Integrated care - case Finland, national approach
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1 Integrated care - case Finland, national approach Anne Kallio Ministry for Social Affairs and Health Finland
2 Finland? population 5,4 million GDP per capita $ Life expectancy M 77 / F 83 years Total fertility rate 1.85 Infant mortality 2.4/ % have tertiary education OECD
3 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
4 National ehealth house in Finland today Functionalities now eview and Patient Information service for citizens structured patient information available for professionals eprescription National ehealth Kanta-services Local infrastructure 100% EHR, Pacs etc 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
5 ehealth and esocial strategy Information to support well-being and service renewal 1. Citizens as service users - doing it yourself 2. Professionals - smart systems for capable users 3. Service system - effective utilisation of limited resources 4. Refinement of information and knowledge management - knowledge-based management 5. Steering and co-operation - from soloist to harmony 6. Infostructure - solid foundation
6 Focus areas in the strategy Active citizen can take responsibility of his/her own well-being and health is an active partner in his/her social and health care processes Effectivity of social and health care services good use of technology and repositories new ways to deal services important role in renewing social and health care system in Finland
7 Citizen - I can! National approach for ehealth and esocial services A platform for managing the citizens' personal information I can put in personal health and welfare information I use selfcare devices and apps information is available also for professionals, with consent I can contact my health and social care providers electronically Life control I get reliable information on welbeing and health I have a cross-sectoral treatment plan use of web: 27% y 92% Freedom of choice I get quality and availability information about social and health care services
8 Service system effective utilisation of limited resources Strategic objectives Health and social care client information is accessible to professionals and citizens Solutions of information management increase the effectiveness and impact of the service system The availability and accessibility of the services is being improved through electronic solutions Measures Legislation on the use of information related to social welfare and health care services Information resource solution for social welfare implemented as part of Kanta services expand of information contents and functionalities of Kanta-services Development and use of online services
9 THANK YOU Kanta services: Strategy:
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