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.
Download ReportTranscript 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.
Slide 1
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 2
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 3
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 4
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 5
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 6
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 7
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 8
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 9
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 10
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 11
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 12
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 13
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 14
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 15
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 16
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 17
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 18
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 19
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 20
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 21
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 22
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 23
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 24
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 25
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 26
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 27
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 28
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 29
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 30
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 31
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 32
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 33
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 34
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 35
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 36
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 37
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 38
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 39
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 40
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 41
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 42
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 43
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 44
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 2
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 3
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 4
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 5
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 6
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 7
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 8
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 9
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 10
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 11
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 12
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 13
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 14
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 15
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 16
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 17
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 18
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 19
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 20
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 21
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 22
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 23
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 24
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 25
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 26
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 27
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 28
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 29
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 30
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 31
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 32
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 33
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 34
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 35
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 36
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 37
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 38
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 39
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 40
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 41
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 42
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 43
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]
Slide 44
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
- 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
2007
National Project on Safeguarding the Future of Health Care Services
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)
Evolution of e-processes
- strategy and plan
- education
- culture, values
- publicity in control
5. Adaptation
of work
processes
4. Integration
Use
of e-Health
and e-Social
processes
Integration
of IT solutions
in daily life
Planning and
development
3. Processes
of e-processes,
working models
2. Basic
development
1. Services/
Products
Intranet,
Internet
groundwork
purpose-built
Electronic
documents
and lists
Adapted from www.done360.com
The Regional Project Area
Maternity care – births are over 99% in hospitals
.
JYVÄSKYLÄ
Map of Finland
•
•
•
•
•
•
•
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
NORMAL MATERNITY CARE SERVICE CHAIN
IN FINLAND (REGULAR PREGNANCY)
FIRST CONTACT
MOTHER/CHILD UNIT
PHN = public
health nurse
PHN/ FIRST
EXAMINATION
8-10 W
DOCTOR´S
EXAMINATION
10-12 W
LABORATORY
PRE-NATAL
ULTRASOUND
HEALTH CENTRE
BEFORE 12 W
BASIC
INFORMATION
FORM
maternity clinic
CERTIFICATE
M/C CLINIC
NIB (KELA)
PHN/
EXAMINATION
16-18 W
SPECIAL CARE MATERNITY CLINIC
12-14 W
PHN/
EXAMINATION
22-24 W
DOCTOR´S
EXAMINATION
26-28 W
NIB =
National
Insurance
Bureau
PHN/
EXAMINATION
30-32 W
PHN/
EXAMINATION
32-34 W
DOCTOR´S
EXAMINATION
34-36 W
PAGE
2
BIRTH TRAINING COURSE,
(CONSISTS OF 8-10 MEETINGS)
PAGE
2
PHN/ EXAMINATION
37 W
PHN/ EXAMINATION
38-40 W
PHN/ EXAMINATION
40-42 W
DELIVERY ROOM
POST NATAL WARD
PHN/ (baby) HOME VISIT
immediately after discharge
PHN/ (mother) HOME VISIT
immediately after discharge
PHN / Mother´s Medical health check
DOCTOR/ Mother´s
Medical health check8-9 W after delivery
CHILD CLINIC
FAMILY
PLANNING
Basis of the Maternity and Infant Clinic on the Net
The Long History of the (Finnish) Maternity Care Services (since 1940´s)
Development of Information Society (1990´s)
Idea of Maternity Services on the Internet (1997)
Basis of
Development
Work
•Research
• Multidisciplinary
co-operation
• Piloting
• Feedback /
Evaluation
Results
• Working
models for
experts and
families
•Networking
• Data/info
contents
• Software
technology
E- Service
Participants
• Health care
professionals
• Families
• Colleges
• Software
technology
experts
• Multimedia
experts
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)
The MIC: options
•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.
MIC / contents
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
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
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
O
O
O
o
x
O
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)
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
The first page of the Stork
Forms
Name, birth date, age, weeks,
Notify: the lamp sign, B-gluc high (red color)
Lab, X-ray
Mother->,
Child ->
Social worker documentation
Both the public health nurse in primary care and
the midwife in special care fulfil this area. The written
data is available in real time (mother´s permission needed)
From Netinformation – Portal
to Dynamic Integrated Desktop (DID)
My personal computer
Aims 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
Dynamic Integrated Desktop (DID )
-a consistent way to manage information in Health Care organisations
Partnership information
Single sign-on
•
•
•
Professional information
•
On line (on special fields)
•
Education
•course
Contacts
Office times
Information of services
Professional web services
•
•
PubMed, Cinahl
Laws and orders
enrolment, forms
Web services for public
Integration of IT software
•
Contact information
•
”You get what you need”
•
Problem solving information
•
EHR, RIS/PACS (digital imaging), biosignals etc.
•
Education
•
High level of security
View of the DID page
Teams
Discussion
Forums
Document
management
Links
Courses
Patients 26.8.2002
Mail (3 new messages)
Time
Name
Social security number
8.00
Patrick Patient
12345679573
8.20
Donald Duck
89101128758
8.40
Clark Kent
98459734658
Maintenance
Magazines &
Periodicals
August 2002
News
Databases
Patients
Help
Personified, user oriented
Networked, user organization oriented
Information system,
task and position in the organization
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
NO KNOWLEDGE
TRANSFER
NO NETWORKING
Lack of resources in
distance teaching in cultural maternity care
Unfamiliarity with new
teaching ways
Former education
Non-transferability of
tacit knowledge
Lack of ICT skills
Figure: Project - problem tree
Retiring
(growing)
Incapability to
respond future needs
Mobility (teachers
and students)
Lack of cooperation between
Euro-Asian HIEs
Need to study regardless
time and space
Tree of objectives
FLEXIBLE
NETWORKING
CULTURAL MATERNITY CARE
AND DISTANCE TEACHING
ENHANCING READINESS FOR
DISTANCE TEACHING IN CULTURAL
MATERNITY AND INFANT CARE
Definition of resources
needed
Testing of
ICT skills
Designing and evaluating
Networking and
Distance teaching model
Selection of Learning Evaluation of
Environment(s)
readiness
MAIN AIM
Reports, workshops
(Implementation)
Accepted
planns
EFFECT
Dissemination of
Project results
Evaluation of model
Implementation
OUTCOME
Thank you for your
attention
Contact info:
[email protected]