As part of the Kanta-Häme Hospital District, the Kanta-Häme Central Hospital (KHCH) is an acute care 338-bed hospital providing patient-centered, specialized medical care through its two facilities in Hämeenlinna and Riihimäki, in the south of Finland. The Hämeenlinna unit serves the entire hospital district of 173,800 inhabitants, while the Riihimäki unit primarily serves municipalities in the region, as well as the Janakkala area, for a total of 62,400 inhabitants. Combined, these two facilities employ 140 full-time clinicians and 850 full-time nurses.
The hospital is tasked with a mission to serve as the central, go-to hospital for area residents where they can be confident they will receive comprehensive, high quality care. KHCH espouses two core values: responsibility and competitiveness. The central hospital feels a deep responsibility to provide the best care for patients throughout the continuum of care. KHCH strives to operate a welcoming and well-run facility that supports a positive, integrated patient experience, while ensuring cost-effective care with measurable outcomes.
Assessing the need for UpToDate
Interest in UpToDate was initially generated by two clinicians who had individual subscriptions funded by the hospital. Based on their feedback, and on the experience of other Finnish healthcare institutions already using the resource, the hospital decided to run a trial of UpToDate, asking all physicians to test it in their daily use.
While clinicians already had access to a local database of evidence-based guidelines in Finnish, the hospital clinical management was looking for a more comprehensive resource that would support clinicians when they needed to research conditions that were less common and about which they had less knowledge or experience. The results from the trial period confirmed UpToDate was a much needed resource to ensure patients were receiving high quality care, and the clinical decision support resource was officially adopted by Kanta-Häme Central Hospital in March of 2010. One of the deciding factors that led clinicians to adopt UpToDate during the trial was the depth and breadth of its content. With clinical topics spanning 16 specialties (which has grown to 25 specialties in 2017), UpToDate enabled clinicians to investigate unusual and often rare cases, something that set it apart from the local resource, which focused on a smaller group of more common diseases.