Upload
dionne
View
26
Download
2
Tags:
Embed Size (px)
DESCRIPTION
eHealth Case- Maternity and Infant Clinic on the Net (MIC). Speaker: Pirkko Kouri, Pricipal Lecturer in Healthcare Technology, PhD, PHN, RN Guests: Tempus delegation Time: 21 Feb 2007. Ultimate goals of Finnish health care. Cost-effectiveness - PowerPoint PPT Presentation
Citation preview
eHealthCase- Maternity and Infant Clinic on the Net
(MIC)
Speaker: Pirkko Kouri,
Pricipal Lecturer in Healthcare Technology, PhD, PHN, RN
Guests: Tempus delegation
Time: 21 Feb 2007
Speaker: Pirkko Kouri,
Pricipal Lecturer in Healthcare Technology, PhD, PHN, RN
Guests: Tempus delegation
Time: 21 Feb 2007
Ultimate goals of Finnish health care
- Cost-effectiveness- Patient/client & population centeredness- Just distribution of the services (equity)
= use based on need
*********************************************************MSAH’s own information society policy- Wide use of information and communication technology- Utilisation of internet penetration
Development levels – definition and projectwork e.g. Area of eHealth / eWelfare
Levels of development Development work
EU / National Laws, standards, terminology, classifications, forms, data definitions
Regional Aggreements, data transmissions, databases, archives, cooperation Local Working culture, division of labour, cooperation
Individual Personal needs, user interface, way of working, teamwork
Milestones - Finnish health care system
2002 National Project on Safeguarding the Future of Health Care Services2007 National law EHR
eHealth, National Project on Safeguarding the Future of Health Care Services – main goals
•Ensure access to treatment•Enhance co-ordination and co-operation in specialized health care•Enhance regional co-ordination in primary health care•Emphasize preventive work, one’s own responsibility for one’s own health and the significance of primary health care• Implementation - divided into 40 sub-projects
•Preparing the ground for the nationwide electronic patient records, which will be introduced in 2007 (law will be launched Spring 2007)
1. Services/ Products
Electronicdocuments
and lists
2. Basic development
3. Processes
Intranet,Internet
groundwork purpose-built
Planning anddevelopment
of e-processes,working models
Useof e-Health
and e-Socialprocesses
Integrationof IT solutions
in daily life4. Integration
5. Adaptationof work
processes
Evolution of e-processes- strategy and plan - education- culture, values- publicity in control
Info
rmat
ion m
anag
emen
t
Network
s
Adapted from www.done360.com
The Regional Project Area
• 85.585 km2 • >1.000 lakes• 681.000 inhabitants• One university hospital• Four central hospitals (five 10/03)• 53 health centres• App. 20 000 social and health
care workers
Map of Finland
JYVÄSKYLÄ.
Maternity care – births are over 99% in hospitals
HEALTH CENTREBEFORE 12 W
BASIC INFORMATION
FORMmaternity clinic
CERTIFICATEM/C CLINICNIB (KELA)
BIRTH TRAINING COURSE, (CONSISTS OF 8-10 MEETINGS)
PAGE2
NORMAL MATERNITY CARE SERVICE CHAININ FINLAND (REGULAR PREGNANCY)
PHN/ FIRST EXAMINATION
8-10 WLABORATORY
DOCTOR´SEXAMINATION
10-12 W
PRE-NATALULTRASOUND
SPECIAL CARE -MATERNITY CLINIC
12-14 WPHN/ EXAMINATION
16-18 W
FIRST CONTACTMOTHER/CHILD UNIT
PHN/ EXAMINATION
22-24 W
DOCTOR´SEXAMINATION
26-28 W
PHN/EXAMINATION
30-32 W
DOCTOR´SEXAMINATION
34-36 W
PHN/EXAMINATION
32-34 W
PHN = publichealth nurse
NIB = National InsuranceBureau
PAGE2
PHN/ (baby) HOME VISITimmediately after discharge
CHILD CLINICFAMILY
PLANNING
PHN/ EXAMINATION37 W
PHN/ EXAMINATION38-40 W
PHN/ EXAMINATION40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN / Mother´s Medical health check
PHN/ (mother) HOME VISITimmediately after discharge
DOCTOR/ Mother´s Medical health check8-9 W after delivery
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
E- Service
Basis of the Maternity and Infant Clinic on the Net
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Participants• Health care professionals
• Families• Colleges• Software technology
experts• Multimedia
experts
Participants• Health care professionals
• Families• Colleges• Software technology
experts• Multimedia
experts
Results• Working models for
experts andfamilies
•Networking• Data/info contents
• Software technology
Results• Working models for
experts andfamilies
•Networking• Data/info contents
• Software technology
Basis of Development
Work•Research
• Multi-disciplinary co-operation
• Piloting• Feedback / Evaluation
Basis of Development
Work•Research
• Multi-disciplinary co-operation
• Piloting• Feedback / Evaluation
Expert teams
• Central team• Social and Health care experts´ team• Technology experts´ team• Education experts´ team (Savonia was co-
ordinator of the MIC project)
• Families
MIC
•is supplementary to today's mother-child clinic services
•helps the user in decision making
•provides information that has been approved by the special editorial board
•enables the use of the services independently of time and place (Internet connection needed)
•can be used in many countries (adjustments will be made according to the culture)
•is supplementary to today's mother-child clinic services
•helps the user in decision making
•provides information that has been approved by the special editorial board
•enables the use of the services independently of time and place (Internet connection needed)
