFESSIONAL Smart systems for

capable users

CITIZEN Do it yourself!

eSocial and eHealth strategy 2020 Information to support wellbeing and service renewal

SOCIAL AND HEALTHCARE SYSTEM Limited resources into effective use

eServices provide:

all patient and customer data available effectiviness and effeciency improve

more accessibly and available services

Systems to support work eServices support care Information serves work I operate in a secure manner

Life control Freedom to choose

MyData


1. Online patient services in Finland Possibility for citizens to view own data (by national My Kanta services): •  medication data nearly 100% (- few small private providers)

•  e-renewal starts this month •  medical data 75% (private providers to join Kanta-services 2016)

•  >20% of Finnish people have visited My Kanta pages Electronic appointment booking, (local service): •  secundary care 81% •  primary care 49% Telecare (local service): •  secundary care 15% •  primary care 7% Patient produced measurement data (local service): •  secundary care 29% •  primary care 20% Asyncronous communication between patients and professionals ( local service:txt, Q&A, email with identification) •  48% of public org (local service)

All visits

Different visitors

Monthly visits and different visitors in My Kanta service


2. Online patient services eHealth and eSocial strategy 2020: National Personal Health platform §  part of Kanta-services §  personal health and welfare §  audited selfcare devices and apps

–  and platform for developing and testing §  information is available for professionals, with consent §  Operational gradually from 2017 National development and adaptation of Self and Own Care services §  wide regional cooperation National development of electronic appointment services §  national tools, regional services and implementations Development of virtual hospital services §  based on virtual mental hospital model


Cost/client

Number of clients Proposion of eServices

Informing Selfcare eServices FtoF

primary services

FtoF secundary services

Demanding special

services

Webservices Webservices

with identification

eCommunication with service

provider

Health care center Hospital University

hospital

Kanta / Kansa

My Kanta (PHR) Web pages

Service voucher system

Library of services

ODA Virtual hospital

Virtual mental hospital

Apotti / UNA Health library Own Care

paths


eHealth situation 2015 and in the future

Patient data repository

Prescription center

My Kanta with PHR

Research Kanta

Management Kanta

Genomic Kanta

Supportive services

Electronical Health Redords

Decision makers

Pharmacies

Professionals

Pharmacy systems

My Kanta Pages

eServices

Innovation portal

Researches Kanta-services - National Insurance company


Back office STM - Ministry for Social Affairs and Health §  strategy §  finance of national developments THL - National institute for Health and Welfare §  operational management of national Kanta-service §  semantic definitions (code server) §  supporting local implementations §  communication to proffessionals and health care providers Kela - National Insurance Company §  building and maintaining of Kanta-services §  technical definitions for Kanta-services §  technical support §  communication to citizens


Valvira

Health IT Governance now - in the future?

Ministry

National board for eHealth and

eSocial

THL Kela

National aurhorities coop group

Hospital districts

20

National

D D=decisions

Primary care 172

Local

Private health care

Municipalities

317

Kuntaliitto

National coordination

Regional and local

coordination D

D D


[email protected]

eHealth and eSocial strategy in English: http://urn.fi/URN:ISBN:978-952-00-3575-4 in Swedish http://urn.fi/URN:ISBN:978-952-00-3568-6 Nordic eHealth Benchmarking http://norden.diva-portal.org/smash/record.jsf?pid=diva2%3A821230&dswid=-7852 Tieto- ja viestintäteknologian käyttö terveydenhuollossa 2014 (eHealth and eWelfare in finland 2014 - not yet published in English) http://urn.fi/URN:ISBN:978-952-302-486-1

Documents

Health Online case Finland - IKT-Norge...MyData 6 12.11.15 Etunimi Sukunimi 1. Online patient services in Finland Possibility for citizens to view own data (by national My Kanta services):