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Jari Renko and Seppo Onnela: Apotti programme


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Sitra's eHealth Miniseminar at WoHIT, Dublin, 13 May 2013

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Jari Renko and Seppo Onnela: Apotti programme

  1. 1. APOTTI-(Asiakas- ja POTilasTIetojärjestelmä)(Client and Patient data system) Programme2012-2017Programme Manager Heikki OnnelaTechnical Director Jari RenkoDublin 12.5.2013
  2. 2. Who are we in this programme?• Participants include the local municipalities Helsinki, Vantaa,Kirkkonummi, Kerava, Kauniainen, as well as HUS (the HospitalDistrict of Helsinki and Uusimaa).• HUS: 21 hospitals, including the largest academic hospital inFinland (HUCH), over 21 000 employees (approx 2600 physicians,12 000 nurses), about 3 200 beds• Helsinki: 6 hospitals, 26 health stations, total 15 000 employees insocial services and health care• Vantaa: 3 000 employees in social services and health care, 8health stations, one hospital• Total number of users approx 50 000, concurrent users 22 000
  3. 3. Map of HUS, the Hospital District of Helsinki and Uusimaa(Members of the Apotti procurement pool indicated with black colour)
  4. 4. Facts and figuresHUS area APOTTI areaPopulation 1 562 796 890 248Children under 18 years 316 293 (20,24%) 162184 (18,22%)BENEFITS (2011)Number of householdsreceiving income support74 725 51 537Recipients of incomesupport (% of area pop.)7,5 8,3Unemploymentpercentage (March 2013)8,1 8,7GDP per capita in district of Uusimaa (2010): 45 761,5 €
  5. 5. What is our goal?• The Apotti Programme is intended to improve the functionality andlevel of service for the social welfare and health care services.• The social welfare and health care services overlap• elderly care, mental health and substance abuse services,• services for the handicapped• services for the mentally handicapped.• The IT-systems for clients and patients currently in use do not offer thenecessary level of support for these services, nor do they aid thedevelopment of them• A part of the project is, therefore, to purchase and adopt a client andpatient it-system of high international quality.
  6. 6. What are we excpecting to achieve?• Patient in the centre• = more time for the patient• Patient empowerment• Patient safety• Better quality and coordination of care• Productivity• Better use of data• Better user experience and satisfaction
  7. 7. Expectations for the system• Lessened Vendor Lock-In effect• Configurability and flexibility• Open interfaces• Third party solutions• Innovative future solutions• Object model• Future-proof standard solution• Optimization, coordination and integration of treatment flow• Clinical overviews of relevant data (for ex relevant diabetic information)• Decision support• Automatic collection and delivery of data for documentation
  8. 8. Why one system• Unified solution – all information available to all professionals• All public primary and secondary health care• Social sector• Patient/client in the middle• Cross regional treatment plans and protocols• Standardized clinical content and work flow• Reduced number of different it-systems• Easier to train personnel• Increased productivity• Improved usability• Centralized 24/7 support• Common patient portal and services
  9. 9. Asiakas- ja potilastietojärjestelmien tietojärjestelmäarkkitehtuuri tavoitetilanteessa
  10. 10. Other specialfunctions/services•Client and patient database•Risk information•Consent and forbiddance management•Log data•Electronic prescription•Client and patient service portal•Client and patient record•Announcements, applications, requests•Medication management•Prescriptions, referrals• Institutional care, housing services, wards•Decisions (e.g. rehabilitation, long-term care,placement decisions)•Alerts and alarms•Care, nursing and operating protocols•Client/patient office (ambulatory) functions•On-call duty•Reporting•Invoicing information/productisation•National etc. interfacesOperatingtheatreAnaesthesiaBirthsOral health carespecial functionsOutpatientemergency careImagingLaboratoryCatastrophe andemergency casemanagementAuxiliary toolsInnovative servicesof the futureOrder payments,collectionIntensive careunit•Examples of such core functions of the data system that covers the handling of centralclient and patient contact information and the operations control.•Examples of integrable special functionalities (from a data system point of view)Social services specialfunctionalitiesDecision supportDatawarehouse
  11. 11. Overview of the main phasesof the programme2013 2014 2015 2016 2017 2018 2019Preparation andProcurement phaseImplementation phasePlanning, localization, configuration, pilotsProduction phaseClincal change and management of change
  12. 12. What we have done so far• Preparation for the product evaluation phase• Over 350 social services and health care professionals• Use cases and their structured evaluation material• Covers all functions• Work started at 11/201, ends 5/2013• Usability consultants from the Aalto University• Preparation the ICT requirements• Over 14 different work threads• Interfaces• SLO and SLA• Data security• Medical devices• Data migration• User support• Market research and technical dialogue• Preparation of the procurement documentation
  13. 13. Challenges• Decision making• 6 different bodies• All major decisions are done in the political level• Unpredictable• Keeping the planned timetable is difficult• The size of the programme• For ex How to train 50 000 end users?• Where to find the personnel to implement the system?• Social sector vs. health care• Possible major changes on the municipality level• Possible major changes on the hospital district level• The change or adjustment of the workflows
  14. 14. Good Source for realiable informationwww.apotti.fiThank You!