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Intelligent Health Services.Tuula Tiihonen, Sitra.

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Presented in Upgraded Life Festival 31.5.2016 by Tuula Tiihonen, Sitra. http://www.upgradedlifefestival.com/

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Intelligent Health Services.Tuula Tiihonen, Sitra.

  1. 1. Case examples funded by Sitra Tuula Tiihonen, Senior Lead, Finnish Innovation Fund, Sitra Intelligent Health Services
  2. 2. Oxygen sensors, turbo boost sensors, acceleration sensors… Alarms if acute malfunctinos Garantee – extra garantees Regular maintenance Inspections All the cars are the same (same DNA) No sensors telling about your health status No alarms if disorders No garantees or extra garantees Max 1 health check per year/ 10 years No routine medical examinations Different DNA Checking the status: My Car and Me
  3. 3. Patient path can look like this.. A more streamlined process might have saved up to €87.5 million of spending for over 23 000 patients and shaved off 32 days of additional waiting for each such patient.
  4. 4. Seeing the doctor – two different ways 4 97% of the customers of YTHS who participated in practical trials are satisfied with the service 89% of doctors think that video consultations are effective. 99% of nurses think that video consultations support patient care activities
  5. 5. Virtual Clinic Services - Open 24/7 Symptom assessment forms - urinary tract infection - sore throat - Other Health and Wellbeing Check - Can be sent to Health Center
  6. 6. • Simple solution Base of Virtual Clinic PHR EHR DSS Added value Effica
  7. 7. RISK ASSESMENT - Backpain Virtual Clinic Tuula Tiihonen 29.5.2016
  8. 8. 8Sitra • Tuula Tiihonen • 29.5.2016 • vointini.espoo.fi/oire/selkakipu Find out the best way to treat your Back Pain. Answer these questions about your symptoms and you get consultation how to treat your Back Pain. You can also make an appointment to doctor . Looking Care for Back Pain? | Espoon sosiaali- ja terveyspalvelut Back Pain Treatment Espoo When people have health concerns they turn to Dr. Google for help
  9. 9. Selvitä miten selkäkipuasi tulisi hoitaa vastaamalla sitä koskeviin kysymyksiin. Oireistasi riippuen saat testin lopuksi varata ajan vastaanotolle tai ohjeet miten voit itse hoitaa vaivaasi. Describe your symptomsExit Selkäkivun hoitaminenRisk Assessment Treatment of Back Pain 9Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in > ! Identification is not necessary for risk assessment
  10. 10. 10Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in > As a part of the risk assessment, identify and allow the service to utilize your: - patient information - medical information - lab results - information from your own health account Identification can be done electronically by logging on to your eBanking or using mobile ID IdentifyPrevious Selkäkivun hoitaminen IDENTIFICATION Can we utilize your health data? Continue without identification Risk Assessment
  11. 11. 11Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in > ContinuePrevious LOCATION Locate your back pain Risk Assessment Upper backUpper back Lower back
  12. 12. 12Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in > Back pain in your lower back Change ContinuePrevious DURATION When your back pain started? Pain started couple of days ago I have had pain less than 6 weeks I have had pain over 6 weeks I have had pain over 12 weeks Risk Assessment
  13. 13. Back pain in your lower back Change ContinuePrevious DURATION How did the back pain start? Suddenly Pain has increased gradually Pain started couple of days ago Change Risk Assessment 13Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in >
  14. 14. 14Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in > ContinuePrevious DURATION How strong is the pain 1 Mild Strong 2 3 4 5 6 7 8 9 10 Back pain in your lower back Change Pain started suddenly Change Pain started couple of days ago Change Risk Assessment
  15. 15. Back pain in your lower back Change ContinuePrevious OTHER SYMPTOMS Do you have any of the following symptoms? The pain radiates below the knee Loss of strength in the leg muscles Pain started suddenly Change Pain started couple of days ago Change Intensity of the pain: 6 Change Risk Assessment 15Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in >
  16. 16. Back pain in your lower back Change NextPrevious SYMPTOMS Do you have any of the following symptoms? Urinary incontinence Ankle extensor or flexor muscles have deteriorated rapidly Pain started suddenly Change Severe abdominal pain Unbearable pain that persists in any position None of these symptoms Pain radiates below the knee Change Pain started couple of days ago Change Intensity of the pain: 6 Change Risk Assessment 16Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in >
