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Count of Regular Home-Care Clients in Social and Health Care, 30 Nov - Description of File

20 Jan 2010
(Description of file, in accordance with the Personal Data Act (523/1999))

1. CONTROLLER
Name: National Institute for Health and Welfare (THL)

Postal address: P.O. Box 30
Postcode: FI-00271 Helsinki
Street address: Lintulahdenkuja 4, 00530 Helsinki
Tel. +358 20 610 6000

2. PERSON RESPONSIBLE FOR THE REGISTER
Name: Päivi Tossavainen
Position: Development Manager
Tel. +358 20 610 7670

3. OTHER PERSONS MAINTAINING THE REGISTER
Name and tel.: Raija Kuronen, tel. +358 20 610 7477, and Kirsi Seppälä, tel. +358 20 610 7380

4. NAME OF THE REGISTER
COUNT OF REGULAR HOME-CARE CLIENTS IN SOCIAL AND HEALTH CARE, 30 NOV

5. GROUNDS FOR MAINTAINING THE REGISTER
Statutory.
- Act on National Personal Data Registers Kept under the Health Care System (556/1989), section 3
- Decree on National Personal Data Registers Kept under the Health Care System (774/1989), sections 1 and 2, as amended by decree (1671/1993)
- Act on the National Institute for Health and Welfare (668/2008), section 2
- Act on Specialised Medical Care (1062/1989), section 5(3), Primary Health Care Act (66/1972), section 4, Mental Health Act (1116/90)
- Act on the Statistical Service of the National Research and Development Centre for Welfare and Health (409/2001)

6. PURPOSE OF THE REGISTER
To collect data on home care, service providers and clients for statistical, research and planning purposes.

7. DATA CONTENT OF THE REGISTER
Since 1995, data for the Count of Regular Home-Care Clients have been collected every other year. From 2007 onwards, the count has been conducted each year. Although a few minor changes have been made over the years, the core data content of the Register has remained almost unchanged, describing service providers, clients, client admissions, and the care and services received by clients.

Data suppliers are provided with a manual on submitting annual data for the Count of Regular Home-Care Clients (HILMO; Sosiaalihuollon ja terveydenhuollon hoitoilmoitus. Määrittelyt ja ohjeistus, THL Ohjeita ja luokituksia).

Data content of the basic data form for care notifications (applies to the Count of Regular Home-Care Clients, 30 Nov)

Service provider
1. Code
2. Code extension

Data on the patient/client
3. Personal identity code (in the register, this code is replaced with an encrypted code and subsequently deleted)
4. Municipality of residence
5. Postcode
6. Type of permanent accommodation

Data on start of care
7. Date of admission to care
8. previous care place (place from where the person has come into care)
9. Code for the place of discharge
10. Code extension for the place of discharge
11. Reason for seeking care

Data describing care register data and grounds for clienthood
12. Primary diagnosis
13. Secondary diagnoses
14. Need for care at the time of count
15. Appropriate care place
16. Plan for services and care has been drafted (yes/no)

Additional data concerning home care
17. factors that impact negatively on living

Services received during the previous month
18. Home-help visits
19. Home-nursing visits
20. Joint visits (cannot be separated)
21. Day-hospital visits, day-care visits by older people to residential homes/service centres
22. Total number of service days
23. Total number of working hours
24. Support services (yes/no) and type of support services
25. Support for informal care (yes/no)
26. Other support (free of charge to municipalities) (yes/no)

Other information
27. The community that has commissioned the outsourced services, and its code

8. REGULAR DATA SOURCES OF THE REGISTER, COMPILING THE REGISTER
The HILMO manual includes guidelines on
which service providers are obliged to submit information to the Register and what the grounds for the disclosure of data are;
what constitutes data content;
how to submit information to the Register; and
how to ensure data confidentiality.

The care notifications are annually compiled into the national register for the count of regular home-care clients. The data are sent to the register controller primarily on discs or magnetic tapes. Some of the notifications are sent on paper forms.

9. REGULAR DISCLOSURE OF REGISTER DATA
Disclosure of register data is governed by section 4 of the Act on National Personal Data Registers Kept under the Health Care System (556/1989), which stipulates that data can only be disclosed for a specific research project and by permission.

10. LINKING THE REGISTER TO OTHER PERSONAL DATA FILES
Data in the register for the count of regular home-care clients are used for statistical purposes together with the Care Registers for Social Welfare and Health Care in order to describe the use and costs of services and the distribution of services among different population groups, broken down by region.

11. ACCESS TO DATA, CONFIDENTIALITY
The data stored in the Register are confidential under section 4 of the Act on National Personal Data Registers Kept under the Health Care System (556/1989).

However, THL may grant permission to disclose care register data for specific scientific research purposes under section 4 of the Act.
The disclosure of data shall be in accordance with section 19 of the Personal Data File Act (471/1987).
THL may grant permission to disclose personal data for specific scientific research purposes under section 5 of the Act on the Statistical Service of the National Research and Development Centre for Welfare and Health (409/2001). The disclosure of data shall be in accordance with section 19 of the Personal Data File Act (471/1987).

Statistical information and data sets stored in the Register can be disclosed, provided that any information classified as confidential has been removed and the data subjects cannot be identified.

12. NUMBER OF PERSONS STORED IN THE PERSONAL DATA FILE
The Register covers data on some 80 000 persons, based on information submitted by some 730 service providers during the data collection.

13. RIGHT OF ACCESS TO DATA
Data subjects and their representatives have no right of access to the data entered into the Register, because the data are used solely for research and statistical purposes.

14. RECTIFYING ERRONEOUS DATA
Once an error is detected in the Care Register, efforts are made to correct it in connection with the Register's normal compilation and maintenance procedures. Data suppliers themselves are usually asked to correct any errors or deficiencies detected in their data.



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Published 11.11.2008, Updated 23.1.2012

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Last updated 23.1.2012
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National Institute for Health and Welfare - P.O. Box 30, FI-00271 Helsinki, Finland - Map- Tel. +358 20 610 6000, Fax +358 9 761 307, E-mail firstname.lastname@thl.fi