STePS 2.0 Monitoring Social and Health Care Information Systems and Services (Sosiaali- ja Terveydenhuollon tietojärjestelmäpalveluiden Seuranta ja arviointi) 13.6.2016 13.6.2016/ Hannele Hyppönen 1
STePS 2.0 - What: A co-funded project by the Ministry of Social Affairs and Health and research institutes, starting from 1.4.2016 to 31.3.2019 Continuation to the STePS (1.0) project (monitoring digitalization of social and health care) https://www.julkari.fi/bitstream/handle/10024/129709/urn_isbn_978-952-302-563-9.pdf?sequence=1 STePS (1.0) data collection was conducted in 2014, before implementation of the ehealth and ewelfare 2020 strategy, prior to the introduction of national Kanta-services, before the social and health care-reform decisions. 2017 data collection forms the next data collection point, reporting focuses on monitoring implementation of the strategy, implementation of national Kanta-services, production of information to support social and health care reform regarding status of horizontal and vertical information exchange / impacts in different regions 13.6.2016 13.6.2016/ Hannele Hyppönen 2
STePS 2.0 projects Research questions Data Database reports How have the information systems and services spread, and to what extent they are used in health care? How the situation has changed after 2014 To what extent do citizens use social and health care electronic services, what are the citizens' experiences, barriers and needs / willingness to use them? What is the current state of information systems and the capability of organizations to implement the national information system services in social care? How does the situation differ from the 2014 events? What are the use experiences of doctors and nurses of the patient information systems and national information services (their usability and utility), and how they differ from the 2014 situation? How should the monitoring information be made available so that the users can view the results dynamically, to be used in decision-making locally, regionally and nationally? Availability and use of e-health in Finland organisational survey (Project 1) Utilization of national Kanta-services log data) (Project 2) Citizens views of e-health and e-welfare services (Project 3) Availability and use of e-welfare in Finland organisational survey (Project 4) Physicians use and usability of health information systems (Project 5) Nurses use and usability of health information systems) (Project 6) Databased dynamic reporting system www.thl.fi/tikuinstructions (Project 7) availability, use and experiences of e-services for citizens per population groups/region (merges project data 1,2,3, 4) availability, use, usability and benefits of EPR-systems and tools per professional groups/region (data 1,2,4,5,6) availability, use, usability and benefits of HIE-systems and tools per user groups/region (data 1, 2, 3,4,5,6) availability of health data (for management) per user group/region (data 1, 4, 5, 6) availability of Health information infrastructure elements per region (data 1,3,4) 13.6.2016 13.6.2016/ Hannele Hyppönen 3
STePS 2.0 timing of tasks May 2016 Sept.2016 Oct.2016 Nov2016 Dec.2016 Q1 2017 Q2 2017 Q3 2017 Q4 2017 2018 Q1 2019 1.Database report piloting with existing survey and log data x 2.Specification of needs and requirements x 3.Updating survey questionnaires, specifying log data needed x 4.Updates to the database reporting system + first reports publication x 5. The 2017 Data collection x 6. Modification of data for reporting x 7.Importing data from different sources to the database x 8 First (limited) publication of the database reports with 2017 data 9 Project reports and other publications => opening the database xxxx 10 Koosteraportti ja Hankkeen päättäminen x Stage 1 pilots the first database report combining datasets 3 and 4 (where THL has the sole ownership). During stages 3-6, agreements to import other existing datasets and developing remaining database reports 13.6.2016 13.6.2016/ Hannele Hyppönen 4
