APOTTI-(Asiakas- ja POTilasTIetojärjestelmä)

(Client and Patient data system) Programme2012-2017

Programme Manager Heikki Onnela

Technical Director Jari Renko

Dublin 12.5.2013

Who are we in this programme?

• Participants include the local municipalities Helsinki, Vantaa,

Kirkkonummi, Kerava, Kauniainen, as well as HUS (the Hospital

District of Helsinki and Uusimaa).

• HUS: 21 hospitals, including the largest academic hospital in

Finland (HUCH), over 21 000 employees (approx 2600 physicians,

12 000 nurses), about 3 200 beds

• Helsinki: 6 hospitals, 26 health stations, total 15 000 employees in

social services and health care

• Vantaa: 3 000 employees in social services and health care, 8

health stations, one hospital

• Total number of users approx 50 000, concurrent users 22 000

Map of HUS, the Hospital District of Helsinki and Uusimaa

(Members of the Apotti procurement pool indicated with black colour)

Facts and figures

HUS area APOTTI area

Population 1 562 796 890 248

Children under 18 years 316 293 (20,24%) 162184 (18,22%)

BENEFITS (2011)

Number of households

receiving income support

74 725 51 537

Recipients of income

support (% of area pop.)

7,5 8,3

Unemployment

percentage (March 2013)

8,1 8,7

GDP per capita in district of Uusimaa (2010): 45 761,5 €

What is our goal?

• The Apotti Programme is intended to improve the functionality and

level of service for the social welfare and health care services.

• The social welfare and health care services overlap

• elderly care, mental health and substance abuse services,

• services for the handicapped

• services for the mentally handicapped.

• The IT-systems for clients and patients currently in use do not offer the

necessary level of support for these services, nor do they aid the

development of them

• A part of the project is, therefore, to purchase and adopt a client and

patient it-system of high international quality.

What are we excpecting to achieve?

• Patient in the centre

• = more time for the patient

• Patient empowerment

• Patient safety

• Better quality and coordination of care

• Productivity

• Better use of data

• Better user experience and satisfaction

Expectations for the system

• Lessened Vendor Lock-In effect

• Configurability and flexibility

• Open interfaces

• Third party solutions

• Innovative future solutions

• Object model

• Future-proof standard solution

• Optimization, coordination and integration of treatment flow

• Clinical overviews of relevant data (for ex relevant diabetic information)

• Decision support

• Automatic collection and delivery of data for documentation

Why one system• Unified solution – all information available to all professionals

• All public primary and secondary health care

• Social sector

• �� Patient/client in the middle

• Cross regional treatment plans and protocols

• Standardized clinical content and work flow

• Reduced number of different it-systems

• Easier to train personnel

• Increased productivity

• Improved usability

• Centralized 24/7 support

• Common patient portal and services

Asiakas- ja potilastietojärjestelmien tietojärjestelmäarkkitehtuuri tavoitetilanteessa

Other special functions/services

•Client and patient database

•Risk information

•Consent and forbiddance management

•Log data

•Electronic prescription

•Client and patient service portal

•Client and patient record

•Announcements, applications, requests

•Medication management

•Prescriptions, referrals

• Institutional care, housing services, wards

•Decisions (e.g. rehabilitation, long-term care, placement decisions)

•Alerts and alarms

•Care, nursing and operating protocols

•Client/patient office (ambulatory) functions

•On-call duty

•Reporting

•Invoicing information/productisation

•National etc. interfaces

Operating theatre

Anaesthesia

Births

Oral health care special functions

Outpatient emergency care

Imaging

Laboratory

Catastrophe and emergency case

management

Auxiliary tools

Innovative services of the future

Order payments, collection

Intensive care unit

•Examples of such core functions of the data system that covers the handling of central client and patient contact information and the operations control.

•Examples of integrable special functionalities (from a data system point of view)

Social services special functionalities

Decision support

Datawarehouse

Overview of the main phases of the programme

2013 2014 2015 2016 2017 2018 2019

Preparation and

Procurement phase

Implementation phasePlanning, localization, configuration, pilots

Production phase

Clincal change and management of change

What we have done so far• Preparation for the product evaluation phase

• Over 350 social services and health care professionals

• Use cases and their structured evaluation material

• Covers all functions

• Work started at 11/201, ends 5/2013

• Usability consultants from the Aalto University

• Preparation the ICT requirements• Over 14 different work threads

• Interfaces

• SLO and SLA

• Data security

• Medical devices

• Data migration

• User support

• Market research and technical dialogue

• Preparation of the procurement documentation

Challenges• Decision making

• 6 different bodies

• All major decisions are done in the political level

• Unpredictable

• � Keeping the planned timetable is difficult

• The size of the programme

• For ex How to train 50 000 end users?

• Where to find the personnel to implement the system?

• Social sector vs. health care

• Possible major changes on the municipality level

• Possible major changes on the hospital district level

• The change or adjustment of the workflows

Good Source for realiable information

www.apotti.fi

Thank You!