so...integroitu hoito ja hoiva prosessi! vanhuspalvelut active and healthy ageing (aha) eip aha so...
TRANSCRIPT
So Te
Seniorit, iäkkäät55+, 65+, 75+Muisti, tapaturmat, ...
Hyvä käytäntö (Good Practice)”Käypä hoiva”Integroitu hoito ja hoiva
prosessi!
Vanhuspalvelut
Active and Healthy Ageing (AHA)EIP AHA
So Te
Lapset, nuoret, aikuiset, seniorit, iäkkäätSairaudet, interventiot, ...
Evicence-Based Medicine (EBM)Käypä hoitoEBMeDS, Cochrane, GRADE, CEBM
informaatio!
Terveyspalvelut (perus/erikois)
It’s not about the 65+ group. We must understand what happens since the 75+ group increases rapidly.
We may need to employ more,but we definitely need to increase competence for home care professionals.
Simple ”political arithmetics” will not suffice to solve the problem.
Japan
World
Sagittaldirection
Coronaldirection
IDB Sweden/Västerbotten injury database (orthopedics)
1 5 9
13
17
21
25
29
33
37
41
45
49
53
57
61
65
69
73
77
81
85
89
93
97
10
1
10
5
10
9
11
3
11
7
12
1
ankle and foot
knee and lower leg
pelvis and femur
hand
forearm and wrist
upper arm and elbow
shoulder
Information
Big DataComplex Structure
Ontology, terminology, nomeclatureWHO FIC (ICD, ICF, ATC, LOINC)NOMESCO, SNOMED, ...
Analytics, ”Logic-Based Medicine” (LBM)
Process
Integrated Care PathwaysBusiness Processes
Process modellingOMG (UML/Behavior, BPMN)Microsoft Visio, IBM BlueWorks,Camunda, QPR, ...
Cochrane, GRADE, Oxford CEBM, ...
Duodecim Käypä Hoito
http://www.glioc.com/logic/health/lbm/
http://www.glioc.com/logic/health/lbm/
Depressionregistered by mood disorder
(ICD)
or as part of geriatric assessment
(e.gf GDS)
Antidepressants, sedativesregistered using drug
classification
(ATC)
Hip fracture surgeryregistered by fracture
(ICD maybe with extensions)
and surgery
(e.g. including NOMESCO)
Maintain/improve functionregistered by strategy for therapy
(coded by ???)
and functioning
(ICF)
fall
Do the arrows make any sense? What do or should the arrows mean? Are there missing arrows?
Is the intuition about these arrows the same across all professionals and stakeholders?
Do the implicit causalities represented by these arrows reflect the way some studies are designed?
Is it really sufficient always just to count How many? and then to create evidence by comparing means?
Quality of life before/after arthroplasty and hip fractures in Norway (Nasjonalt Register for Leddproteser, Rapport 2013)
EIP AHA – A2
EIP AHA – A2
So Te
EIP AHA – A2
EIP AHA – A2
Kärkihankkeen prosessit ja teknologia ovat osana myös EIP AHA, European Innovation Partnership for Active and Healthy Ageing, kehitystyössä.
Prosessi
http://www.sosiaalikollega.fi/mallithttp://www.sosiaalikollega.fi/mallit/seniori-ja-vanhustyo
CaseIreland
AFFINITY
NationalFallsPreventionProgramme
BOTTOMUP
TOPDOWN
Teknologia
SenioriTurva
KeskuslaitteetSafety networkNurse by
phone
Interactiveuser interface
AlarmsCalls
Roommonitoring
Consumptioncontrol
MessagingCamera
surveillance
FireElevatorBuilding
INTEGRATION
Delivered to over 4000 bedsides
HOIVATURVA®
in communication
eMonitoring
Home care surveillance and
alarm folow-up.
Can be connected to task
scheduling.
ES
KH
WC
MH
KOH
Lo
gd
ata
/Ala
rms/
tech
nic
al
mo
nit
ori
ng
Alarm
(SMTP)
Accept and talk (SMS)
Superuser
Seniortek
Virtual
MonitoringAlarm (SMS tai SMTP)
Helper in living location
Accept and reject (SMS)
OR ALTERNATIVELY
Home care monitoring - Interface
Tietorakenteet ja prosessit ovat YHTENÄISIÄ.Informaation koti on prosessissa. Ei koditonta informaatiota.
TEHOKKUUS on prosessin ominaisuus.Hienorakenteinen informaatio mahdollistaa tarkempaa tehokkuuden laskentaa.
KETTERYYS on prosessin muunneltavuus.Organisaatio on jatkuvassa muutoksessa.
SoTe-uudistus on (myös) prosessien uudistusta.So- ja Te-prosessit ovat erilaisia, mutta integroitavissa.