The Contribution of ICT to Health Ministerial Conference and Exhibition

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The Contribution of ICT to Health Ministerial
Conference and Exhibition

• Finnish experiences
• HealthNet - North Karelia Regional Chain of Care
  
• Dr. Pentti Itkonen
• North Karelia Hospital District, Finland

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EUROPEAN UNION
NORTH KARELIA
EAST POINT OF THE EUROPEAN UNION
5,2 milj. Inhabitants 16,6/km2 in Finland 9,5/km
in North Karelia
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The most Finns are satisfied with the quality
and standards they receive in health care sector
THE CORNERSTONES OF HEALTH CARE SYSTEM
EQUAL ACCESS TO SERVICES
TAXATION BASED
LOCAL ADMINIS- TRATION
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Overall description of the North Karelia Hospital
District

• North Karelia Hospital District
• 170.000 inhabitants in the region
• Two hospitals and 15 health centres
• 40.000 electronic documents/month in the
  hospitals
• All health centres using electronic referring
  system 1500 electronic referrals/month 4000
  feed backs from hospitals
• Digital signature of patient documents

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Project history in North Karelia Hospital District
Connection to the citizen Smart card,
mobile, digi tv etc.
Picking up the documents for reuse
1994-1999
1999-2002
2001-2003
Proposals for the Sixth Framework
Programme ModEHRa EuroHealthNet
Electronic patient record
Digital signature
The storage of electronic patient documents
Electronic referral
PKI and TTP services
TERVE National level (closed) CHIN European
level(closed)
SESAM National level RESHEN European level
ALADIN National level
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USERS IN THE REGIONAL NETWORK IN THE YEAR 2002
CLASSIFIED BY HEALTH CENTERS
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The number of documents classified by providers
in 2002.
Doc/Doc Documents written down by doctors
alone Doc/Nur Documents written down by nurses
according to doctors orders Doc/Sec Documents
written down by secretary from doctors
dictation Nur/Nur Documents written down by
nurses Nur/Sec Documents written down by
secretary from nurses dictation
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ICT in clinical use
During the ward round the doctor can have all
necessary patient documents including images on
the screen. He can give all necessary medical
certifications, prescriptions, sick-leaves etc..
to the patient or send them further in
electronic form. He can also make digital
signatures to patient documents.
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Regional scenario
Hospitals
Health Centre B
Safe Access User Authentication Digital signature
Health Centre A
Primary Care Emergency
Regional Electronic Archiving
Open interfaces and electronic documents are
always available Information security and
equality of justice for citizens and personnel
Cost effectiveness of the investments
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FUNCTIONAL AND ECONOMICAL RISKS

• Cost effective investments
• Devices and networks
• Communication costs
• Licence costs
• Security and justice risks
• Educate thousands of people
• To improve the productivity of the service system
  
• CLINICAL PROCESS RE-ENGINEERING AND NEW REGIONAL
  MODELS

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What is ROI in eHealth?

• Why has traditional ROI been so disappointing in
  eHealth?
• Where can financial returns be achieved?
• Is ROI in eHealth only financial gains and
  savings?
• How about other benefits and potentials?

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Benefits and potentials

• For the citizens and taxpayers, for the
  Employees, Managers, Politicians, Researchers,
  Governments, Regions
• The returns of investments and gaining the
  potentials depends on how we succeed to get
  consensus on critical questions.
• Information Content, Representation and Capture,,
  Technical Interoperability and Standards,
  Security and Legal Issues, Software needs

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The traditional model is breaking down
Open Markets
eCommerce X-Ray Laboratory Pharmacy
The duty of public sector Equity, justice,
solidarity
Traditional doctor- Patient relationship
Hospital
Citizen
Building services Real estate company
Health centre
Services Cleaning Medical equipment Laundry Food
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Information and communication technology is one
of the most important cornerstones in more and
more data and knowledge intensive health care
sector. However these factors dont create
productivity benefits spontaneously. The growth
of productivity is connected to the process and
organisational innovations and not only to the
growth of using ICT. In health care sector it is
important to invest to the growth of
productivity which also improves the staffs well
being at work and by this way the longer staying
in work life.
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Citizens Two Channels to be in Contact to Health
Care System
PHYSICAL MOVING Need for acute care Digital
documentation
Public Enterprise
General Health Information Call
Centers Guidelines, Medication Evidence based
Hospital
DIGITAL TRANSACTIONS PKI- Infrastructure Strong
authentication, safety access, digital
signature Safe network contacts. Put information
into archive Use information Service and resource
reservations Paying
Digital Archive
Health centre
Citizen
Private doctors office
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THANK YOU AND I HOPE YOU HAD A SUCCESFUL
eHEALTH CONFERENCE