sitra enabling change, health care in finland

Enabling change

16.9.2009 Marja Pirttivaara

© Sitra 2009

What is Sitra?

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Sitra is not EITHER/OR, but rather BOTH.

both a capital investor and a societal opinion

leaderboth a visionary and an

implementerboth a starter and a

relinquisher

a builder of both competitiveness and

well-being

© Sitra 2009

We are building a successful Finland for tomorrow

• Established in 1967

• A fund operating under the supervision of Parliament, with responsibilities stipulated by law

• Independent actor

Sitra promotes:

• Stable, balanced development for Finland

• Economic growth, in both quality and quantity

• International competitiveness and cooperation

16.9.2009 3Marja Pirttivaara

Business developer and social opinion leader


© Sitra 2009

Finland succeeds as a pioneer in systemic changes

• Global megatrends pose challenges to Finland’s well-being.

• Finland’s success depends on broad, deep changes.

• We help to recognise and enable changes.

• We grasp key changes through programmes and strategic processes.


Visionary and implementer

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Sitra’s programmes:

Health CareMunicipal ServicesEnergy Mechanical IndustryRural AreasLeadership

Marja Pirttivaara

Sitra’s Health Care Programme 2004-2009

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The objectives of the Programme are

• to improve the status of customers • to increase the profitability and effectiveness and the co-operation

between the public and private sectors • to promote comprehensive use of new technologies and services • to generate new business in Finnish and international markets.

© Sitra 2009

Healthyindividuals Increased

risk DiagnosedUnderserviced

Serious

stateCrisis state

Support for management of one’s life

FUNCTION

ACTION

Active supportfor lifestyles

Support for self care

Intensifiedsupport Active

personalintervention

Acute, intensified and specialized care

Structured healthpolicy, support for skills and data to promote health

Preventiveservices, new healtheducation

Tools and coaching for self care

Activemonitoringand support, caremanagement

Case management

Futurehospital

Source: Prof.Juha Teperi, Ministry for Social Affairs and Health, 2008

REVERSE THE TREND!

Action for Better Health

Marja Pirttivaara 16.9.2009 8

© Sitra 2009

Patient records before EHR…


http://www.conect.at/files/papers/20060919/TILAK_KlausSchindelwig.pdf

http://www.conect.at/files/papers/20060919/TILAK_KlausSchindelwig.pdf

© Sitra 2009

Personal health info management at home before PHR’s…


healthsystems.engr.wisc.edu/papers.../PHRs_An_Overview.ppt

© Sitra 2009

Organization of health care in FinlandPUBLIC SECTOR 85%• Municipalities• Responsible for arranging• Own health care units (prim and sec)• Independent in decision making• Appr 230 Primary health care centres• 21 Hospital districts• Serve citizens within the area• Can send patients to University hospitals (5)PRIVATE SECTOR 15%• Primary and specialized health care• Occupational health careFINANCE• Municipal taxes 43%• Governement subsidy 17%• Client fees 20%• Private financing


Population 5.3 million

© Sitra 2009

KanTa - National eArchive, ePrescibing and eView 1/2 NATIONAL eARCHIVE – CONTENT

PATIENT INFORMATION• Produced by local EHRs• Coded core information• Diagnosis, medication, procedures, medical

risks…• Medical record texts, nursing information• Lab, pathology etc test results• Radiology, endoscopy etc images

LOGGING

INFORMATION EXCHANGE • between health care providers

BY LEGISLATION OBLICATORY BY 2011• For both public and private sector• Privacy taken account

eARCHIVE - FUNCTIONS

LONG TERM ELECTRONIC ARHIVE• Currently local paper archives• Summary data is kept 10 years after death• born 18th and 28th: kept for ever (for research

purposes)

DYNAMIC ARCHIVE• Search for information• On patients consent• Search factors

DATA AND STATISTICS• Decision support, management• R&D, pharma, health care

GRADUAL APPROACH


© Sitra 2009

KanTa - National eArchive, ePrescibing and eView 2/2 ePRESCRIPTION – GOALS

• To have better overall view of patient medication- less multimedication, less interactions

• To have truly electronical information chain- less mistakes, less work

• To make renewal of prescriptions easier for - patients- health care units

• To make it more difficult to forge prescriptions

BY LEGISLATION OBLIGATORY BY 2011• For doctors and pharmacies• Patients can refuse ePrescription

eVIEW - For adults only, and own information

Summary of the key information:• Patient permissions and information on the log

to which he has sole rights• Index data, data on care contacts,

prescriptions, care Instructions• Subject to doctor’s permission: referrals,

summaries o the care records, certificates and statements

• Optional access may also be granted to: data onappointments, diagnostic imaging findings, etc.

• Via Internet

• Authentication by- electronical ID card- eBanking identification- mobile?


© Sitra 2009


Markku Kiiski, presentation

© Sitra 2009

Finnish FeelGood Ecosystem, for PHR’s

“Roadmap for an ecosystem of PHR based products and services and start implementing it.”


© Sitra 2009

Networks across boundaries• We gather networks and actively launch projects in cooperation with

our partners, both domestic and international

• Our networks extend across familiar boundaries and bring together:- the public sector- the private sector- the civil society

• We support others’ success.

• We take responsibility for our operations’ impact on individuals, companies, society and the environment.


Enabling competitiveness and well-being


© Sitra 2009

Economic competitiveness and people’s well-being are both in the centre of what we do

• maintaining competitiveness is the prerequisite for ensuring people’s well-being.

• Finland’s advantages are its small size, ability to cooperate, high cultural and educational levels as well as technological know-how.


Enabler of systemic changes –visionary and implementer

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sitra.fi

Marja Pirttivaara

sitra enabling change, health care in finland

Health & Medicine