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Oy Apotti Ab

Oy Apotti Ab was born out of a shared will among the stakeholder municipalities and HUS to create the first electronic client and patient record and ERP system in the world combining social care and health care. Apotti’s goal is to develop social care and health care services and to standardise operational routines in order to control costs. Equality in social care and health care services requires a strong commitment to digitalisation and improving operational routines.

With the advent of Apotti, social and health care providers will have real-time access to client and patient data within the scope defined in legislation regardless of the care or service unit.

The system improves client and patient safety and quality of care by guiding providers, improving medication safety and anticipating risky situations.

The objective of Oy Apotti Ab is

Apotti’s client portal Maisa helps clients and patients to communicate digitally with providers, attend to matters relating to their health or social care needs, or to act on behalf of someone else (such as an underage child or an elderly parent). They can use the portal anytime and anywhere with a mobile application or a computer.

Via Maisa, residents of Apotti’s owner municipalities can book appointments, send messages, fill in health history questionnaires, submit social care applications, or receive reminders and instructions to aid self-care. The Maisa portal also improves access to services because it enables remote Video Visits with social care and health care professionals.

Oy Apotti Ab is owned by HUS Helsinki University Hospital and the municipalities of Helsinki, Vantaa, Kauniainen, Kerava, Kirkkonummi, Tuusula, Inkoo, Siuntio and Loviisa (and Lapinjärvi in partnership with Loviisa).

Apotti as a project

Apotti is a change project created by the customer and owner organisations. Its objective is to develop social and health care services and to maintain the electronic social and health record currently in production. The Apotti project was launched in 2012 and will end in 2021 after the major go-lives.

Early on in the project, it was established that the electronic social and health record would consist of a core system entity, comprised of the Epic system, and supplementary systems and integrations. The Apotti system has been integrated into one unified entity. This enables joint data use and open interfaces in real time within the boundaries or legislation.

In the early stages of the project, the challenge faced by the Helsinki Metropolitan region was that there were several hundreds of different IT systems in use which functioned suboptimally and did not communicate with each other. They offered inadequate support to professionals and failed to promote collaboration or better practices.

The biggest economic advantages brought by the Apotti system come from changes in operational routines and more effective data utilisation. For instance, the system will help providers avoid medication errors and unwarranted duplicate laboratory testing.

Apotti is the first system in the world to combine social and health care records into one electronic record. Combining the records is essential for controlling social care and health care costs. According to research, 10% of the population account for about 80% of social care and health care expenditure. A large proportion of this group use both social care and health care services. The Apotti system will enable better targeting of services to those who most need them.

The main phases and timeline of the Apotti project

The Apotti project was launched in 2012 and will end in 2021 after the major go-lives. The main phases of the project can be broken down as follows:

The Apotti system

The Apotti system continuously produces data about the results of different practices. Evaluation facilitates continuous learning and updating of operational routines. Workflows that follow client and patient processes are built into the Apotti system, which reduces providers’ memory load. For instance, the system reminds users if they have neglected to carry out a procedure. Thanks to analytics and various risk meters, the system can also identify high-risk hospital patients.

From the provider’s perspective, the Apotti system has the following advantages:

The Apotti system can also be extensively used in mobile environments. The vendor’s other customers are increasingly starting to program their own mobile applications, linked to the platform, to suit local needs. This applies to both devices in professional use and patients’ own personal devices.

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