•can be used in many countries (adjustments will be made according to the culture)
The MIC: options
•Entrance
•News
•Discussion groups (with peers)
•Questions and answers (confidential)
•Search (information)
•Feedback
•Links to other useful Internet sites
•Entrance
•News
•Discussion groups (with peers)
•Questions and answers (confidential)
•Search (information)
•Feedback
•Links to other useful Internet sites
Search/ information or data bank
• Pregnancy• Delivery• Post- natal period• Infant• Parent's relationship• Parenthood• Personal hygiene, appearance• Nutrition and exercise• Drugs, alcohol and smoking• Services to the public
MIC has 135 articles, two videos, 2 animations, 2 interactive photos, 86 photos and 53 drawings checked and approved by editorial board.
• Pregnancy• Delivery• Post- natal period• Infant• Parent's relationship• Parenthood• Personal hygiene, appearance• Nutrition and exercise• Drugs, alcohol and smoking• Services to the public
MIC has 135 articles, two videos, 2 animations, 2 interactive photos, 86 photos and 53 drawings checked and approved by editorial board.
MIC / contents
Example: Drawings
Example: Drawings
Qualified information / content management
• Information is reliable, and easy to understand
• The quantity of information is adequate
• The required information is easy to find
• The content creation and management are carried on as part of current (clinical) work processes
• The technical solutions guarantee e.g. data integrity, authentication, security and data availability
• Information is reliable, and easy to understand
• The quantity of information is adequate
• The required information is easy to find
• The content creation and management are carried on as part of current (clinical) work processes
• The technical solutions guarantee e.g. data integrity, authentication, security and data availability
Evaluation - family
• Modern way of having services
• No queuing in phone
• Discussions groups for families (anonymously), where professionals appear by their names
• Service in your own language
• Information/contents is versatile, extensive, based on expertise / reliable
• Modern way of having services
• No queuing in phone
• Discussions groups for families (anonymously), where professionals appear by their names
• Service in your own language
• Information/contents is versatile, extensive, based on expertise / reliable
Evaluation – maternity care professionals
•Extra visits were not needed during pilot phase•The Net Clinic could be used as a manual or in familiarising the new worker•Counselling and giving advice was harmonised•Families got deeper information and advice based on their needs more effectively•Networking and co-operation was more efficient •Written answers took some time to get used to
The Project of the Year 2000
•Net Clinic is a good example of how project work can be expanded into new application fields like public administration and so called soft values•Net Clinic is based on wide and versatile co-operation and on application of new Internet technology•Net Clinic proves that it is possible to develop new innovations also outside big so called growing centres•Net Clinic proves that women can work successfully in management or other key positions which have conventionally been classified as men´s work
(The evaluation criteria of the The Finnish Project Management Association)
Diploma of the Excellent Work
•Given by the Provincial State Office of Eastern Finland 4.9.2001
•Net Clinic is a good example of how project work can be expanded into new application fields like public administration in national level and in future international level
xo
O MIC has been used/is in use
• Kuopio• Helsinki• North-East of Finland (Kuusamo, Taivalkoski, Posio and Salla) • Rovaniemi and its neighbourhood Rovaniemi rural commune and Ranua)
O
OO
O
An eMaternal Health Care Data System
STORK
The Stork is
• secured electronic health data system (EHS) made for professional use
• all the information about pregnancy, delivery and puerperium is collected in the same system (so called seamless chain between primary health care and special care)
• mutual data contents to maternal units involved
Data security
• The application• built on special security system used by the
hospital• Access rights depends on task or position
• those who are involved maternal service chain• Preconditions for usage
• mother´s permission to collect and transfer her data (each organisation needs its own permission)
• agreement between different organisations• every user has personal user identifier, all usage is
logged and saved, even edited/deleted parts will be recorded permanently
Storks gives information
• Pregnancy follow up, continuous documentation;
appointments with public health nurses, midwifes, doctors
• Graphics; growth of the uterus, hypertension, weight, partogram
• Internal- and external examinations• Medication during pregnancy, delivery, puerperium• Diagnosis of the foetus; e.g ultrasound, lab tests• Lifestyle of the family (nutrition, exercise, smoking,
drugs etc) • Sick leaves of the mother• Special area for the nurse documentation
Stork gives
• The new-born baby his/her social security number• Basic information from earlier pregnancies• Statistics e.g.
