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Related Experiment Videos

Sharable EHR systems in Finland.

Kari Harno1, Pekka Ruotsalainen

  • 1Helsinki University Central Hospital, Hospital District of Helsinki and Uusimaa, Finland. kari.harno@hus.fi

Studies in Health Technology and Informatics
|November 11, 2006
PubMed
Summary
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Finland

Area of Science:

  • Health Informatics
  • Digital Health
  • Healthcare Systems

Background:

  • The need for integrated electronic health records (EHRs) across different healthcare providers.
  • Challenges in sharing patient data securely and efficiently between primary, secondary, and tertiary care.
  • The goal of creating a patient-centered virtual workspace for seamless healthcare delivery.

Purpose of the Study:

  • To describe the implementation and impact of a regional health information network (RHIN) in Uusimaa, Finland.
  • To evaluate the effectiveness of integrated EHR services, eReferral, and eConsultation systems.
  • To explore the potential of innovative ICT for a new healthcare working environment.

Main Methods:

  • Implementation of a common middleware for integrating regional EHR systems.

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  • Development of EHR location and viewing services with security and consent management.
  • Integration of eReferral, EHR service, and PACS systems within the RHIN.

    • Main Results:

    • Over 100,000 eReferral messages (40%) transferred, speeding up primary to secondary care communication.
    • Interactive eConsultations reduced outpatient visits and improved appointment timeliness.
    • A reference database with 9.5 million links from 1.4 million patients, serving over 2,000 daily users.

    Conclusions:

    • The Uusimaa Regional Health Information Organization (UUMA) approach successfully created a virtually borderless healthcare organization.
    • Integrated eServices, including eReferral and eConsultation, enhance collaboration and efficiency among healthcare providers.
    • Future directions include empowering citizens in their care decisions and promoting proactive prevention through ICT.