Kanta -The Place for Digital Patient Records and Client Data. Additional material for Kanta services

1. The Place for Digital Patient
Records and Client Data

2. Finland has taken the lead on many wellbeing
initiatives.
2

3. Access to healthcare and social services is the right of all
citizens. For two years in a row, we have even been ranked
the happiest country in the world.*
3 * Forbes March 2019

4. What is necessary for good care?
Advance planning, seeking care in a timely manner,
a sense of trust and professionalism.
But above all: information. The right information.
4

5. Which brings us to Kanta.
A digital, up-to-date database of social and healthcare
records that brings benefits to citizens, pharmacies and
social and healthcare providers.
5

6. Kanta is useful for everyone.
Information about a patient’s health status, medical
history and prescriptions is available to all treatment
providers - both public and private - in one safe and
secure location.
6

7. Kanta was created in 2008.
The first electronic prescription was written in 2010.
Since 2017, all prescriptions have been electronic.
 The Prescription service is used nationwide by pharmacies and
healthcare providers. Paper prescriptions are issued only in
exceptional cases, and they too are stored in Kanta by the
dispensing pharmacy.
7

8. Who is Kanta for?
 All Finnish citizens
 Pharmacies (about 810)
 Public healthcare providers (over 1,000)
 Private healthcare providers (about 4,700)
 Also public and private providers of social services are beginning to adopt Kanta.
8

9. 9
Pharmaceutic
al Database
Query and
Forwarding
service
Archiving
of old
patient data
ELECTRONIC
PRESCRIPTION
MY KANTA
PAGES
Kanta client
test service
Electronic
Cross-
border
Prescriptio
n
Oral
Healthcare
Data
The Archive
of Imaging
Data
My Kanta
Personal
Health
Record
Advantages to using
Kanta Services:
- Availability and
portability of data
- Patient safety
- Updated processes of
service delivery
- Cost-efficiency
CLIENT DATA
ARCHIVE FOR
SOCIAL
WELFARE
SERVICES
PATIENT
DATA
REPOSITOR
Y

10. Advantages with Kanta
Electronic prescription
Patient Data Repository
My Kanta Pages
10

11. What are the advantages to using Kanta
with medical prescriptions?
 Enhanced patient safety.
 Medicines can be picked up at any pharmacy.
 Improved continuity of care and overall medication management.
 Patients can check their prescriptions and dispensing history on My
Kanta Pages (www.kanta.fi). Computer access is not required,
healthcare providers and pharmacies will provide a summary
print-out.
11

12. Renewing prescriptions is easier and
more secure
 Renewal requests can be made:
 to a healthcare provider
 to a pharmacy
 on My Kanta Pages
 Electronic prescriptions are never misplaced, forged or stolen.
 The data are safe (secure data exchange, smartcards for
professionals, data logging).
12

13. Advantages with Kanta
Electronic prescription
Patient Data Repository
My Kanta Pages
13

14. What does the Patient Data Repository
contain?
 For example
 patient records
 risks (such as drug allergies)
 currently used medications
 laboratory test results
 X-ray reports
 Later also vaccination records and more
 With the client’s consent, data are transferred electronically and
safely between healthcare professionals and information systems
14

15. The up-to-date archive of health data
helps to improve patient safety
 Healthcare providers have access to prior test results and can
avoid unnecessary procedures, reducing costs also for patients.
 Information is communicated more effectively, and the data remain
safe (secure data exchange, smartcards for professionals, data
logging).
 Users can keep up to date with their own health information on My
Kanta Pages.
 Patients can choose to whom their health records can be released.
15

16. Patients decide what information they
want to release and to whom
 The consent to release health information is valid until revoked and
covers all existing and future data stored in the system.
 However, patients can limit their consent by expressly restricting
access. Also, any release of data is logged.
 Stored data are always available to the healthcare provider that
originally stored them.
 My Kanta Pages contains information on how patient records are
used.
16

17. Advantages with Kanta
Electronic prescription
Patient Data Repository
My Kanta Pages
17

18. My Kanta Pages is an online healthcare
portal for citizens
 The user population grows as new functionalities are added
 Sign-in requires online banking credentials, a mobile ID or an
electronic ID card.
18

