Kainuu Social Welfare and Health Care Joint Authority

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Kainuu in Finland

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568 km

625 km

181 km

KAINUU

KAJAANI

HELSINKI

OULU

IVALO

Puolanka

Suomussalmi

Hyrynsalmi

Kuhmo

Kajaani

 

Vaala

Sotkamo

PaltamoRistijärvi

Kainuu Social Welfare and Health Care in a Nutshell

• Kainuu is a forerunner in Finland in terms of integrating primary health care services with specialized medical care as well as social services

• Kainuu Social Welfare and Health Care Joint Authority (Kainuun sote) provides all social welfare and health care services except children’s day care for seven municipalities plus partially for one

• the biggest employer in the region with about 3 200 employees

• financed by member municipalities

• Budget 2013 309 M€

• provides also HR as well as financial and data administration services for member municipalities

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Kainuu Municipalities 31.12.2012

Hyrynsalmi 2 603 Kajaani 37 973Kuhmo 9 240Paltamo 3 743Puolanka* 2 931Ristijärvi 1 450Sotkamo 10 682Suomussalmi 8 813Vaala** 3 250

Total 80 685

* Partial member** Not member

Demographics 2040 (prognosis 2012)

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Divisions

Executive GroupExecutive GroupDirector of Joint Authority

Director of Joint Authority

Supervision of Health Protection

Veterinary Health Care

Laboratory forEnvironmental Health Care

Supervision of Health Protection

Veterinary Health Care

Laboratory forEnvironmental Health Care

Joint Municipal Board (35 members)

Joint Municipal Board (35 members)

Audit CommitteeAudit Committee

Health Care Services for families with children

Social Services for families with children

Social Services for adults(e.g. socialassistance)

Social and Health Services for Disabled Persons

Health Care Services for families with children

Social Services for families with children

Social Services for adults(e.g. socialassistance)

Social and Health Services for Disabled Persons

Centralised Services (e.g.technical services) for Joint Authority

HR (partly also for municipalities)

Economic Administration(partly also for municipalities)

Data Administrationfor the whole region

Centralised Services (e.g.technical services) for Joint Authority

HR (partly also for municipalities)

Economic Administration(partly also for municipalities)

Data Administrationfor the whole region

Radiology

Pathology

Apothecary

First Aid

Surgery jaAnesthesia

Intensive Care

Infektion Prevention

Radiology

Pathology

Apothecary

First Aid

Surgery jaAnesthesia

Intensive Care

Infektion Prevention

Mental health Services for adultsand services forsubstance abusers

Dental Health Services

Specialised Medical Care

Local Health Centers

Urgent Care

Mental health Services for adultsand services forsubstance abusers

Dental Health Services

Specialised Medical Care

Local Health Centers

Urgent Care

In-home Care

Nursing Homes

Service Coordination (inc. service vouchers and monitoring)

In-home Care

Nursing Homes

Service Coordination (inc. service vouchers and monitoring)

CouncilCouncil

Internal and External

Auditors

Internal and External

Auditors

Occupational Healthcare (a municipal enterprise)

Occupational Healthcare (a municipal enterprise)

Laboratory(a joint municipal enterprise for North Finland)

Laboratory(a joint municipal enterprise for North Finland)

Family ServicesFamily Services

Environmental Health

Environmental Health

Elderly CareElderly CareCentralised Services (also

for municipalities)

Centralised Services (also

for municipalities)

Health Care Services

Health Care Services

MedicalTreatmentServices

MedicalTreatmentServices

BoardBoard

AdministrationAdministration

General Administration of Joint Authority(e.g. strategic planning &development,legal counselling,communications)

General Administration of Joint Authority(e.g. strategic planning &development,legal counselling,communications)

Kainuun Social Welfare and Health Care Joint Authority

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Areas of Responsibility

• V. 20 asiakaspalautekyselyssä asiakkaiden kokema palveluiden laatu oli pääosin hyvä tai erinomainen. Vastaajat olivat yksimielisempiä hoito- ja palvelukokemuksistaan kuin aiemmassa mittauksessa, mikä tarkoittaa tasaisempaa laatua.

• Soten kehittämiskohteita ovat palveluiden saatavuus ja saavutettavuus, kotiutukseen liittyvät toiminnot sekä tiedon saannin kehittäminen ja asiakkaan osallistumisen tukeminen hoitoaan ja palveluaan koskevassa päätöksenteossa.

• V. 2009 asiakaspalautekyselyyn vastasi 6028 asiakasta, potilasta ja asukasta. Vuonna 2007 vastaajia oli 4005.

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Patient/Customer Satisfaction

Accessibility

Efficiency of treatments, politeness

Professionalism

Communicativeness

Growing Customer

Satisfaction!

Something You might be interested in − Kainuu specialities

– awarded for interest in health promotion

– strong emphasis on health equality

– services are organised according to the life cycle model

> no borderlines between primary health care and specialised services since 2005 – now Finland as a whole is following this model!

– planning for a new hospital with emphasis on rehabilitation, patient responsibility and telemedicine

– a strong tradition of caring for the elderly at home reborn in new forms

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Health Promotion and Equality

• health promotion and equality taken into account in decisions

• Human Impact Assessment (HuIA):

– a form of prospective (ex ante) assessment

– a tool for anticipating the effect of a programme, a project or a decision on human health and welfare

– clarifies the impacts of different options and alternative solutions

– provides information for decision-making and helps dealing with conflicts

• Active Ageing Strategy for the Whole Region (2012):

– contains strategic lines for improving quality and efficacy in welfare and health promotion and the service structure

– comprehensive approach integrates various perspectives including regional planning, cultural services etc.

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Safe Ageing in Kainuu:From Old-age homes to In-home Care

• different ways of ageing, varied services:

• home services take precedence instead of big old-age homes; in-home care is provided by the municipal Kainuu Joint Authority

• besides, Kainuu is one of the regions in Finland where family members the most often provide care for a relative unable to cope with everyday activities; there’s a supporting service entity available for informal care

• the tradition of in-home caring continues also in a new semi-professional form: a family can take in some elderly or disabled persons outside the family needing help (a foster home for elderly)

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Planning for a New Hospital

• The Joint Municipal Board has accepted schemes heading for a new hospital to be constructed 2015-2018

• The new hospital concept:

1. joint processes and facilities with primary health care

2. separating acute and elective care: 24/7 core hospital

2. declining inpatient care: emphasis on rehabilitation, day surgery etc.

3. standardized patient and examination rooms

4. patient self care: patient responsibility, telemedicine

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Thank You for Your Interest!

This is a Siberian Jay (Perisoreus infaustus), named as the regional bird of Kainuu.