Potential key users, needs =>use cases Key users Ministry, strategy and policy level user Regional social and health care management CIO for national eservices CIO for regional and local services Vendors of EHRsystems (Draft focus, interests) =>Use cases Looks at the compilations of key data on 6 strategy subject areas (Citizen, professional, service system, management, infostructure) For summary level status of ehealth in Finland and key development areas. Interested in progress of ehealth strategy goals and positioning of Finland on international ehealth indicators (OECD). Looks at the compilations of key data on 6 strategy subject areas (Citizen, professional, service system, management, infostructure) for ehealth status of own region compared to other regions. For each subject area, views availability, usage and benefits of different services and functionalities in primary and specialized health care and social care for own region compared to others for decisions on regional development foci. Views use, benefits and needs of e-services for citizens by citizen group in own region for decisions on development foci Looks at Citizen and professional usage and experiences of national eservices, differences by EHRsystem for development of national steering activities. Looks at professional views of own EHR system compared with other systems for feedback on system development 13.6.2016 13.6.2016/ Hannele Hyppönen 5
The database reports offer a flexible way to view data (not restrected to reports where researchers have selected the variables and level of reporting (national/ regional- user groups etc) Possibility to View compilation of individual variables on summary level per subject area (e.g. subject area maturity 0-100%) View the results on required level of detail e.g by reggion, by time, by service, by user group Limit views e.g. by region vs other regions Rotate result table, add, move, delete rows, scale up or down results, sort results etc. Export results to pdf, excel, csv View results grafically (map, time series, diagrams) www.thl.fi/tikuinstructions Demo will collect feedback for further development 13.6.2016 13.6.2016/ Hannele Hyppönen 6
Options Export Instructions DIMENSIONS 1. e-services availability 2010 2014 2017 Area The hospital district 1 Uusimaa Year of data collection 2 Varsinais-Suomi Age 4 Satakunta Gender 5 Kanta-Häme Level of education 6 Pirkanmaa Living area type 7 Päijät-Häme Dependent persons 8 Kymenlaakso Chronic illness 9 Etelä-Karjala Use of the services 10 Etelä-Savo 11 Pohjois-Savo MEASURES 12 Pohjois-Karjala 1. e-services availability (A+B+C)/3 13 Keski-Suomi A) own well-being promotion (self-help) services availability (i+ii)/2 14 Etelä-Pohjanmaa i. Health and wellness information availability (a+b+c+d+e+f)/6 15 Pohjanmaa a welfare information available specialized social care% 16 Keski-Pohjanmaa b wellness information available municipal social care% 17 Pohjois-Pohjanmaa c wellness information available private social care% 18 Kainuu d health information available specialized health care% 19 Lappi e health information available municipal health care% 21 Ahvenanmaa - Åland f health information available private health care% 22 Kaikki ii. Client DSS services available (a+b+c+d+e+f)/6 a tests / counters available spesialized social care% The beginning view of e-services for citizens. Denominator: nr of citizens. Measure groups: Availability, usage rate, benefits, challenges, needs 13.6.2016 13.6.2016/ Hannele Hyppönen 7
Results on a map: Proportion of Citizens having used eprescription in the past year (2014) Kansalainen pystyn itse Omakanta Saatavuus 0-100% Tiedon laatu 0-100% Käyttöaste 0-100% Sähköinen lääkemääräys Kertomustieto Reseptien uusinta Käyttäjätyytyväisyys 0-100% Vaikuttavuus 0-100% Yleinen terveystito + riskitestit (omahoitopolut.fi) PHR (paikalliset) Palveluiden laatu- ja saatavuustieto valinnanvapaus (palveluvaaka) Sähköinen ajanvaraus (paikallinen) Sähköinen viestinvälitys (paikallinen) 13.6.2016 13.6.2016/ Hannele Hyppönen 8
Results on Radar diagramme: Proportion of organisations offering different EHRfunctionalities for professionals all regions (- - - specialized care primary care) ATK perusosaaminen Sähköinen potilaskertomus 10,00 Potilaskertomuksen langaton Käyttäjätuki käyttö 8,00 6,00 PACS Sähköinen varmentaminen/allekirjoitus 4,00 2,00 Päätöksenteon tuen integraatio Kuvantamistiedon välitys 0,00 eresepti Laboratoriotulosten välitys Sähköinen lähete Tekstitiedon välitys Sähköinen konsultaatiolähete Sähköinen ajanvaraus Telemonitorointi Televideokonsultaatio Valtakunnallinen tilanne vuonna 2014 ESH2014 PTH2014 13.6.2016 13.6.2016/ Hannele Hyppönen 9
For further information Hannele.hypponen@thl.fi 13.6.2016 13.6.2016/ Hannele Hyppönen 10