From Health and Social Care Reform

and Standardization to Ecosystem

Dr. Sinikka Salo, Deputy Mayor City of Oulu

EHiN, Oslo, 3.11.2014

65°01‘N, 25°28’E

• National and regional reform of

social and health care• Interoperability and standardization• OuluHealth ecosystem

• Smart Service Model of Oulu

10% of population – 81% of spending

LOCAL EVIDENCE

http://www.laakarilehti.fi/files/nostot/2013/nosto48_3.pdfHeavy users of social and health care services in the city of Oulu

Next Generation – Citizen-Centered

Smart Service Model of Oulu

NATIONAL

SOCIAL WELLFARE AND

HEALTH CARE REFORM

IN FINLAND

http://www.stm.fi/en/ministry/strategies/service_structures

FINLAND 2014

5,4 million population

320 municipalities responsible

for providing equal social and

health care for all citizens

FINLAND 2017 AFTER THE REFORM

Finland will be divided to five

welfare and health regions all

having a responsibility to

arrange regional social and

health care.

NEW SOCIAL WELFARE AND HEALTH

CARE SERVICE STRUCTURE

AREGION

Central Government(Ministry of SocialAffairs and Health and its branch of administration) - national steering

EBFive social

welfare and

health care

regions DCMunicipalities/

joint authorities

responsible for

service

provision

SUPPORTS SERVICES SUPPORTS SERVICES SUPPORTS SERVICES SUPPORTS SERVICES SUPPORTS SERVICES

REGION REGION REGION REGION

JOINT

MUNICI-

PALITY

MUNICI-

PALITY

JOINT

MUNICI-

PALITY

MUNICI-

PALITY

JOINT

MUNICI-

PALITY

JOINT

MUNICI-

PALITY

JOINT

MUNICI-

PALITY

JOINT

MUNICI-

PALITY

JOINT

MUNICI-

PALITY

JOINT

MUNICI-

PALITY

COM-

PANY

COM-

PANY

COM-

PANY

Services outsourced to

NGOs and companies

National eHealth and eSocial solutions- building the information highway

Kanta-services for Healthcare and Citizens

• National repository and local EHR / pharmacy systems using them

• ePrescription

• 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

Ministry of Social Affairs and Health

eHealth and eSocial strategy 2020 -

Knowledge to Support Wellbeing and

Reformed Services

Ministry of Social Affairs and Health

SHARED TARGET STATE

NATIONAL

SERVICES

eResepti

eArkisto

VRK …

N A T I O N A L D A T A E X C H A N G E

R E G I O N A L S E R V I C E B U S

National

services

Shared services

for welfare and

health regions

Own regional services

for welfare and

health regionCore services

Modular systems

with standardized

controlled interfaces

INTEGRATION PLATFORM

Shared, regional

services and

infrastructure

NEED FOR CO-OPERATION AND STANDARDIZATION

DEFINED INTERFACES BASED ON

COMMON STANDARDS AND

CONTROLLED BY NEUTRAL PARTY

R E G I O N A L S E R V I C E B U S

PACS RIS

Patient mgmt

Patient records

SOCIAL

CARESELF-

CARE

E-

SERVI-

CES

ICU

E R P

I N T E G R A T I O N B U S

REGIONAL

DATA REPOSTORY

CONTROLLED INTERFACES

Standardization is taking place

and needed in all levels.

We need standardization with

data formats, interfaces,

application interfaces,

platforms…

But we need also co-operation

between various parties when

we select which standards we

choose!

Nordic Collaboration?

• Nordic countries are among most advanced in health

care digitalization – joint efforts in eHeatlh

standardization in Nordic countries?

• NMT = Nordic Mobile Telephone

• NMT = Nordic Medical Technology standardization

• Creation of eHealth platform for R&D, business

opportunities

OULUHEALTH

Oulu based ecosystem combines

health, wellbeing, bio and ICT

professionals, research communities

and companies.

An established collaboration model

and physical facilities offer a unique

living lab for our partners both

locally and globally to create health.

www.ouluhealth.fi

FORERUNNER IN SMART HEALTH

Future hospital 2030

is the heart of OuluHealth

KONTINKANGAS CAMPUS

Oulu Health

Connected Health Ecosystem

Oulu

Kuopio

Tampere

Helsinki

EspooTurku

Connected Health partners

Hospital partners

Arctic partners

INKA – Innovative Cities 2014-2020

National Future Health programMEE, MSAH, Tekes

6 biggest cities

Oulu

Oulu region has 250 000 residents

Largest center of the northern regions in

Scandinavia

Oulu is one of the youngest cities in Europe

New creative atmosphere

High level of education

Trade and finance center

www.oulu.fi

A good basis for building the future!

Thank you!