Value-based care
management in
integrated social and
health careIiris Hörhammer, DSc. (Tech.), MSc. (Econ.)
Miika Linna, Docent, DSc. (Tech.)
HEMA Institute (Healthcare Engineering Management and Architecture)
Department of Industrial Engineering and Management
Aalto University

”Value” in performance measurement frameworks
Value =
Health outcomes*/
dollars spent
*outcomes valued by the
patient

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Elderly people’s services: use, costs, effectiveness
and financing (ELSE project)
Patient-level data on elderly citizens (75 and older, 2014) in big
and middle-sized Finnish municipalities, years 2009-2014
Around 2/3 of Finnish elderly citizens
Service data included:
Health care (primary and secondary)
Social care (home care, sheltered housing, nursing home
and institutionalized care (primary care ward)
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Atrial fibrillation incident cohort, housing status 2 years
before and after diagnosis
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Source: Elderly people’s services: use, costs, effectiveness and
financing (ELSE) ELSE project, Association of Finnish Local and
Regional Authorities

Atrial fibrillation incident cohort, housing status 2 years
before and after diagnosis, sub-group with stroke
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Source: Elderly people’s services: use, costs, effectiveness and
financing (ELSE) ELSE project, Association of Finnish Local and
Regional Authorities

Cost (€) in atrial fibrillation subgroups with adverse
events (1 year follow-up)
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Dementia patients’housing status transitions, 1
year follow-up after diagnosis
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Big municipalities, averageMunicipality A, average
Source: Linna et al. 2018. Hoidon vaikuttavuuden ja sote-palveluiden käytön alueellinen vertaileminen [In
Engl. Comparing regional effectiveness of care and use of social and health care services], ELSE project

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