25.4.2018 1
Improving the information base and
optimising service solutions
Short description of IMPRO project
25.4.2018 1

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
25.4.2018 2

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?
25.4.2018 3

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
25.4.2018 Presentation title / Author 4

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
25.4.2018 Presentation title / Author 5

IMPRO -consortium
• Geography Research Unit (GRU), University of Oulu
• Social and Health Systems, National Institute for Health and Welfare (THL)
• Public Health and General Practice, University of Eastern Finland, UEF
• Geographical and Historical Studies, UEF
• HEMA Institute, Aalto University
• School of Computing, UEF
• Communications, THL

IMPRO -consortium
• Optimising accessibility to services and equity in service delivery
• Optimising the structure of hospital and emergency services
• Care pathways – perspectives of integrated care
• Efficient allocation of health and social care service delivery
• Methods for evaluating service use and costs in an integrated social and health care
system
• Cost optimisation of social and health care services using open web applications

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

25.4.2018 Presentation title / Author 9

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 10

Thank you!
@Stnimpro
www.stnimpro.fi