– for the Stakes (the National Research and Development Centre for Welfare and Health
– the nursing research
• Forms and applications
Name, birth date, age, weeks,
The first page of the StorkForms
Notify: the lamp sign, B-gluc high (red color) Lab, X-ray
Both the public health nurse in primary care and the midwife in special care fulfil this area. The writtendata is available in real time (mother´s permission needed)
Mother->, Child ->
Social worker documentation
From Netinformation – Portal From Netinformation – Portal to Dynamic Integrated Desktop (DID)to Dynamic Integrated Desktop (DID)
My personal computer
Aims of the WorkAims of the Work
• To elaborate the co-operation of different organisations
• To develop a consistent way to manage information in Social Work and Health Care organisations
• To develop the ”Dynamic Integrated Desktop” (DID) for Social Work and Health Care professionals
• To offer further education of Social Work and Health Care professionals
• To determine the reliable security standards
Professional information• On line (on special fields)• Education
•course enrolment, forms
Professional web services• PubMed, Cinahl• Laws and orders
Partnership information • Contacts• Office times• Information of services
Integration of IT software• ”You get what you need”• EHR, RIS/PACS (digital imaging), biosignals etc.• High level of security
Web services for public • Contact information• Problem solving information• Education
Single sign-on
Dynamic Integrated Desktop (DID ) Dynamic Integrated Desktop (DID ) -a consistent way to manage information in Health Care organisations
Teams
Discussion Forums
Document management
Maintenance
Magazines & Periodicals
News
Help
Courses
Links
Patients 26.8.2002
Time Name Social security number
8.00 Patrick Patient 12345679573
8.20 Donald Duck 89101128758
8.40 Clark Kent 98459734658
August 2002
Databases
Patients
Mail (3 new messages)
Personified, user oriented
Networked, user organization oriented
Information system, task and position in the organization
View of the DID page
Tutuks service
• Tutuks, a virtual visit to a maternity ward
• Utilised work done by MIC
• http://www.synnytystutuksi.fi/tutukspalvelu.html
Challenges for the Future
•Family/citizen participation challenges professionals
•e-working environment (models, processes)
•eEducation and training • “E-gap” between generations
•Usability of ICT-solutions•Integration of ICT-solutions
New project
• Looking for partner organisations, next Tempus Call or other suitable call
New project - Tree of problems
Incapability to respond future needs
Incapability to respond future needs
Non-transferability oftacit knowledge
Non-transferability oftacit knowledge
Unfamiliarity with new teaching ways
Unfamiliarity with new teaching ways
Former educationFormer education Lack of ICT skills Lack of ICT skills Retiring (growing)Retiring (growing)
Mobility (teachers and students)
Mobility (teachers and students)
Need to study regardless time and space
Need to study regardless time and space
Lack of resources in distance teaching in cultural maternity care
Lack of resources in distance teaching in cultural maternity care
NO NETWORKINGNO NETWORKINGNO KNOWLEDGE
TRANSFERNO KNOWLEDGE
TRANSFER
Lack of cooperation betweenEuro-Asian HIEs
Lack of cooperation betweenEuro-Asian HIEs
Figure: Project - problem tree
Tree of objectives
Definition of resources needed
Definition of resources needed
Testing of ICT skills
Testing of ICT skills
Selection of Learning Environment(s)
Selection of Learning Environment(s) Evaluation of
readiness Evaluation of readiness
Accepted planns
Accepted planns
Evaluation of modelImplementation
Evaluation of modelImplementation
ENHANCING READINESS FORDISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
ENHANCING READINESS FORDISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
FLEXIBLE NETWORKING
FLEXIBLE NETWORKING
CULTURAL MATERNITY CAREAND DISTANCE TEACHING
CULTURAL MATERNITY CAREAND DISTANCE TEACHING
OUTCOMEOUTCOME
EFFECTEFFECT
MAIN AIMMAIN AIM
Designing and evaluatingNetworking and
Distance teaching model
Designing and evaluatingNetworking and
Distance teaching model Reports, workshops(Implementation)
Reports, workshops(Implementation)
Dissemination of Project results
Dissemination of Project results
Thank you for your attention
Contact info:[email protected]