Presentation is loading. Please wait.

Presentation is loading. Please wait.

eHealth Case- Maternity and Infant Clinic on the Net (MIC) Speaker:Pirkko Kouri, Pricipal Lecturer in Healthcare Technology, PhD, PHN, RN Guests:Tempus.

Similar presentations


Presentation on theme: "eHealth Case- Maternity and Infant Clinic on the Net (MIC) Speaker:Pirkko Kouri, Pricipal Lecturer in Healthcare Technology, PhD, PHN, RN Guests:Tempus."— Presentation transcript:

1

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 Speaker:Pirkko Kouri, Pricipal Lecturer in Healthcare Technology, PhD, PHN, RN Guests:Tempus delegation Time: 21 Feb 2007

3 Ultimate goals of Finnish health care -Cost-effectiveness -Patient/client & population centeredness -Just distribution of the services (equity) = use based on need ********************************************************* MSAHs own information society policy -Wide use of information and communication technology -Utilisation of internet penetration

4 Development levels – definition and projectwork e.g. Area of e Health / e Welfare Levels of developmentDevelopment work EU / National Laws, standards, terminology, classifications, forms, data definitions RegionalAggreements, data transmissions, databases, archives, cooperation Local Working culture, division of labour, cooperation IndividualPersonal needs, user interface, way of working, teamwork

5 Milestones - Finnish health care system 2002 National Project on Safeguarding the Future of Health Care Services 2007 National law EHR

6 e Health, 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, ones own responsibility for ones 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)

7 1. Services/ Products Electronic documents and lists 2. Basic development 3. Processes Intranet, Internet groundwork purpose-built Planning and development of e-processes, working models Use of e-Health and e-Social processes Integration of IT solutions in daily life 4. Integration 5. Adaptation of work processes Evolution of e-processes - strategy and plan - education - culture, values - publicity in control Information management Networks Adapted from

8 The Regional Project Area km 2 >1.000 lakes inhabitants One university hospital Four central hospitals (five 10/03) 53 health centres App social and health care workers Map of Finland JYVÄSKYLÄ. Maternity care – births are over 99% in hospitals

9

10 PAGE 2 PHN/ (baby) HOME VISIT immediately after discharge CHILD CLINIC FAMILY PLANNING PHN/ EXAMINATION 37 W PHN/ EXAMINATION W PHN/ EXAMINATION W DELIVERY ROOM POST NATAL WARD PHN / Mother´s Medical health check PHN/ (mother) HOME VISIT immediately after discharge DOCTOR/ Mother´s Medical health check8-9 W after delivery

11 The Long History of the (Finnish) Maternity Care Services (since 1940´s) E- Service Basis of the Maternity and Infant Clinic on the Net Development of Information Society (1990´s) Idea of Maternity Services on the Internet (1997) Participants Health care professionals Families Colleges Software technology experts Multimedia experts Participants Health care professionals Families Colleges Software technology experts Multimedia experts Results Working models for experts and families Networking Data/info contents Software technology Results Working models for experts and families Networking Data/info contents Software technology Basis of Development Work Research Multi- disciplinary co-operation Piloting Feedback / Evaluation Basis of Development Work Research Multi- disciplinary co-operation Piloting Feedback / Evaluation

12 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

13 MIC is supplementary to today's mother-child clinic services helps the user in decision making provides information that has been approved by the special editorial board enables the use of the services independently of time and place (Internet connection needed) can be used in many countries (adjustments will be made according to the culture) is supplementary to today's mother-child clinic services helps the user in decision making provides information that has been approved by the special editorial board enables the use of the services independently of time and place (Internet connection needed) can be used in many countries (adjustments will be made according to the culture)

14

15

16

17

18

19

20 The MIC: options Entrance News Discussion groups (with peers) Questions and answers (confidential) Search (information) Feedback Links to other useful Internet sites Entrance News Discussion groups (with peers) Questions and answers (confidential) Search (information) Feedback Links to other useful Internet sites

21 Search/ information or data bank Pregnancy Delivery Post- natal period Infant Parent's relationship Parenthood Personal hygiene, appearance Nutrition and exercise Drugs, alcohol and smoking Services to the public MIC has 135 articles, two videos, 2 animations, 2 interactive photos, 86 photos and 53 drawings checked and approved by editorial board. Pregnancy Delivery Post- natal period Infant Parent's relationship Parenthood Personal hygiene, appearance Nutrition and exercise Drugs, alcohol and smoking Services to the public MIC has 135 articles, two videos, 2 animations, 2 interactive photos, 86 photos and 53 drawings checked and approved by editorial board.

