ari pekka paananen - una - side by side with apotti - mindtrek 2016
TRANSCRIPT
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