Kari Harno

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• Kari Harno
• Hospital District of Helsinki and Uusimaa

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Hospital District of Helsinki and Uusimaa

• VIRTUAL WORKSPACE
• Secondary (tertiary) care
• 21 hospitals
• 3.800 bed capacity
• 20.000 staff
• 1 billion budget
• Primary care
• 32 municipalities
• over 60 health centres

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Empowering Patients and Health Care

• KEY OBJECTIVES
• To focus on patient-centred service
• seamless service chains
• customized self-care support
• To create a new working environment
• re-engineering of workflows
• multiprofessional networks
• co-ordinate medical resources

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Sustainable Regional eHealth Services

• eReferrals and eConsultations
• interactive consultation platform between primary
  and secondary care
• HUSpacs
• one of the largest regional PACS
• Navitas Link Directory
• for locating and viewing relevant patient data in
  diverse legacy systens
• Disease Management System
• regional diabetes register for shared care and
  mobile home care link

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eReferrals and eConsultations

• Established use
• operational since 1990
• 67.000 eReferrals in 2002
• On-line medical advice
• fuels supervised care
• Reduces unnecessary visits
• amplifies demand management
• more timely appointments
• Generates economic value
• cuts direct costs by 20
• increases productivity threefold

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HUSpacs

• One of the largest regional PACS installations
• about 300 modalities connected
• one million examinations /year
• all hospitals filmless by 2004
• Seamless radiological services
• avoids overlapping examinations
• interactive image consulting
• Shared regional archiving
• 20 TB data stored annually
• Cost savings 5.6 M in 2002

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Navitas Link Directory

• Maintains regional links to
• patient and other information stored in diverse
  legacy systems
• images stored in PACS
• Extensive implementation
• launched in 2003
• 15 patient information systems connected
• information from 700.000 citizens
• 11 million links to data
• Cutting edge web technology
• HL-7/XML/CDA standards
• Adherence to data confidentiality
• informed consent by patients needed for access

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ProWellness Disease Management System

• eEnabled integrated diabetes care between
• diabetes clinics and GPs
• seamless shared care
• continuity of care
• Regional diabetes data register
• patient home care link
• shared information
• outcomes assessment
• Current extent of use
• 1.700 diabetics and 30 end-users

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The near-future

• AMPLIFY THE NAVITAS LINK DIRECTORY
• Healthcare Process Organizer Module
• design and description of seamless service chains
• follow-up and steering of service chains (ERP)
• Integrated Personal Health Agenda Module

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The future

• Well done is better than well said.
• B.Franklin