SmartHealth Ecosystem Event 12.6.2019, Ville Salaspuro presentation on Data driven solutions in the point of care - how to improve cost-effectiveness and integration of care

1. Data driven solutions in
the point of care

2. topics
• Holistic and customer centric approach – Do we know the actual
situation of the customer
• Data and treatment plans in silos (Public, Private, Health care vs Social care vs
Occupational health care) - we should all have ”common care plan” to
avoid care gaps
• Patient engagement and empowerment- Do we share the same
problem as the customer
• How to improve the work flow in the point-of-care – special
approach to ”high cost – high need” patients/customers.
• The expected benefits and reduction of costs aims to millions (€)

3. Our solutions are designed for larger and smaller
organisations in private and public sectors.
Healthcare Social care Hospital
districts
Rehabilitation Home care
services
Oral health

4. Continuity of careKari Raivio, Duodecim 2017;133(17)
• Continuity of care is one of the most crucial elements affecting to the quality,
efficiency and costs in primary care
• From patient perspective key element are availabilty of care and ”free flow” of
information
• From organisational aspect the lack of continuity increases the costs
(overlapping, framgemented and impractical care)
• Continuity of care should be ensured at least for high-cost- high-need patients
 We need to identify high-cost high-need customers (over segments)
 Prevent the revolving door –phenomenon

5. Social careMyData Home careHealthcare
Occupational healthcare
Primary care
Secondary care
Data driven tools – Unified Customer and Professional perspective
Real-time data and
service integration for
each segment, unit, user
and patient
PHRs- (local)
PHR (national)
ODA (national self-assessment
platform)
EMR
National Archive
Patient and customer
data management
system
Public and Private providers

6. 170 000
Residents
7 500
Employees
Total num. of customers
149 2120,5%
Annual € / customer
2 63623,3%
Annual € / Keycustomer
17 11242,9%
149 212
90 000
PHR accounts
Num. Of High-cost patients
/ Keycustomers
16 61710%
393 M€
Total costs
Population health statistics from North-
Carelia/Finland

7. Key customer -“High-Need
High-Cost”patient- facts
Recognized
Keycustomers (all) 10%
Customers
73%
Costs10% of customers create 73% of the costs in
one Hospital district = 313 M€
(16 000 patients out of 150 000)
Diabetics
Patients
Costs €
1 420
320 000€
Atrial fibrillat.
Patients
Costs €
1 278
1 500 000€
Misallocated ER
Patients
Costs €
8 977
6 800 000€
Each patient (of these top 10%):
Accounts € per year:
Ongoing treatments in diff. units:
76 000€
20
Top 10 % of the Keycustomers
 76 000€ /year
(1 500 patients out of 16 000)

8. Module Collects the segmented data and visualizes the customer’s
situation 
-Total number of visits and data from each Unit/Care giver/Organisation
-Provides care template and
notifications
Events in
different
Units

9. MediCloud
AI/ML-Tools
Algorithms
(Automatic processing of data)
Data
Warehouse
Keycustomer group 1 Information
Medication list update Not updated during past 12 months
Carepath up to date Not updated in 6 monts
Health and care plan updated Updated by DR. Leon Doctor on May 23th 2015
Patient’s basic information updated Updated by DR. Leon Doctor on May 23th 2015
KEYCUSTOMER INFORMATION
Arteriosclerosis Information
Diabetes Information
Automatic Annotation of Key-customers to the professional in the point of care
through automated algorithms
Rest API
Data sources
KEYCUSTOMER TRIGGER
○ - The patient has dg F10, R53
○ - Over 3 visits in ER within prev. month
○ - No Careplan
○ - Age over 74 years
External/internal care
templates

10. Search
Type to search
CREATE NEW+
List
All
Areas
Hospitals
Show
Diagnoses
By year
Misallocated ER patientsListed DG or function: Years: 2018 2017 2016 2015 Compare years
UNIT
NO CUSTOMER SELECTED
000000-0000
Hallinto
0 DR. LAURA LICENTIATE
Doctor
Management
Health & Son
2016Selected years: - 2017
Post-acute examin.
Costs €
Laboratory visits
Costs €
Episodes
Costs €
Customers with dg.
Keycustomers
Title
Misallocatead ER patients
109
69 000
5 690
102 798
256
360 000
10 265
120
2017
000
000
000
000
000
000
000
000
Delta
Flag the keycustomers
Coordinate care
&
Reduction of
costs By
customer
Total effect
5 000€
7,7M€7,7M€
Reporting and Metrics:
Total savings aim at 7,7M€

11. Thank You
ville.salaspuro@mediconsult.fi