HOW TO SHARE DATA IN THE FUTURE

Transcription

1 CENTER FOR SOCIAL- AND HEALTH AFFAIRS, KL HOW TO SHARE DATA IN THE FUTURE - the local government case Digitaliseringsmessen, Odense Kongrescenter den 29. september 2016 Peter Petersen, consultant LGDK Poul Erik Kristensen, consultant LGDK

2 KL LGDK (LOCAL GOVERNMENT DENMARK) Local Government Denmark (KL) is the interest group and member authority of Danish municipalities. Founded 1970 It is voluntary to be a member of KL, but nevertheless all 98 municipalities are members. The mission of KL is to safeguard common interests of the municipalities, Assist the individual municipality with consultancy services And in addition ensure that the local authorities are provided with up-to-date and relevant information. KL consists of 14 different departments each with its own municipal focus area. App. 380 employees

3 KL S CENTER FOR SOCIAL AND HEALTH AFFAIRS Social Affairs, Senior Citizens, disability, psychiatric and health services. The Center works with interest management and consultancy concerning politics, economics, organization and management in the above municipal areas. In addition, the Center conducts courses, seminars, conferences and other information activities, as well as planning and maintenance of administrative systems (IT, forms and manuals).

4 CENTER FOR SOCIAL- AND HEALTH AFFAIRS, KL INDSÆT TITEL The presentation is based on two analysis Analysis of how to share data from a social area perspective Analysis of digital support of the collaboration between the hospitals ande the healthcare effort in the municipalities.

5 CENTER FOR SOCIAL- AND HEALTH AFFAIRS, KL COHERENT CITIZEN CARE WITH EFFECT The Social and Health Care Area Municipalities Municipalities Health Hospitals Social area Health care Occupational area General practitioners Municipalities Transferred Care Shared Care

6 CENTER FOR SOCIAL- AND HEALTH AFFAIRS, KL Challenges A specialised Public Sector and a shared care entails: Fragmented care Lack of coordination Lack of overview of the various initiatives undertaken This results in challenges for: 1. Citizens 2. Employees 3. Digital Solutions

7 CENTER FOR SOCIAL- AND HEALTH AFFAIRS, KL INDSÆT TITEL What do citizens experience? Nearly two out of three Danes (65,8 pct.) wants more patient-oriented collaboration between hospitals, GP s and municipalities Mandag Morgen & Trygfonden, June 2015

8 ARBEJDSGANGE & IT-ARKITEKTUR, KL CENTER FOR SOCIAL- OG SUNDHED, KL Several citizens experience that I have to tell the same thing again and again...! " "It's difficult for me to follow what is going to happen...!?" I feel alone with the responsibility...! " "I struggle in vain to get an overview of the "Jungle"...!" "It is indeed strange that they do not talk!" "I hear nothing... I m wondering if they have forgotten me...!" I repeat myself a lot. Even though they have written it down, the first thing they always ask is: do you drink, do you smoke?" "I do not always understand what it is I need to attend to...!?" I do not have an overview of my appointments and feel no one has it.

9 Patients multiple agreements Endocrinology Assessor Physiotherapist Speech therapist The Home Nurse Social worker The Foot Lady The GASnurses Work-related injury? Own Doctor Eye Doctor Gerda is being put outside the system rather than as an equal partner who can... Citizen/ patient Relatives

10 CENTER FOR SOCIAL- AND HEALTH AFFAIRS, KL What do the employees experience?

11 The various employees experience "I do not receive notification and information from others who also work with the citizen" I frequently call other professionals to obtain the necessary information about the citizen " "It's hard to figure out who is responsible and who is doing something for the citizen at the moment - lack an overview..." "I have to type the same information several times and it often takes a lot of time to find the necessary information about the citizen since it is placed differently..." A lot of text is documented, which entail that it is difficult to get a necessary overview of the citizen's situation here and now...!" "We often lack knowledge about the citizen care which ones are still active and which ones are finished..."

12 CENTER FOR SOCIAL- AND HEALTH AFFAIRS, KL Challanges in relation to digitalization and sharing data?

13 COHERENCE DUK-OP WITH FRAME ARCHITECTURE Silo Management and Coherences Parliament Ministries Politicians Goal Goal Goal Managers Management chains Employees Cooperation Silo Systems Social Health Occupation

14 CENTER FOR SOCIAL- AND HEALTH AFFAIRS, KL An example from Social area

15 INDSÆT EMNE INDSÆT TITEL THE WAY FORWARD

16 ARBEJDSGANGE & IT-ARKITEKTUR, KL CENTER FOR SOCIAL- OG SUNDHED, KL COHERENT CITIZEN CARE WITH EFFECTS Coherent citizen care with standardization and structuring Actor, Professional Terms, Activity, appointments and multiply it with 98 municipalities

17 INDSÆT EMNE INDSÆT TITEL Example structuring and standardisation in regard to the professional terms Condition 1 Efforts Expected condition 1 Functionality Dependency Employment readiness Parenting Conversations Treatments Activation Training Better functionality More independency Employment Better parenting

18 INDSÆT EMNE INDSÆT TITEL Conclusion 1. Standardization, classification and structuring of professional terms in the silos Less free text Common professional terms (common language) within the silo/area. Translation of data between professional areas (mapping of structured data) 2. Technical development and testing of an exchange of standardized data The development of an overview of appointments

19 CENTER FOR SOCIAL- AND HEALTH AFFAIRS, KL area in the municipalties COHERENT CITIZEN CARE WITH IMPACT Key initiatives in the Joint Public- and Joint Municipal Digitalization Strategy Coherent citizen care Workflow, datastandards, digital system wich enable the sharing of data Structuring and classification of the professional language in the social area Implementation of a standardized and structured langauge in the healt care