Presentation Septemeber 2009

1. Enabling change
16.9.2009 Marja Pirttivaara

2. What is Sitra?
both a capital investor a builder of both
and a societal opinion both a visionary and an both a starter and a competitiveness and
leader implementer relinquisher well-being
Sitra is not EITHER/OR, but rather BOTH.
Marja Pirttivaara 16.9.2009 2
© Sitra 2009

3. 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
Marja Pirttivaara 16.9.2009 3
© Sitra 2009

4. Business developer and social opinion leader
Marja Pirttivaara 16.9.2009 4

5. 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.
Marja Pirttivaara 16.9.2009 5
© Sitra 2009

6. Visionary and implementer
Sitra’s programmes:
Health Care
Municipal Services
Energy
Mechanical Industry
Rural Areas
Leadership
Marja Pirttivaara 16.9.2009 6

7. Sitra’s Health Care Programme 2004-2009
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.
Marja Pirttivaara 16.9.2009 7

8. Action for Better Health
Healthy
individuals Increased Under Serious
Diagnosed Crisis state
risk serviced
state
REVERSE THE TREND!
Intensified
Support for support
Support for Active Acute, intensified and
FUNCTION management
of one’s life
Active support
self care personal specialized care
for lifestyles Active intervention
monitoring
ACTION Structured health Preventive Tools and and support,
Case
Future
care hospital
policy, support for services, new coaching for management
skills and data to health self care management
promote health education Source: Prof.Juha Teperi, Ministry for Social Affairs and Health, 2008
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© Sitra 2009

9. Patient records before EHR…
http://www.conect.at/files/papers/20060919/TILAK_KlausSchindelwig.pdf
Marja Pirttivaara 16.9.2009 9
© Sitra 2009

10. Personal health info management at home
before PHR’s…
healthsystems.engr.wisc.edu/papers.../PHRs_An_Overview.ppt
Marja Pirttivaara 16.9.2009 10
© Sitra 2009

11. Organization of health care in Finland
PUBLIC 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 care
FINANCE
• Municipal taxes 43%
• Governement subsidy 17%
• Client fees 20%
• Private financing
Population 5.3 million
Marja Pirttivaara 16.9.2009 11
© Sitra 2009

12. KanTa - National eArchive, ePrescibing and eView 1/2
NATIONAL eARCHIVE – CONTENT eARCHIVE - FUNCTIONS
PATIENT INFORMATION
LONG TERM ELECTRONIC ARHIVE
• Produced by local EHRs
• Coded core information • Currently local paper archives
• Diagnosis, medication, procedures, medical • Summary data is kept 10 years after death
risks… • born 18th and 28th: kept for ever (for research
• Medical record texts, nursing information purposes)
• Lab, pathology etc test results
• Radiology, endoscopy etc images
DYNAMIC ARCHIVE
LOGGING • Search for information
• On patients consent
INFORMATION EXCHANGE • Search factors
• between health care providers
BY LEGISLATION OBLICATORY BY 2011 DATA AND STATISTICS
• For both public and private sector • Decision support, management
• Privacy taken account • R&D, pharma, health care
GRADUAL APPROACH
Marja Pirttivaara 16.9.2009 12
© Sitra 2009

13. KanTa - National eArchive, ePrescibing and eView 2/2
ePRESCRIPTION – GOALS eVIEW - For adults only, and own information
• To have better overall view of patient Summary of the key information:
medication
• Patient permissions and information on the log
- less multimedication, less interactions to which he has sole rights
• To have truly electronical information chain • Index data, data on care contacts,
- less mistakes, less work prescriptions, care Instructions
• To make renewal of prescriptions easier for • Subject to doctor’s permission: referrals,
- patients summaries o the care records, certificates and
statements
- health care units
• Optional access may also be granted to: data
• To make it more difficult to forge prescriptions
onappointments, diagnostic imaging findings,
etc.
BY LEGISLATION OBLIGATORY BY 2011
• For doctors and pharmacies • Via Internet
• Patients can refuse ePrescription
• Authentication by
- electronical ID card
- eBanking identification
- mobile?
Marja Pirttivaara 16.9.2009 13
© Sitra 2009

14. Markku Kiiski, presentation
Marja Pirttivaara 16.9.2009 14
© Sitra 2009

15. Markku Kiiski, presentation
Marja Pirttivaara 16.9.2009 15
© Sitra 2009

16. SAINI Electronic Healthcare Services Concept (PHR)
Road Map for Implementation in Finland
Marja Pirttivaara 16.9.2009 16
© Sitra 2009

17. Finnish FeelGood Ecosystem, for PHR’s
“Roadmap for an ecosystem of PHR based products and services and start implementing it.”
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© Sitra 2009

18. Cooperation between organizations when integrating EHR’s
to KanTa-archive
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© Sitra 2009

19. 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.
Marja Pirttivaara 16.9.2009 19
© Sitra 2009

20. Enabling competitiveness and well-being
Marja Pirttivaara 16.9.2009 20

21. 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.
Marja Pirttivaara 16.9.2009 21
© Sitra 2009

22. Enabler of systemic changes –
visionary and implementer
sitra.fi
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