ehealth in Finland local, regional, national and international aspect Anne Kallio Head of Development Ministry for Social Affairs and Health
Organization of health care in Finland Population 5.3 million PUBLIC SECTOR 80% Municipalities (>300) Responsible for arranging and financing health care Independent in decision making Appr 170 Primary health care centres 20 Hospital districts + Åland University hospitals (5) PRIVATE SECTOR 20% Primary and specialized health care Mostly ambulatory care Occupational health care (60%) appr 4000 private providers 600 pharmacies Privatetly owned 27.5.2011
Local and Regional ehealth situation in Finland by 2008 Delights (ehealth study 2008) EHR coverage 100% (public prim and sec healthcare), 80% (private) EHR information exchange 76% (public, hospital districts) Electronical referrals and discharge letters 90% ITIF 2009: Finland, Denmark and Sweden are leading Health IT countries (http://www.itif.org/files/2009-leadership-healthit.pdf) Drawbacks private sector not involved in regional EHR information exchange interoperability >10 EHR-systems > 60 one disease/one purpose systems too few semantic and technical standards 3 27.5.2011 Anne Kallio
National ehealth Road Map 2007 Availability of patient information regardless of time and place, both in public and private sector Participation of citizens and patients acces to own patient information and log data acces to high quality health information development of eservices
National ehealth and esocial solutions KanTa-services for Healthcare eprescription earchive for citizens: eview and Patient Information Service Legislation since 2007 esocial services for Social care National Datawarehouse and archiving solution for social care (in definition phase, local pilots 2011) legislation to be done eacces for citizens SADe-program Ministry for Finances Own care and Planning of Welfare services under MSAH (definition phase) national architecture and definitions 27.5.2011
earchive (testing and piloting 2011) patient information in first phase: EHR,lab, rad reports, dg, procedures, medical risks, nursing information, treatment plan viewing with patients consent central data repository data produced by local EHR and special systems traffic via public internet (high demands for data security) standardization of information and data transfer Functions information exchange long term electronic archive datawarehouse for research and health care policy work
eprescription (implementation phase) National Prescription centre eprescriptions sent by local EHR-systems Information of medicine dispensing in pharmacies sent by pharmacy systems Viewing with patients consent Implementation phase 55 00 eprescriptions made roll out with public sector by 2013 private health care by 2014 By legislation obligatory For doctors and pharmacies Patients can refuse eprescription
eview for citizens View of information Information in earchive and Prescription centre Patient centric core information Log information Active participation Consent and denials Advanced directives (f.ex living will ) Implemented for Prescription centre, pilot for earchive For adults >18 yrs Acces via Internet Authentication by ebanking identification or electronical ID card
International ehealth-co-operation
EU level co-operation 1 ehealth Governance Initiative EU comission and member states Sanco and Infso political and strategic level of co-operation aiming to give strategic guidelines for ehealth development within EU 10 27.5.2011 Anne Kallio
EU level co-operation 2 epsos (Europian Patients Smart Open Services) information exhance via national contact points eprescription and edispensing patients summary information Finlands participation in epsos II new member states involved new areas of interest (emergency services, EHIC) piloting eprescription in Tornionjokilaakso (Finland and Sweden) THL legal issues, standards, practical questions Atlantic co-op 11 27.5.2011 Anne Kallio
Nordic co-operation Nordic council interparlamentary co-operation of Nordic countries and autonomous territories (Faroe Islands, Greenland and Åland) plan to have interministerial co-operation between ehealth-responsible officers focus on EU-work (ehgi, epsos) 12 27.5.2011 Anne Kallio
Thank you! anne.kallio@stm.fi