Kela provides assistance to actors in the pilot regions on how to implement the systems enabling freedom of choice for patients by releasing instructions and organising training events. This page will be updated with further information and instructions at a later date.
Participants must be registered
The bills establishing freedom of choice for patients and governing the provision of health and social services require each service provider to register with the National Institute for Health and Welfare. The public service providers must also register. The reform may also require some changes in the existing hierarchy of providers in the register.
Participants must be affiliated with the Kanta services
The health and social services reform will also necessitate certain changes in the information systems and organisations linking up with the Kanta services. A set of instructions are available on the website of the National Institute for Health and Welfare to ensure the continuity of the Kanta services.
The health and social services reform and the pilot projects trialling the patients’ freedom to choose their provider require participating providers to affiliate themselves with the Kanta services. Health service providers must have adopted the Patient Data Repository, which enables the exchange of data across service providers.
Other requirements for the pilot regions
1. Affiliation with the Kanta services and adoption of the Patient Data Repository
Organisations participating in a pilot must fulfil certain requirements concerning, among others, training and communications, self-monitoring of privacy and information security, and the provision of accurate information about the participating units to the organisational registries maintained by the National Institute for Health and Welfare. Further information is available in the manual for the Kanta services.
Service providers must implement the following system functions:
- requirements of the Patient Data Repository, Kanta specifications
- basic requirements of the electronic health record system and the requirements of the oral health care system (see National Institute for Health and Welfare regulation 2/2016), Appendix 3 and 3c)
- a class A compliant system which has been certified (has been audited and has passed joint testing) for the Kanta archive and has been entered into the Valvira registry.
Organisers must archive data without delay. Further, organisers must if needed be able to retrieve and use documents created by any service provider (the range of documents to be updated will be specified later).
2. Storing patient data and retrieving them from the service organiser’s registry
More information for service organisers and providers concerning the management of outsourced services and the authorisation to outsource can be found in the Requirements for the Patient Data Repository (section 4).
3. Amendments to the Act on the Electronic Management of Client Data in Social and Health Services
Amendments to the Act on the Electronic Management of Client Data in Social and Health Services will be implemented in accordance with the implementing provisions (specifications to the content and implementation of the Act will be made by the Ministry of Social Affairs and Health).
Promoting implementation during the pilot projects
- Patient Data Depository: archival of data in accordance with the Ministry of Social Affairs and Health Decree on national healthcare information system services
- incl. oral health care, imaging, key health data, wellness and treatment plan (later to be replaced by a client plan, already includes data needed for personal budgets)
- Archive of social services client data
- The pilot projects do not require service providers to affiliate with the archive of social services client data, but promoting such affiliation in the course of the projects is considered to be desirable.
- Promoting other functionalities specified in the Kanta publication schedule will also support the pilot projects.
Important: The solutions, requirements and specifications to be completed by 2020–2021 will be laid out in greater detail at a later stage. The regions participating in the pilot trialling the patients’ freedom to choose their provider will have a say on the specifications and solutions.