• Like
Pentti Itkonen: Integrating regional health and social care
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

Pentti Itkonen: Integrating regional health and social care

  • 369 views
Published

In this slideshow, Dr Pentti Itkonen, Chief Executive Officer, South Karelia Social and Health District, Finland, outlines his experience of integrating regional social and health care services. …

In this slideshow, Dr Pentti Itkonen, Chief Executive Officer, South Karelia Social and Health District, Finland, outlines his experience of integrating regional social and health care services.
Dr Itkonen spoke at the Nuffield Trust European Summit 2014, which was supported by KPMG.

Published in Health & Medicine
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
369
On SlideShare
0
From Embeds
0
Number of Embeds
1

Actions

Shares
Downloads
6
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. Integrated regional social and health services – Experiences in South Karelia, Finland Pentti Itkonen ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
  • 2. The South Karelia Region Responsible for the whole Social and Health Care in the South Karelia Region . Population 132.000 Budget 410 M€ Workers 4200 Helsinki or Petersburg 220 km ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
  • 3. The evolution of the service system – from hierarchy to ecosystem Different units in New hierarchy administrative framework Municipality 2 Municipality 1 Municipality 3 Hospital Municipal based structure. Municipa 1 Ecosystem Function 2 Municipal Municip a2 Functional integration Function 1 Hospit al Administratively integrated structure. Added value from Added value from hierarchy economies of scale. Function 3 Social- and Health Care Statistical Institutions Functionally integrated structure Social Insuarance Institution Added value from data. Integrated ecosystem Added value from Big Data ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
  • 4. Why the new model was made • Integration between the acute hospital, primary care and social services – A new and better balance between primary care and hospitals and better co-ordination, coherent, patientcentred pathways through the different services being used. • Better coordination in strategy, techonology, financing and investments • Common use and recruit of staff. – Share the resources • Better possibilities to meet the future challenges ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
  • 5. Concrete integrations in administrative framework – economies of scale • Information systems – Only one patient and customer record system • Financial systems – Common financial system. • Personnel systems – Replacements of the personnel – Salary harmonization • Decision making and management – Political processes – Managers replacement ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
  • 6. Functional regional integration ORGANIZATION STRUCTURE TECHNLOGY Welfare station EDUCATION AND TRAINING LOGISTICS Homecare, Home rehabilitation Hospital rehabilitation Acute hospital INVESTMENTS ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
  • 7. Who benefits of the regional integration • Top Management – Common: strategy, economy, personnel, organization structure and culture, managers training • Middle management – Strategy implementation, managers training, use of expertise • Other personnel – The integration is not substantial and visible to all workers in their daily work. – Essential to keep expertise available. Integration is not a mixture of work ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
  • 8. Change Management - Visible and Non-Visible MONEY, CONTROL, RULES HIERARCHYS, DOCUMENTS VALUES, MOTIVATION, INNOVATION, COMMITMENT, KNOWLEDGE, COURAGE, RISKS ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
  • 9. The most important is the Confidence ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI