Current reality and trends of ehealth in Finland PIRKKO KOURI PhD, PHN, RN Principal Lecturer in Healthcare Technology, Savonia University of Applied Sciences Coordinator for the all Savonia s Master programme development China collaboration coordinator in Social and Health care field Vice-President of International Society of Telemedicine and ehealth Member of IMIA-Nursing Informatics Education Working Group Secretary of Finnish Society of Telemedicine and ehealth Board Chair of the Regional Cancer Association in Pohjois-Savo SESSION: Developing ehealth Services for Child and Adolescent Psychiatry Experiences from Finland and Australia TIME: Thursday 22 March 2018 PLACE : KUH Alava Hospital, Kaartokatu 9, building B2, auditorium
Nurses, students are free of charge, join ISfTeH if you are interested in 2
Current reality
Economical situation Changes in morbidity Effectivity of care Changes in treatments & processes Ageing population Development of technology Needs for teaching & research FUTURE CHALLENGES Utilisation of ICT Capacity building & maintenance Values Legislation Old infrastructure Business sector III sector and voluntary work Demanding patients Structural changes In accordance KUH/Kouri J mindmap presentation 2016
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Finnish government > digital services 2015 Digital services increase the opportunities for citizens, companies and corporations to use public services regardless of time and place When the use of digital services becomes more widespread, the public service production becomes more efficient, which saves public resources. The starting point is that digital services provided by the public administration must be functional, easy to use and safe. Source: http://vm.fi/en/digital-services 6
The nine principles of digitalization (Ministry of Finance 2015) 7
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National Projects in Finland towards digitalisation in social and health care 9
National UNA - modular architect for new Ecosystem 10
Social and health care FINLAND: One of the early adopters of IT-systems in healthcare. 11
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National ehealth and esocial solutions - building the information highway Kanta-services for Healthcare and Citizens National repository and local EHR / pharmacy systems using them National Patient Data Repository 100% coverage (Public Sector) National e-prescription system: 100% coverage earchive for patient information For citizens: eview and Patient Information Service Legislation since 2007 esocial services for Social care National Repository for social care (in piloting phase) Legislation work starts 2014 eservices for Citizen Own Care and Planning of Welfare services Nationally strategic work going on In Social care there is ongoing KANSA project See more: http://www.kanta.fi/en/ Ministry of Social Affairs and Health 13
Case: APOTTI project 14
APOTTI example: Finland, capital region Current Big Themes in Development: - Unified Citizen View - Social and Healthcare systems integration - Utilising standardised Care Pathways & Best Practises which beneficial for Safety, Quality of Care and Benchmarking The platform will cover approximately 20% of the 5,5 million Finnish Population. ~ 30 hospitals, including an University Hospital group ~ 40 health stations ~ 50 social welfare offices
(APOTTI project) Several key services overlap the functional space between Healthcare and Social Welfare domains 16
Virtual village 17
A citizen chooses houses focusing on mental health, weight management, pain management, women, rehabilitation and rare diseases by the end of this year there are 20 houses serving citizens
Choose your own house And step in You find services: Guides to use Feedback Qualified Information, advice, information search helpers Self- tests, quiz, symptom navigator Support, peer experiences, patient associations, III sector Self-care guides Self-care programmes/digital treatment pathways, and guidance Care paths, and other services, follow-up, rehabilitation
ODA project
Services My own Health and welfare Digital Services Estimation client s life situation Planning of care and services Realising care & services My condition My health observations My health plan My health coaching Self-evaluation Benefits: Flexibility, no time or place depency + continuing follow-up, more choices, easiness, transparency, my voice 21
Services My health coaching My condition My health plan (in collaboration with social and health care staff Self-evaluation My health observations 22
Social and healthcare staff 23
ehealth supporting nurse and patient towards multiprofessional collaboration Figure. Ahonen O., Kouri P., Kinnunen U-M., Suutarla A. 2017. Nordic ehealth Strategies Supporting Nurses at the Forefront. Poster at ICN Conference: Nurses at the forefront transforming care. Barcelona, Spain, 27 May - 01 June 2017 24
Multidisciplinary Education and Training needed: - citizens - professional 25
When we just say HEALTH in various forms? Report on Digital Health in Oxford and the wider Thames Valley region. Oxford Academic Health, Science Network https://www.healthandwealthoxford.org/wp-content/uploads/2016/11/digital-health-in-oxford-wider-region.pdf
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Technologies give people the opportunity to take greater control of their own health. Take citizens with in all phases from planning to realisation,
Thank you! 29