UNA - Side by side with Apotti

Ari-Pekka Paananen, ICT-architectPirkanmaa Hospital District

Healhtcare systems in Finland

• Healthcare information systems are widely used in Finland» Still systems are configured based in processess inside individual helathcare organization» National archive system an services are trying to fix these silos but still no significant

success.

• Developing is too slow and expensive due to lack of competition» Supporting for new processes are hard to build » Technical architecture is old fasion and technically systems need to be renewed

• Suppliers are strong and keeping strong positions. » Market share on two main supliers are over 80 %» There is no room for new innovatibe suppliers which would like to cover existing

functionalities in system

• On going projects renewing information systems» APOTTI-project (1,6M citizen, 25% of population)» UNA – (3,9M citizens, 70% of polulation

National support servicesNational system

services.

Integration

Customer management

Prodution support

Knowledge based leading

Culture

Service platform

KanTa KanSa

YTJ

Muut palvelutMuut palvelutOther services

Valvira FimeaInsurance

office

Insurance companies

… …Economy &

HRTraffic

VTJ

Citizen services

PHR

APPsit

Tecahing

THL CODES

Vision of future social and healthcare sector systems

PoliceKela

New organization structure inside finnish healthcare and welfare services

• ICT:n must be flexible and supportive for new changes

• Organizer is different and has most significant role

UNA and APOTTI objectives

Objectives to achieve• Cohesive operational methods• Cost-efficient and high-quality operations• Leading by knowledge and information• Client and patient-centric operations• Satisfied users• New, innovative operational methods• Customer based development by modularity

Need of Modularity • Focus on processes inside healthcare and welfare

• Need of new business processes• Need of flexible customer centric services

• No technology driven changes• New application won’t change processess by themselves• Need of change project• Need of cultural changes

• Change of processes• Based on operative changes• Not only LEAN-projects • We need also new way of doing things

Changes in services • Better services should cover up unnesessary appoinments:

• Less emergency visits

• Less overlapping labtests

• Less revisits at hospital

• No unnessary patient callbacks

UNA co-operation

Towards new healthcare and welfare processes

Building up organization/projects

Puplic tenders and serial of competitions

Changeing of operative processes

Go live

UNA-System definitions of future processes (1.9.2015 – 15.5.2016)

Developing principals• Healtcare and Welfare process development based on

technical innovations and using up to date technology• New Service designing and leaning processes• All information pertaining to the client or patient is up-to-

date and available for treatment and services in any case• Most efficient customer oriented and cost-effective services

based on processes whic are visible to client• Rolebased, adjustable user interface• Customer management support• Modularity based system structure and design

ICT systems support existing customer centric processess

Operative processSerice based management tuotantoprosessin ohjau Organizer Prducer Profession Customer Undependency of existing

organizatons

Enterprise management

Customer management Customer healthcare and Welfare

plans

Benefits for professionalsWay of working will change due real-time information availability both professions and customers (Patients)

Rolebased view to customer meaningful information (Less is more)» Vital healthcare and welfare data» PHR (personal healthrecord)» Customer health plan support» Customer segmentation

Profession supported processess» workflows» Flexible systems» Alarm are justable» Follow up

Clinical process supportMobile working processess

UNA-architect

Modular architect National level

architeture

Modular architectMarket and technology

ability

Existing systems

Demands of operative processes

UNA

Modular architect for new Ecosystem 1. Data management

» Open data and open integration platform» Nationla lever shared information throudh Kanta services

2. Dynamic datamodel» Ensures integration abilty to open interfaces and customer process based ecosystem managment» Possibilates existing information use and new information usage undependet of physical location of informaton

3. Customer management systems» Toiminnallinen järjestelmäratkaisu, joka toteuttaa ja hallitsee asiakkuudenhallinnan keskeiset toiminnallisuudet:

- Asiakkuustietojen hallinta- Asiakkaan tilannekuva- Asiakkaan segmentaatio- Suunnitelmatieto: Asiakas-, palvelu- ja hoitosuunitelmat

» Asiakkaalle tuotettujen palvelujen historiatieto» Asiakkaan hoitoprosessien kokoamatieto » Asiakaskokemuksen palaute ja hallinta

Integration platform (ability of system integration)

Datamodels

Dynamic datamodel (Data platform as a service)

Customer management system (CRM)

- Patient contuinity Data platform

Data platform

Existing patientAdministration systems

Healtcare and welfare : principals and standards

Existing EHR UNA Moduls and systems

Data management

Data platform

Modular systems argument

ARGUMENT 1Customer centric

-customer based service desing despite of

organizational boundaries

(Organizer view)

ARGUMENTTI 2Flexible support for

changeing organization structure,

Demand for new processes which are

supported by national services

(New healthcare structure)

ARGUMENTTI 3Health orgsanization

owned data an systems (Organization driven

ecosystem), which connects best available costeffective systems to funtional system services

(Manageable multi supplier ecosystem)

UNA- projectTimetable and resources

What next ?Define and deploy center parts of customer driven ecosystem for healtcare & Welfare services

Organize and support for national level migration for existing systems

Maintain common project plan and take care of up to data definition to future systems and processes

Manage developmet plan and architectur and co-operate with other projects ongoing inside healthcare and welfare

This is started by UNA project office

21

Thanks