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Next trends in health care sector and what that means in designing the services and IT systems. Current status of Espoo in responding to the change.
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04/10/2023
Moving towards modern healthcareCase Espoo
Kirsi Louhelainen / Futurice
whoami
› IT expert, software consultant
› Member of the Espoo City Council
› Civil activist for smart choises in public IT solutions
Espoo
› 2nd largest city in Finland
› Part of HUS, Helsinki-Uudenmaan sairaanhoitopiiri
› Population: 261 000
› Employees: 13 700
› Apotti drop-out
Today…
› Future trends in health care and how should we respond to it
› Status at Espoo today
› Executing the change
Where are we heading to?
604/10/2023
Futurice
The sea change» Rise of the elderly
» New concepts in care and changes in demand
» Preventive care
» Polarization: the haves and have-nots
» We need to be responding fast inquick-paced changes
704/10/2023
Futurice
Next big trends» Own data
» Quantified self
» Open data
» Affordable DNA analysis
› 23andme
› Personalized treatment
» Openness versus privacy
804/10/2023
Futurice
Responding to changes» We can’t see what’s needed
» Build for flexibility
› Modular
› Trustworthy
› Easy to update, add and change
› Easy to use
» Case Amazon
904/10/2023
Futurice
Modular» No monolithic systems
› From being slave to a single supplier towards owning and managing the entity provided by different suppliers
» Interfaces, interfaces
› Exporting data through an interface should be neither costly or hard
» Plugging in new services made easy
1004/10/2023
Futurice
My precious…data» Who owns the data?
› Patient should
› Access to all health care info, permission of use and distribution
› Minors etc.
» Authentication, authorization, roles…
1104/10/2023
Futurice
Reactive system» Processes not crippled by IT
› Embrace and enable change
» Open data
› Enabling citizens and businesses to use information
» Timeliness
› Software defined too early will be outdated at launch
What’s up, Espoo?
1304/10/2023
Futurice
Vendor lock-in
» Long-term contracts
» Renegotiation is ineffective
» Closed interfaces, data held hostage
1404/10/2023
Futurice
Current solutions» Slow, hard to use, only partially working
» Effica as a core system
» Electronic folder for health information (Terveyskansio)
› Slow, not adopted by personnel
» Electronic reservation solutions
› Some only partial
» Electronic recipe (eResepti)
› Problems between HUS and Espoo
1504/10/2023
Futurice
Existing structures» National enterprise service bus (Kansallinen palveluväylä)
› Going slowly
» Espoo’s own enterprise service bus
› A project with Tiera and Sitra to improve elderly people’s home care
› Test and take into use the national solution’s ways of working
› http://www.sitra.fi/hankkeet/kansallinen-palveluvayla-kokeilukayttoon
» Kanta
1604/10/2023
Futurice
KAOS» Enterprise architecture project
» Open data is taken into account
» Necessary project in taking control of technology and tech decisions
1704/10/2023
Futurice
Openness» Part of KAOS
» Outside health care, Espoo is dipping toes in sharing data
› Geothermal heating + solar power app
› Helsinki Region Infoshare http://www.hri.fi/fi/
› City plan information released
» Key issue: spread information outside of and within the organization
1804/10/2023
Futurice
Towards agile» Updating the models
» Trying to get agile methods in use
» Agile is used in different departments’ own projects
1904/10/2023
Futurice
Towards modularity» Biggest obstacles:
› Opening interfaces to health care core systems
› Expensive or impossible - current provider cannot deliver
» FastRoi mobile solution for home care
› http://www.fastroi.fi/fi/ratkaisut/sosiaali-ja-terveysala/fastroi-hilkka-kotihoito/
» Electronic voucher system (palveluseteli)
› https://parastapalvelua.fi/
What can we do next?
2104/10/2023
Futurice
Competence development» More people who understand buying, contracts and
processes
› Not the same as “More people.”
› Understanding how to buy agile
» Substance understanding
› Outsourcing too much will bite you back
» Partners alleviate problem but don’t fix it
› Tiera
2204/10/2023
Futurice
Organization » Organizational silos can be tough
› They should not prevent information to move
› Change needs to be allowed
› Espro
» IT reorganization
› A lot of duplicate work
› People do not understand what they are buying
› Information does not flow within the organization
2304/10/2023
Futurice
Focus on interfaces and sharing data» We need to be able to extract data through an interface
without extra cost
» Unless there are security concerns, all data should be opened
› Growing the mindset will take some time
› Good examples help
» We should solve now the issues between sharing data between different silos: health care and social care
› Legislation is the biggest factor here
2404/10/2023
Futurice
Rethink the health care services
» . ..and a lot of other things as well
» Supporting preventive care
» Enabling third party solutions through open data
» Fixing the way of working
› “Lonkkaliukumäki” –awesome, but if we are still talking about this, we haven’t learned from it
› Software is not always the best first step
2504/10/2023
Futurice
Recap» We know what’s wrong
» Old ways of working and old contracts will be on our back for a long while still
» More expertise in buying, managing and legal issues
» The groundwork for the future is underway
› KAOS and organizational changes
» There is hope.
Thank you.