This document summarizes the IMPRO project which aims to improve Finland's social and health care systems through optimizing service solutions and increasing the information base. The key goals of the project are to evaluate current services, identify strengths and challenges, develop new tools and methods for planning service delivery, and track changes in care pathways, accessibility, costs and quality as healthcare reforms are implemented. The project involves several work packages and partners analyzing different aspects of service integration and optimization over multiple years from 2017-2024. National data sources and collaboration with stakeholders will support the evaluation.

1. 29.5.2018 1
Improving the information base and
optimising service solutions
Short description of IMPRO project
29.5.2018 1

2. Key aims of the social and health care reform in Finland is to:
• Decrease socioeconomic differences in health and welfare
• Guarantee geographical equity and access to services
• Increase the productivity and improve the quality of care
• Restrain the increase in public health and social care expenditure
• Integrate the social and health services
• Improve planning and coordination of service delivery
• Increase customer choice
29.5.2018 2

3. Evaluation of services
• Do we know what is the current situation?
• Are we prepared to assess the process of change?
• Do we have indicators and methods to analyse the different aspects the reform is
aiming at?
• What are the cost-consequences?
• How well have we considered the use of various data sources?
• Based on existing information and knowledge can we produce tools for planning and
optimisation?
29.5.2018 3

4. Strengths in Finland
• Good national registers including information on population health and social issues
• Several other usefull data sources including spatial data, sociodemographics, data on
service providers, road networks, public transportation etc.
• Electronic patient recording systems and other IT-solutions developing quickly
• Evaluation scheme established and included in proposed legislation related to social
and health care
• Planning and development of regional data pools started
• Good nationally agreed clinical guidelines
• Existing examples of integration of services
29.5.2018 Presentation title / Author 4

5. Challenges in Finland
• lack of commonly agreed critical outcome metrics especially related to quality and
health value
• poor access to primary health care and social service data
• lack of research and development resources
29.5.2018 Presentation title / Author 5

6. IMPRO -consortium
• WP1: Optimising accessibility to services and equity in service delivery, Prof Jarmo Rusanen
(Geography Research Unit (GRU), University of Oulu)
• WP2: Optimising the structure of hospital and emergency services, Docent Kristiina
Manderbacka (Social and Health Systems, National Institute for Health and Welfare (THL))
• WP3: Care pathways – perspectives of integrated care, Prof Tiina Laatikainen (Public
Health, UEF)
• WP4: Efficient allocation of health and social care service delivery, Prof Markku Tykkyläinen
(Geographical and Historical Studies, UEF)
• WP5: Methods for evaluating service use and costs in an integrated social and health care
system, Docent Miika Linna (HEMA Institute, Aalto University)
• WP6: Cost optimisation of social and health care services using open web applications, Prof
Pasi Fränti (School of Computing, UEF)
• WP7: Interaction, Communication manager Marko Lähteenmäki (Communications, THL)

7. Key objectives
• WP1: examine the accessibility of different services and areas of abundant, scarse or
skewed service provision taking into account population demographics
• WP2: assess the service structure and it’s changes during the health care reform in
emergency services and special level hospital services and service delivery for clients
with marker conditions
• WP3: assess patient pathways of patients with heavy use of both social and health
services before and after the integration
• WP4: assess the area level equity in treatment outcomes and the effect of the
implementation of remote technologies and consultancies on costs of health care and on
patients’ time and travel

8. Key objectives
• WP5: to develope an automated grouping and costing service for cost analyses of
integrated services and to support the other WPs in proper cost-effectiveness analyses
• WP6: to develope a set of interfaces to access the data and an interactive tool for
optimising service locations and their allocations for given cost provision site for specific
patient groups
• WP7: takes care of coordination and facilitation of effective interaction inside the project
team and with various stakeholders in the project as well as the visibility and delivery of
project outcomes

9. 2017 20202019 20212018 2022 2023 2024
Improvement in patient
flows in integrated care
Improved accessibility
to services
Improved healthcare
quality according to
SES
Better use of open
data sources
Target outcomes
New tools for data
retrieval, reporting and
service planning
Information on cost-
effectiveness in
integrated services
Better use of new
technologies in
monitoring and
management of
chronic conditions
Patients’
choice
expands
Beginning
ofthe
project
Endofthe
project
Social and health care reform
Assessingthecostsandcost-effectivenessof
healthcare
Care
pathways
Healthcare
quality
Developingnewtoolsandeasy-to-use
simulationsforserviceplanning
Structuring
emergency
and
hospital
services
Assessingthecostsandcost-effectiveness
ofhealthcare
Tracking changes
in care pathways
and patient flows
Modelling the
accessibility to
services
Healthcare quality
according to SES
Optimizing
emergency and
hospital services
Care
pathways
Healthcare
quality
according to
SES
Accessibility Siun sote

10. Active use of national data sources
• National social and health care registers (HILMO (health care and social), drug
reimbursement register, mortality register etc.)
• Patient and client registers (regional: Siun sote Mediatri and ProConsona)
• Spatial data bases (GeoSoHe, Statistics Finland registers, DigiRoad etc…)
• Population demographics
29.5.2018 Presentation title / Author 10

11. National and international collaboration
• Two pilot regions: Siun sote and Kainuu region – reform planners and decision makers,
service providers and professional networks
• Ministry of social affairs and health
• International scientific advisory board and other international collaborators
• National steering committee
• Patient and expert associations
• National research and expert organizations
• IT-technology enterprises and software companies
16.4.2018 Presentation title / Author 11

12. Thank you!
@Stnimpro
www.stnimpro.fi