22 MIC / contents Example: Drawings Example: Drawings

23 Qualified information / content management Information is reliable, and easy to understand The quantity of information is adequate The required information is easy to find The content creation and management are carried on as part of current (clinical) work processes The technical solutions guarantee e.g. data integrity, authentication, security and data availability Information is reliable, and easy to understand The quantity of information is adequate The required information is easy to find The content creation and management are carried on as part of current (clinical) work processes The technical solutions guarantee e.g. data integrity, authentication, security and data availability

24 Evaluation - family Modern way of having services No queuing in phone Discussions groups for families (anonymously), where professionals appear by their names Service in your own language Information/contents is versatile, extensive, based on expertise / reliable Modern way of having services No queuing in phone Discussions groups for families (anonymously), where professionals appear by their names Service in your own language Information/contents is versatile, extensive, based on expertise / reliable

25 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

26 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)

27 Diploma of the Excellent Work Given by the Provincial State Office of Eastern Finland 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

28 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) O O O O

29 An eMaternal Health Care Data System STORK

30 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

31 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

32 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

33 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

34 Name, birth date, age, weeks, The first page of the Stork Forms Notify: the lamp sign, B-gluc high (red color) Lab, X-ray

35 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) Mother->, Child -> Social worker documentation

36 From Netinformation – Portal to Dynamic Integrated Desktop (DID) My personal computer

37 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

38 Professional information On line (on special fields) Education course enrolment, forms Professional web services PubMed, Cinahl Laws and orders Partnership information Contacts Office times Information of services Integration of IT software You get what you need EHR, RIS/PACS (digital imaging), biosignals etc. High level of security Web services for public Contact information Problem solving information Education Single sign-on Dynamic Integrated Desktop (DID ) -a consistent way to manage information in Health Care organisations

39 Teams Discussion Forums Document management Maintenance Magazines & Periodicals News Help Courses Links Patients TimeNameSocial security number 8.00Patrick Patient Donald Duck Clark Kent August 2002 Databases Patients Mail (3 new messages) Personified, user oriented Networked, user organization oriented Information system, task and position in the organization View of the DID page

40 Tutuks service Tutuks, a virtual visit to a maternity ward Utilised work done by MIC html

41 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

42 New project Looking for partner organisations, next Tempus Call or other suitable call

43 New project - Tree of problems Incapability to respond future needs Incapability to respond future needs Non-transferability of tacit knowledge Non-transferability of tacit knowledge Unfamiliarity with new teaching ways Unfamiliarity with new teaching ways Former education Lack of ICT skills Retiring (growing) Retiring (growing) M obility (teachers and students ) M obility (teachers and students ) Need to study regardless time and space Need to study regardless time and space Lack of resources in distance teaching in cultural maternity care Lack of resources in distance teaching in cultural maternity care NO NETWORKING NO KNOWLEDGE TRANSFER NO KNOWLEDGE TRANSFER Lack of cooperation between Euro-Asian HIEs Lack of cooperation between Euro-Asian HIEs Figure: Project - problem tree

44 Tree of objectives Definition of resources needed Definition of resources needed Testing of ICT skills Testing of ICT skills Selection of Learning Environment(s) Selection of Learning Environment(s) Evaluation of readiness Evaluation of readiness Accepted planns Accepted planns Evaluation of model Implementation Evaluation of model Implementation ENHANCING READINESS FOR DISTANCE TEACHING IN CULTURAL MATERNITY AND INFANT CARE ENHANCING READINESS FOR DISTANCE TEACHING IN CULTURAL MATERNITY AND INFANT CARE FLEXIBLE NETWORKING FLEXIBLE NETWORKING CULTURAL MATERNITY CARE AND DISTANCE TEACHING CULTURAL MATERNITY CARE AND DISTANCE TEACHING OUTCOME EFFECT MAIN AIM Designing and evaluating Networking and Distance teaching model Designing and evaluating Networking and Distance teaching model Reports, workshops (Implementation) Reports, workshops (Implementation) Dissemination of Project results Dissemination of Project results

45 Thank you for your attention Contact info:


Download ppt "eHealth Case- Maternity and Infant Clinic on the Net (MIC) Speaker:Pirkko Kouri, Pricipal Lecturer in Healthcare Technology, PhD, PHN, RN Guests:Tempus."

Similar presentations


Ads by Google