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Pekka Rissanen: Assessment of performance in social and health care

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Integration of health and social care – predicting the quality, costs and consequences 17.4.2018

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Pekka Rissanen: Assessment of performance in social and health care

  1. 1. From knowledge to assessment Assessment of performance in social and health care Pekka Rissanen, Director of Assessment, Professor
  2. 2. Basis for assessment  Social and health care legislation – proposed and prevailing legislation  The proposed Act of Organising Health and Social Services, the National Institute for Health and Welfare (THL) will have a task of assessing counties ability to organise services – Equality: Does the access and availability of servicies in the counties respond equally to the population’s needs? – Sufficiency of funding: Costs, production efficiency and cost- effectiveness 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 2
  3. 3. Basis for … (cont.)  According to the proposed Act, the THL has the duty to annually – Analyse reports produced by the counties (18 in total) and the supervisory authority – on health and social services – and provide a national expert assessment of each county for the Ministry of Social Affairs and Health 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 3
  4. 4. Dimensions of assessment: performance dimensions (5), service areas (~ 10) and counties (18) 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 4
  5. 5. Service areas to be assessed Qualtiy and effectiveness Access and availability Costs of services & production efficiency Customer orientation Equality Wellfare and health promotion Preventive services Primary health care Specialised medical care Services for children, young people and families Social services for older people Mental health services Substance abuse services Services for the disabled Social services for working age people 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 5
  6. 6. Assessment of social and health services some results from assessment training 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 6
  7. 7. Access and availability  Primary health care  Home care 24/7 – services  Assessment of need for child protection in due time  Social services  Hospital services 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 7
  8. 8. Social services for working age population  Stuctural unemployment  Activation measures 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 8
  9. 9. Primary health care  Polyclinic visits (in primary care)  Visits to MD’s  Other than MD-visits 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 9
  10. 10. Specialised (somatic) health care 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 10  Costs/ inhabitant, need adjusted  Use of services, need adjusted  Production efficiency
  11. 11. Forecast of soc&hc expenditure (whole country) 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 11  Specialised health care  Primary health care  Social services
  12. 12. Expert assessment will be completed annually 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 12
  13. 13. Knowledge basis for the expert assessment  Self-reports from the counties  Reports of each county from the supervisory authority  Different kinds of documents and interviews  About 50 registries or statistics - a huge number of statistical indicators on  Population’s needs for soc & hc services  Resources and organisations of services  Output  Effectiveness 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 13
  14. 14. Assessment organisation in the THL  Healthcare and Social Services Evaluation Unit (JOSA) – Co-operation with the counties, the ministries and supervisory authorities – Collection of ”qualitative data” – Reports to the Ministry of Social Affairs and Healht – Small core team of full-time experts (9 persons at present)  Network of experts (at present 78 persons) in different fields of social and health care – Selection of indicators for assessments – Expert assessments of the counties for the core team 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 14
  15. 15. Kiitos! 24.4.2018 From Knowledge to Assessment / Pekka Rissanen 15

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