MOBILE HEALTH NATIONAL APPROACH, FINLAND. Anne Kallio Head of Development Ministry for Social Affairs and Health
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1 MOBILE HEALTH NATIONAL APPROACH, FINLAND Anne Kallio Head of Development Ministry for Social Affairs and Health
2 FINLAND? population 5,4 million GDP per capita $ Life expectancy M 77 / F 83 years Total fertility rate 1.85 Infant mortality 2.4/100 38% have tertiary education OECD
3 NATIONAL ehealth HOUSE NOW Functionalities Professionals: patient information (notes, labs, rad, doctors statement etc) with patients consent Citizens: MyKanta services ( eview, Patient Information service, eprescriptions and edispensation, log information and living will 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 National ehealth Kanta-services Foundation semantic and technical standards for interoperability national repository for patient information eprescription and edispensation
4 Public healthcare providers Hospital districts (20) Primary care org. (192) Private healthcare providers (4000) Pharmacies (~800) Citizens (> ) Health care professionals Swedish epsos NCP Other NCPs not yet connected IHE XDS IHE XDS I Aged 18 and older epsos NCP Kanta services Top 10 webpage in Finland My Kanta pages Web services for HCPs Pharmaceutical database Kanta messaging layer eprescription service Renewals Patient data repository Health records, legacy (CDA R2 L1) Patient summary management Diagnoses Procedures Risks Consent and will management Organ donation wills Prescriptions Radiology DICOM studies Patient data management service Vaccinations Lab Health and care plan Living wills Logs Dispensations Metadata Logs Health records, structured (CDA R2 L3) Radiology Physical findings Medication Opt ins and opt outs Main standards HL7 V3: CDA R2 Level 3 and Medical Records IHE IT I Profiles W3C XML DSig WS Addressing, WS I TLS, X Other national services National code server Code lists and terminologies Form and document structures Certification services Healthcare and social care organizations register Pharmacies register Health care professionals register
5 ehealth AND esocial STRATEGY 2020 National approach for mhealth services use of web: 27% y 92% MyData National PHR service I can put in personal health and welfare information I use selfcare devices and apps information is available for professionals, with consent I can contact my health and social care providers electronically
6 Public healthcare providers Hospital districts (20) Primary care org. (192) Private healthcare providers (4000) Pharmacies (~800) OwnCare SelfCare Citizens (> ) Health care professionals Swedish epsos NCP Other NCPs not yet connected IHE XDS APPS IHE XDS I mhealth Aged 18 and older epsos NCP Kanta services My Kanta pages Web services for HCPs Pharmaceutical database Kanta messaging layer eprescription service Renewals Patient data repository Health records, legacy (CDA R2 L1) Patient summary management Diagnoses Procedures Risks Consent and will management Organ donation wills Prescriptions Radiology DICOM studies Patient data management service Vaccinations Lab Health and care plan Logs Dispensations Metadata Logs Health records, structured (CDA R2 L3) Radiology Physical findings Medication Personal Health and Living wills Social Record Opt ins and opt outs Main standards HL7 V3: CDA R2 Level 3 and Medical Records IHE IT I Profiles W3C XML DSig WS Addressing, WS I TLS, X Other national services National code server Code lists and terminologies Form and document structures Certification services Healthcare and social care organizations register Pharmacies register Health care professionals register
7 WHAT WE NEED Standards semantic Kanta definitions technical Kanta definitions + Continua etc standard center for evaluation, development and implementation Sertification for apps and devices data security, quality, use of standards evaluation center of clinical and financial benefits Ecosystems needs > technology > pilots > national use playground for new innovations
8 THE BIGGEST CHALLENGE how to change the way health care providers and professionals are delivering care insentives our citizens are ready and demanding the change
9 THANK YOU FOR YOUR INTEREST! COMMENTS?
ehealth and esocial in Finland - today and 2020 Anne Kallio MSAH Finland
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