  17. 17. Back pain in your lower back Change IdentificationPrevious ASSESMENT Tarvitset hoitoaTarvitset hoitoa Pain started suddenly Change Urinary incontinence Change Please contact your health station next business day at the latest Identify and make an appointment online Tunnistautuminen tapahtuu pankkitunnuksilla. Tämän palvelun kautta voit varata ajan vastaanotolle, mikäli asut jollain seuraavista alueista: Espoo, Turku, Tampere, Oulu, Helsinki, Joensuu, Kuopio ja Hämeenlinna sekä Etelä-Karjalan sosiaali- ja terveyspiiri. Pain radiates below the knee Change Pain started couple of days ago Change Intensity of the pain: 6 Change It seems that you need treatment: Risk Assessment 17Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in >
  18. 18. 18 Espoo Public Health care /Social services TAPIOLAN TERVEYSASEMA Ahertajantie 2, Espoo Change Health station Aava Tapiola Private health care/social services Show more Keskustele heti lääkärin kanssa ilman ajanvarausta. MeeDoc Exit Make an appointment: doctor Today 29.2.2016 Change area 16,10 € / kerta (3 ensimmäistä kertaa) Make an appointment Make an appointment Martti Mäkeläinen13.00 Martti Mäkeläinen14.00 klo 12.00 47,60 € , 20 min Make an appointment Aava Tapiolaklo 12.20 47,60 € , 20 min Make an appointment Diacorklo 12.20 Make an appointmentMihail Nenonen n. 50 € , 20 min Käydessäsi hoidattamassa vaivaasi yksityisen palveluntarjoajan vastaanotolla, KELA korvaa hoidosta 11 € ja loppuosan maksat itse. Usein yritys vähentää KELA- korvauksesi suoraan loppusummasta maksutapahtuman yhteydessä. Moni yritys veloittaa vastaanotton lisäksi toimistomaksun, joka vaihtelee yrityskohtaisesti. Maksaminen yksityisellä Continue to site Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in > ! Service suggests the nearest health care station for user
  19. 19. 19Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in > Back pain in your lower back tuntuu alaselässä Change Make an appointment ASSESSMENT Physiotherapy Pain started suddenly Change No other symptoms Change According to your answers, you might benefit from physiotherapy. Next step Pain radiates below the knee Change 1 When making an appointment your risk assessment will be sent to the physiotherapist. Talk online Make an appointment with physiotherapist You can discuss your situation with your healthcare professional If you suspect that your condition requires a visit to doctor, please contact your doctor online. 3 All services Palvelun avulla voit keskustella heti lääkärin kanssa vaivastasi videopuhelun kautta. MeeDoc Siirry palveluun Exit SAVED The information you provided will be saved under your information. You can access the data from frontage. Private health care / social services I have had pain over 12 weeks Change OR Intensity of the pain: 6 Change Risk Assessment ! Recommendation for physiotherapy
  20. 20. 20Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in > Back pain in your lower back Change Make an appointment ASSESSMENT Discuss with your doctor Pain started suddenly Change No other symptoms Change According to your answers it might be good to discuss with your doctor. Make an appointment for video chat online. Next step Pain radiates below the knee Change When making the appointment through this service your risk assessment will be sent to your health station automatically. Make an appointment for video chat online 2 All Services Exit Private health care / social services I have had pain over 12 weeks Change 1 Intensity of the pain: 8 Change Risk Assessment SAVED The information you provided will be saved under your information. You can access the data from frontage. ! User can talk to the doctor online to specify health status
  21. 21. ASSESSMENT Appropriate proportions of rest and movement Based on your answers the situation of your condition might get over by home treatment. However, you might want to check the overall state of your well-being. Prescription For mild pain you can use paracetamol sold in pharmacies, moderate or high levels of pain you need anti-inflammatory drugs. As soon as the pain eases so that you are able to move, you should try to live as normal life you can. Bed rest does not help back pain. You can engage in light exercise right from the beginning, such as walking, cycling or swimming. Also, stretching may help. 2 Stretching exercises1 Kaikki palvelut › Palvelun avulla voit keskustella heti lääkärin kanssa vaivastasi videopuhelun kautta. MeeDoc Siirry palveluun Exit Private health care / social services When should I do the test again? Mikäli