Presentation Meeting 5 Varjonen Toivonen

Electronic reporting linked toOperations Planning & Budgetingon the Communal LevelMs Maarit Varjonen-ToivonenChief Physician, Primary Health Care16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenIntroductionAbout organizationBackground to the development of electric welfarereportPresentation of the electric welfare reportLinkage to Planning and Budgeting on theCommunal level16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenTampere University Hospital`sspecial responsibility area4 hospital districts31 health centres16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenPrimary Health Care Chief Physician, Head of Centre Ms Doris Holmberg-Marttila Chief Physician (30 %), Professor of General Practice Ms EliseKosunen Chief Physician, coordination of Health Promotion Ms Maarit Varjonen-Toivonen Expert Physician Mr Mika Palvanen Expert nurse Ms Leena Kuusisto Expert nurse Ms Riitta Salunen Secretary Ms Teija Kvist-Sulin16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenThe Ottawa Charter for Health Promotion, 1986Definition of ”Health Promotion” Health promotion policy and management Living environments Cooperation and participation Competencies Services Monitoring and assessment of health promotion16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenHealth in all Policies, 2006 During the first Finnish presidency of the EU in 1999, a councilresolution was adopted to ensure health protection in all policies andactivities of the EU HiAP was launched more specifically in the EU during the secondFinnish EU Presidency in 2006 HiAP was made one of the key principles in EU health strategy Finland The Finnish Government programme 2007 ->The Health Care Act 2010: requires municipalities to prepare anddiscuss reports on their population groups’ well-being and healthand their major determinants within discussions of municipalities’strategic plans.16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen[THL 25.2.2015]16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenReducing Health Inequalities24 h/ day= 8 760h/ 365 daysMeeting health care professionals(example of person with many healthproblems)80 %20 % - physician 20min / week- nurses 40 min/ week80 %20 %= 52h/ 365 days= 0,006 % / 8 760hThe rest of the patient takescare of himselfPATIENTS COSTS ( € )16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenThe Health Care Act 1.5.2011 (1326/2010): new issues§Consideration of effects on health and welfare (11 )When planning and making decisions, local authorities and joint municipal authorities forhospital districts shall assess and take into consideration any effects that theirdecisions may have on the health and social welfare of residents.§Health and welfare promotion by local authorities (12 )* Local authorities shall monitor the health and welfare of their residents and anyunderlying factors per population group* Reports on the health and welfare of residents as well as any measures taken shall beproduced for the city or municipal council once a year* A more comprehensive review on welfare shall be produced for the city or municipalcouncil once during each term of office.* In their strategic plans, local authorities shall identify objectives for health and welfarepromotion by making use of local welfare and health indicators.* Local authorities shall assign coordinators for health and welfare promotion.* The various local authority departments shall work together in health and welfarepromotion.* Local authorities shall cooperate with other public organizations based in the localauthority as well as with private enterprises and non-profit organizations16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenNational Development Programme forSocial Welfare and Health Care (Kaste) A strategic steering tool that is used to manage and reform social andhealth policy. Kaste I 2008 – 2012, Kaste II 2012 – 2015 The Kaste Programme implements the Government Programme andthe Strategy of the Ministry of Social Affairs and Health. TheGovernment renewd the programme 2 January 2012. The targets of the Kaste programme are that1. Inequalities in wellbeing and health will be reduced2. Social welfare and health care structures and services will beorganised in a client-oriented and economically sustainable way16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenKASTE: sub-programmes1. Inequalities in wellbeing and health will be reduced Inclusion, wellbeing and health for risk groups More effective services for children, young and families with children Improved services for older people2. Social welfare and health care structures and services