19. Advantages with My Kanta Pages
 Engaging citizens to take an active role in their healthcare decisions,
Chance to make the treatment process more efficient.
 Up-to-date health information is available anywhere, anytime and in a
single location.
 Information on all (both public and private) healthcare organisations which use the Patient Data
Repository.
 No longer necessary to ask the healthcare provider to provide a summary of treatment on paper.
 Easy access to advance directives regarding treatment and organ donation.
 The information stored can be checked for accuracy, and decisions concerning the release of the
information are easy.
 No more lost prescriptions; possibility to track prescription use
19

20. Future outlook for My Kanta Pages
 Archiving of old patient data is underway. At first, the archive will be
available to healthcare professionals.
 The Personal Health Record allows citizens to use applications to
store wellness data.
20

21. More on the future outlook for
My Kanta Pages
 A national Archive of Imaging Data will serve the healthcare
system. My Kanta Pages only contains diagnostic imaging reports.
 Development of an archive for social welfare client data.
 Cross-border prescriptions. Finnish prescriptions are already now
valid in Estonia.
21

22. The Kanta service is special.
Some of our awards and recognitions:
22

23. Most valued Finnish online brands 2015–
2018 (Taloustutkimus market research)
23
2015 2016 2017 2018
1 Yle Areena Yle Areena Yle Areena Yle Areena
2
Finnish Meteorological
Institute Kanta.fi
Finnish Meteorological
Institute
Finnish Meteorological
Institute
3 Kanta.fi
Finnish Meteorological
Institute Kanta.fi Kanta.fi
4 Yle HelMet Yle Yle
5 HSL Reittiopas Yle Helmet Helmet
6 HelMet HSL Reittiopas Poliisi.fi Poliisi.fi
7 Vero.fi Vero.fi Vero.fi Vero.fi
8 Poliisi.fi Foreca HSL Reittiopas Foreca
9 Foreca Kela.fi Foreca HSL Reittiopas
10 Osuuspankki OP (Osuuspankki) OP OP

24. Kela’s role in building the Kanta services
 The Social Insurance Institution of Finland, or Kela, is responsible
for building and maintaining the Prescription service and the
Pharmaceutical Database associated with it, as well as the Patient
Data Repository and the My Kanta Pages.
 Kela also provides support and services (incl. public information) on
the technical aspects of building the national code server and the
coordination of joint testing.
24

25. Kanta is a collective effort
 The Ministry of Social Affairs and Health is responsible for the
coordination of the Kanta service and the underlying legislation
 The National Institute of Health and Welfare provides operative
guidance for electronic data management and defines the data
formats, conceptual models and supportive data structures used in
the Kanta services.
 National Supervisory Authority for Welfare and Health (Valvira) and
the Population Register Centre.
25

26. How is Kanta funded?
 Maintenance of the Kanta services is funded with user fees. In
2019
– pharmacies pay €0.043 for each dispensed prescription.
– public healthcare providers pay €1.684 for each resident of the municipality.
– private healthcare providers pay €0.272 for each prescription issued (i.e., each
prescribed medicine).
– If a doctor writes a prescription without receiving compensation, the Kelain
prescription service may be used free of charge.
– Further development of the Kanta services is financed with project funding from
the National Institute for Health and Welfare.
26

27. Finally, some statistics:
[Tekijä]27

28. Number of documents stored in the
Patient Data Repository
1373.8 mill. (31 Dec 2018)
1149.9 mill. (31 May 2018)
1080.3 mill. (31 Mar 2018)
695.3 mill. (31 Mar 2017)
370.2 mill. (31 Mar 2016)
301.2 mill. (31 Dec 2015)
28

29. Number of prescriptions and medicines
dispensed per month 7–12/2018
29
July August
Septembe
r
October November December
Prescriptions 1 800 413 2 249 937 2 356 622 2 547 045 2 501 359 2 158 455
Dispensings 5 062 138 5 536 496 5 421 393 5 741 168 5 653 605 5 833 663
Prescripted and dispensed
prescriptions
in last six months
Prescriptions
Dispensings

30. Use of My Kanta Pages in 2018
Compare with:
“In 2017, only about 30% of
people in EU countries aged 65-
74 accessed health information
online, compared to 55% of
those aged 25-64.”
Source: Health at a Glance:
Europe 2018 STATE OF
HEALTH IN THE EU CYCLE.

31. Visit our website to learn more:
www.kanta.fi/en
Up-to-date statistics on Kanta:
https://www.kanta.fi/en/professionals/statistics

32. Thank you for your
attention!
Kela, Kanta Services
kanta.fi
@kantapalvelut