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Short description of IMPRO project

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Tiina Laatikaisen esitys IMPRO-hankkeen Health research in progress -tutkimusseminaari 14.5.2018.

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Short description of IMPRO project

  1. 1. 29.5.2018 1 Improving the information base and optimising service solutions Short description of IMPRO project 29.5.2018 1
  2. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 12. Thank you! @Stnimpro www.stnimpro.fi

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