will beorganised in a client-oriented and economically sustainableway A new service structure and more effective primary services Information and data systems in support of clients and professionals Management will support the service structure and wellbeing at work16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenElectronic welfare reportSupport for local strategic managementKaste programme 2008 – 2011Kanerva-Kaste -> ”TEHO-tool”TerPS (The Healthy Northern Finland)Electric welfare report 0.1-> welfare report: cross-functionalElectric welfare report 0.2welfare leadership andpolitical decision-makingof local authorities.Kaste programme 2012 – 2015TerPS2 (2012 – 2014) Electric welfare report 0.3Suomen Kuntaliitto (the Association of Finnish Local and Regional Authorities)-> 2014 -> Publication of new releases (0.4) summer 201516.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenMunicipalities with credentials to the electronic welfare report toolFinland Pirkanmaa87 7 776 6 6 6 665 All municipalities544Municipalities3 with credentials3to the electronicwelfare reporttool2 Approvedwelfare reports1 1 1 1 of local1 authorities02 000 - 5 000 -10 000 -20 000 -100 0004 999 9 999 19 999 39 999 -the number of inhabitants in the municipality16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenWelfare report(The comprehensive review on welfare)Part One: The evaluation of the ending council term1. The evaluation of wellness information and measures Indicators, Summary, Conclusions2. The central doctrines to the next municipal council officePart two: Planning of the future council term3. Priorities of the municipal strategy4. Plans and programs that support health and welfare promotion National, Municipal, Regional5. Plan for health promotion and wellbeing during the council officePriorities and target Goals Measures Resources Assessmentfor development and toolsresponsibleparties6. Approved as a part of operating and financial plan of the municipal16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenIndicators of the electric welfare report 0.3Themes of wellbeingLifespanInclusion and influenceAll age groupsQuality of lifeMental well-being Children, young teens, families with childrenHealth and functional capacityAdolescentsSafety and youngadultsStudy and workMunicipal structures, budgets,vitality of the municipal People ofworking ageEquality and fairnessHousing and environmentElderlyLivelihoodResidents services16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenYear of information in Sotkanet16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenSotkanet:“Has no close friends,as % of all pupils in8th and 9th yearof comprehensive school “16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenConnected to Sotkanet (http://sotkanet.fi )16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenWelfare report linked linked to Operations Planning & Budgetingon the Communal LevelAPPROVES THEAPPROVE THEFINANCIALSTRATEGY AND APPROVE THE STATEMENTS ANDMUNICIPAL DECIDES PRIORITIES O F HP OPERATING THE EVALUATIONTHE (The comprehensive AND EPORT FOR THECOUNCIL INDICATORS welfare report) FOR FINANCIAL PREVIOUS YEAR ANDTHE TERM OF PLAN FOR THE THE ANNUALOFFICE NEXT YEAR WELFARE REPORTCOORDINATION ImplementationTHE MUNICIPAL HP- COORDINATIONMAKE A OF OPERATING and report ofMANAGEMENT AND PRIORITIESPROPOSAL AND FINANCIAL comprehensiveTEAM FORPROPOSALSPLANSwelfare reportANDTHE MUNICIPAL HP-OF THE OF STRATEGY RESOURCESCOLLABORATION INDICATORS AND HP +as a part ofTEAM RECRUITMENToperating andOF 3. SECTORINDICATORS OF EVERY YEAR:LOCAL AUTHORITY ACTION AND IMPLEMENTATIONDEPARTMENTS EXPLANATION OF AS A PART OF financial planTHEM OPERATING AND of allFINANCIAL PLAN OF departments AN EVALUATIONDEPARTMENT REPORT REVIEWINGTHE PREVIOUSYEAR ‘S OPERATINGTHE MUNICIPALITY AND FINANCIALAUDIT COMMITTEE IMPLEMENTATIONCooperation areaTHE HP-shall act as an expertCOLLABORATIONin any cooperation ofTEAM OF REGIONALthe various sectorsSOCIAL AND HEALTHCAREMVT 201516.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenAdvantages of electronic welfare report Helps to deliver the principles of good welfare leadership The challenges of welfare promotion are met together with thefinancial challenges The welfare perspective is included in local strategicmanagement and in the implementation of the municipalstrategy All administrative branches take more responsibility for thewelfare of residents.16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-ToivonenThank YouMs Maarit Varjonen-ToivonenChief Physician (Health Promotion)maarit.varjonen-toivonen@pshp.fi16.3.2015 Pirkanmaa Hospital District Maarit Varjonen-Toivonen