1. ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
Integrated regional social- and health services
– Experiences in South Karelia, Finland
Pentti Itkonen

2. ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRIETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
The evolution of the service system – from
hierarchy to ecosystem
Municipal based
structure.
Added value from
hierarchy
Main focus is on the
organization and
professionals
Administratively
integrated structure.
Added value from
economies of scale.
Main focus is on the
organization and
professionals
Integrated ecosystem
Added value from Big Data
Main focus is on the citizen
Different units in
hierarchy
New
administrative
framework
Ecosystem
Municipality 1
Municipal
Hospit
al
Municipa 1
Municip
a 2HospitalMunicipality 3
Municipality 2
Function 3
Function 1
Function 2
Functional
integration
Functionally
integrated structure
Added value from
data.
Main focus is on
the citizen
Social- and Health
Care
Statistical
Institutions
Social Insuarance Institution
TURNING LINE

3. ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRIETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
The main parts of the Social- and Healthcare
reform in Finland
Every Citizen has a
right to equal and
high quality
services in
whatever proper
way the citizen
wants
eHealth, Telehealth
Telecare
National strategy
Integrated service
system
New legislation
New financing and
health impact model
Working group to be
set
The service
system is not
only for the
organizations
and
professionals
Co-creative patient
and customer:
Knowledge, Skills
Family, Friends
Golleagues, Community

4. ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRIETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
Strategic cornerstones of the Regional
Integration
Citizen
Homecare,
Home rehabilitation
New outpatient model
Welfare station
Acute hospital
TECHNLOGY
INVESTMENTS
LOGISTICS
VALUES AND
TRAINING
ORGANIZATION STRUCTURE

5. ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
BigData in Social and Health Care
Real time
financing
and health
impact
system
Statistics
Finland
Social
Insurance
Institution
National
Institute for
Health and
Welfare
Social and
Health
Care
Providers
Population
Register
Centre
Genetic
Data

6. ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRIETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
Values and Change; Visible and non-visible
DOCUMENTS, BUDGET, MONEY, CO
NTROL, RULES, HIERARCHYS,
PROFESSIONALS AUTHONOMY
MOTIVATION, INNOVATION, COMMIT
MENT, KNOWLEDGE,
COURAGE, RISKS, VALUES, CITIZE
NS AUTHONOMY
Past and present
Future

7. ETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRIETELÄ-KARJALAN SOSIAALI- JA TERVEYSPIIRI
The most important is the Confidence