kipu ei hellitä 6 viikossa tai se pahenee, tee tämä testi uudellen niin voit varata ajan vastaanotolle. Voit myös soittaa suoraan terveysasemallesi. Test your well-being Tämän testin avulla selvität, miten voit itse vaikuttaa omaan hyvinvointiisi. Usein selkäkivun syynä voi olla mm. fyysisesti kuormittava työ. Vähäinen liikunta, lihavuus ja tupakointi saattavat lisätä selkäkipuja. Myös stressi ja tyytymättömyys työhön ovat yhteydessä selkävaivoihin. Start test These might help Check nearest pharmacies       Send to your email No other symptoms Change Pain radiates below the knee Change Venyttelyohje: Ala Video: alaselän venyttely SAVED The information you provided will be saved under your information. You can access the data from frontage. 21Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in > ASSESSMENT Appropriate proportions of rest and movement Based on your answers the situation of your condition might get over by home treatment. However, you might want to check the overall state of your well-being. Prescription For mild pain you can use paracetamol sold in pharmacies, moderate or high levels of pain you need anti-inflammatory drugs. As soon as the pain eases so that you are able to move, you should try to live as normal life you can. Bed rest does not help back pain. You can engage in light exercise right from the beginning, such as walking, cycling or swimming. Also, stretching may help. 2 Stretching exercises1 Test your well-being Tämän testin avulla selvität, miten voit itse vaikuttaa omaan hyvinvointiisi. Usein selkäkivun syynä voi olla mm. fyysisesti kuormittava työ. Vähäinen liikunta, lihavuus ja tupakointi saattavat lisätä selkäkipuja. Myös stressi ja tyytymättömyys työhön ovat yhteydessä selkävaivoihin. These might help Check nearest pharmacies       Send to your email Back pain in your lower back Change Pain started suddenly Change No other symptoms Change Pain radiates below the knee Change Pain started couple of days ago Change Intensity of the pain: 6 Change Venyttelyohje: Ala Video: alaselän venyttely Risk Assessment SAVED The information you provided will be saved under your information. You can access the data from frontage. ! Recommendation for self-care
  22. 22. 22Sitra • Tuula Tiihonen • 29.5.2016 • Oma vointi -palvelu Log in > Espoo Espoon kaupungin palvelut TAPIOLAN TERVEYSASEMA Ahertajantie 2, Espoo Change health station Aava Tapiola Private health care / social services Näytä lisää Keskustele heti lääkärin kanssa ilman ajanvarausta. MeeDoc Exit Make an appointment: doctor Today 29.2.2016 Change area 16,10 € / kerta (3 ensimmäistä kertaa) - no free times 29.2.2016 - klo 12.00 Palveluseteli + 16,10 € , 20 min Make an appointment Aava Tapiolaklo 12.20 Palveluseteli + 16,10 € , 20 min Make an appointment Diacorklo 12.20 Make an appointmentPalveluseteli + 16,10 € Kun varaat tästä ajan yksityiselle palveluntarjoajalle, voit maksaa vastaanoton palvelusetelillä. Sinun maksettavaksesi jää normaali asiointimaksu 16,10 € (3 ensimmäisten kertaa vuodessa), josta saat laskun kotiin. Toimitamme palvelusetelin suoraan palveluntarjoajalle - riittää, että varaat ajan tämän palvelun kautta. You can do business with service vouchers in the private office Continue to site ! Further instructions: For example how to use service vouchers to pay the recommended service for self-care
  23. 23. 23Sitra • Tuula Tiihonen • 2015 More info in Finnish: http://www.slideshare.net/SitraHyvin vointi/8-omahoitokokeilua-terveyden- tulevaisuudesta The Concept of Virtual Clinic
  24. 24. FACTORS THAT IMPACT INDIVIDUAL HEALTH OUTCOMES
  25. 25. 25 In 2020 we use genome data efficiently to improve people’s health Finland´s Genome Strategy, announced on June, 11, 2015
  26. 26. CardioCompass project: communicating risk to citizens 26
  27. 27. OPINIONS ABOUT THE KARDIOKOMPASSI APPLICATION Disagree (%) No opinion (%) Agree (%) I learned useful information regarding my health males 16 4 80 females 12.7 12.7 74.5 My personal disease risk information was reassuring males 12 28 60 females 26.5 25.5 48.1 My personal disease risk information motivated me to take better care of my health males 12 24 64 females 11.8 25.5 62.6 The information I received was worrying males 64 32 4 females 65.7 16.7 17.7 The information I received was interesting males 0 4 96 females 3.9 5.9 90.2 My personal genetic risk information was confusing males 52 32 16 females 60.8 24.5 14.7 I was indifferent to the information provided on my personal genetic risk males 84 12 4 females 83.3 9.8 6.9 The information on my genetic risk, in particular, motivated me to take better care of my health males 12 24 64 females 16.7 18.6 64.7

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