The Health and Care Plan is a plan that outlines the needs, goals and organisation of care in an outpatient setting. The plan is drawn up together by the patient and a health care professional.
The Health and Care Plan can be stored in Kanta’s Patient Data Repository, where it can easily be accessed by professionals involved in the patient’s care.
Use of a Health and Care Plan
The Health and Care Plan provides professionals with a quick overview of the overall care situation. A shared plan helps to avoid overlapping examinations, and different appointments can be combined into the same visit.
The Health and Care Plan makes it possible to
- coordinate and plan patient care
- engage and motivate the patient in their own care
- instruct the patient and those close to the patient.
It is important that the patient has granted consent to the sharing of their patient data so that the Health and Care Plan can be accessed by everyone involved in the patient’s care.
The patient can view the latest version of their Health and Care Plan in MyKanta.
Health and Care Plan FAQ
A Health and Care Plan must be drawn up for all patients whose treatment requires coordination and who will benefit from the plan. These especially include patients with long-term and multiple conditions who are encouraged to take care of their own health.
For example, a Health and Care Plan is drawn up when one or more of the following conditions are met:
- the patient uses a number of different healthcare services
- the patient’s illness or condition requires long-term monitoring, care, or rehabilitation
- the patient has an acute condition requiring examinations or care from several different
- services (organisations or health care professionals)
- the patient wants a Health and Care Plan for themselves.
A patient can only have one Health and Care Plan active at a time. To update a Health and Care Plan, the patient’s health care professional will retrieve the plan from Kanta to their own patient information system for editing.
The updated plan will be saved to Kanta and the up-to-date patient data will once again be available to everyone involved in the patient’s care.
The data controller of the Health and Care Plan is always the health care provider who last modified the plan.
Consistent data content has been defined for the Health and Care Plan which should include an overview of the patient’s health as well as the needs, goals, and methods of treatment. It contains descriptive information in text format as well as structured information, i.e., information recorded using classifications.
The Health and Care Plan is always saved in the YHOS view. From that view, it is saved as a document to be maintained in Kanta’s Data Management Service.
A consistent data structure means that the use of a Health and Care Plan in a patient’s treatment, with the patient’s consent, is not dependent on treatment site or patient information system.
The structured information in the Health and Care Plan consists of the following main components:
- basic Health and Care Plan information
- the need for care
- the objective of care
- implementation and method of care
- planned support
- monitoring and assessment
- health care professional
- additional Health and Care Plan information.
How to start using the Health and Care Plan
You can deploy the functionality once your organisation has joined as a user of the Patient Data Repository.
If you wish to deploy the Health and Care Plan:
Contact your information system provider to ensure that the functionality can be deployed in your patient information system. Systems in which the Health and Care Plan has been joint tested can also be found on the Patient Data Respository Status page (in Finnish).
Agree on the deployment of the functionality and the tasks required for deployment with your system provider.
If the Health and Care Plan is being deployed in the patient information system for the first time, carry out a deployment test together with your system provider. The test involves entering the data for a specified test case at a predetermined time.
We also recommend that also you perform the test at other times to ensure that the Health and Care plan works in the information system.
Send a report of a successfully completed deployment test to Kela.
You can start using th Health and Care Plan as soon as the deployment test is successfully completed.