– Today we have two different laws that govern two different processes for coordinated care planning. From 1 January 2018, it is one single plan that follows the individual whether the patient is in their home or are planned to go home from a hospital stay. The amendment affects all patients and about 10 000 employees in the care organisation here in Norrbotten, says Sofi Nordmark, project manager at the Norrbotten County Council and who also has a doctorate in the field at Luleå University of Technology.
The project is a collaboration between the County Council of Norrbotten, Norrbotten Municipalities, Luleå University of Technology, Tieto and all of the county's 14 municipalities.
The project My plan's goal is that within 40 months after project start develop better and more flexible ways of working and implement products and services to establish coordinated individual plans at discharge from hospital. The planning is done at the county and all municipalities in Norrbotten that supports a secure information with a focus on individual needs. To enhance patient safety and the individual's role will the care plan be available at 1177 Health Care Guide.
Norrbotten is a forerunner when it comes to implementation of e-health and welfare technology, both nationally and in part internationally. Sofi Nordmark has previously researched the discharge process and brings with her experiences and results into the new project.
– Throughout the Western world, we have the same problem that we do not get the process normalized in the organisation. Now we take a holistic approach to both processes from the start, all the sub-processes to the final events, follow-up and planning in the home, says Sofi Nordmark.