Inera coordinates the development and management of joint digital solutions that benefit the general public, and employees and decision-makers in county councils, regions and municipalities.
Inera is a limited company owned by Swedish county councils, regions and municipalities, as well as the Swedish Association of Local Authorities and Regions (SALAR). The owners have tasked the company with developing joint digital solutions that will help to streamline their operations. Coordination can reduce costs and promote a more rapid development.
Having the support of Inera’s owners is extremely important. Therefore, they are represented in several parts of Inera’s organisation:
- In the Owners' Council, which is the highest decision-making body, with all of the owners represented.
- In the Board of Directors, which comprises 15 members – six are appointed by the county councils and regions, six are appointed by the municipalities and three by SALAR.
- In the Review Committee, which prepares items for the Board.
- In the Programme Council, which helps to produce Inera’s activity plan, and prepares items for discussion. The Council also ensures that there is a cooperation between Inera and the owners’ management networks.
Many of Inera’s services are based on a common IT architecture. They are connected through a technical hub, Tjänsteplattformen (the Service Platform), which enables integration between different systems and services. This allows information to be exchanged and different systems to work together, otherwise known as ‘interoperability’.
Healthcare providers can exchange information easily, securely and efficiently by connecting their healthcare information systems to Tjänsteplattformen. Information about a patient can be accessed by different healthcare providers and shared between Sweden’s healthcare information systems.
Tjänsteplattformen complies with national and international standards for the exchange of information. It has been fully embraced by the industry, the county councils and the regions, with an increasing number of systems being connected.
The same connections can be used for several different services. For example, Nationell patientöversikt (National Patient Overview), which contains information for healthcare providers, uses the same connections as the Journalen (Medical Records) public service.
1177 Vårdguiden på webben
1177 Vårdguiden (1177 Healthcare Guide) is a national healthcare resource, which provides information, advice and services to the general public. It is backed by all of Sweden’s county councils and regions.
1177 Vårdguiden på webben (1177 Healthcare Guide online), 1177.se, contains thousands of medical articles and other information about health, diseases and healthcare. The content is produced by national and regional editors and peer-reviewed by specialists within each area. 1177.se adapts automatically to where a person lives, showing them news, information and links to e-services that are relevant to their own county council or region.
There are approximately seven million visits to 1177.se every month.
1177 Vårdguidens e-tjänster
By logging into 1177 Vårdguidens e-tjänster (1177 Healthcare Guide e-services), the general public across Sweden can communicate directly with healthcare providers. This includes booking appointments, getting repeat prescriptions, reading their medical records and receiving other kinds of healthcare support. Many of the services described below are accessed through 1177 Vårdguidens e-tjänster, including Journalen (Medical Records), Mina intyg (My Certificates) and Stöd och behandling (Support and Treatment). Every county council and region decides which services will be offered to the people in their area.
Every month 1.7 million members of the general public and 400,000 healthcare providers log in to use these e-services.
1177 Vårdguiden på telefon
1177 Vårdguiden på telefon (1177 Healthcare Guide by phone) is a national service providing healthcare advice. People can call 1177 at any time of the day, every day of the year, wherever they are in Sweden. The information that is given over the phone is the same as the information at 1177.se. The nurses around Sweden working on this telephone advice line answer a total of half a million calls every month.
E-blankettjänsten (eForm Service) contains forms that are needed for different services in the municipalities. People can fill them in on screen and print them. They work just as well on a mobile phone or a tablet as on a computer because the interfaces are responsive and adapt to the unit that the visitor is using.
Eira gives healthcare staff access to a large selection of scientific eJournals. It can be accessed by all healthcare staff working in the 21 county councils and regions in Sweden, and also by private healthcare providers if they have an agreement with a county council.
Elektronisk remiss (Electronic Referral) is used for the electronic exchange of referrals between healthcare providers both within and between county councils and regions. The service is still being developed, with pilot projects underway in some of the county councils.
eKlient (eClient) is used by county councils and regions to produce standards and lifecycle plans, showing the length of time that important IT components should be used for. This is useful for county councils and their partners, as well as other national projects.
Födelseanmälan (Notification of Birth) is a service that allows maternity clinics to send the notification of birth electronically to the Swedish Tax Agency and receive a personal identification number immediately for the newborn baby.
Hjälplinjen (Helpline) provides temporary psychological help for people suffering from a mental crisis or for their loved ones. Both the person who contacts Helpline and the person taking the call remain anonymous. Hjälplinjen answers approximately 14,000 calls every year.
Hjälpmedelstjänsten (Aid Service) is a national database that contains more than 300,000 products that are classified as aids. Suppliers register their products and enter information about them in the database. It is used by public health authorities to manage agreements and to plan the aids they will provide. It is also where healthcare providers can find information about aids and prescribe them. The general public can find information about these aids at 1177.se.
Händelseanalys (Incident Analysis) Nitha helps healthcare staff to perform systematic analyses of injuries and other incidents in healthcare. Nitha has an operational section, where analysis leaders and experts register and perform analyses. Nitha is also a knowledge bank, where healthcare staff can study and learn from the analysis reports.
Identifieringstjänsten (Identification Service) SITHS is a system for secure identification, based on ‘strong authentication’. It has many areas of use and is one of the most important basic services in national eHealth. County councils, municipalities and private healthcare providers use SITHS, for example, for staff identification cards. It can be used for entry systems and for logging into e-services. SITHS can also be used for encrypting information, when services, systems or servers communicate with each other.
Infektionsverktyget (Infection Tool) aims to prevent healthcare-associated infections, improve adherence to treatment recommendations and reduce the use of broad-spectrum antibiotics. Infektionsverktyget can be used to produce reports on healthcare-associated infections and antibiotic prescriptions. The information is also used for local improvement work.
Intygstjänster (Certificate Services) is a collective name for services for the electronic management of medical certificates. These services aim to simplify and streamline the sick leave process for both the general public and healthcare staff.
Läkarintyg (Medical Certificates) enables medical certificates to be sent to recipients who are connected to the service. If a county council is going to introduce this service, their healthcare system must support the creation of electronic medical certificates.
Webcert complements the Läkarintyg service. It has been designed for county councils and private healthcare providers whose healthcare systems do not have functions for the electronic management of certificates. Webcert can be integrated into the healthcare system or used as an independent application.
Mina intyg (My Certificates) is a service where the general public can view and print their medical certificates or send them on to recipients who are connected to the service. Mina intyg is accessed through 1177 Vårdguidens e-tjänster.
Statistiktjänst för ordinerad sjukskrivning (Statistics Service for Prescribed Sick Leave) shows statistics for medical certificates that has been issued electronically.
Rehabstöd (Rehab Support) is intended for healthcare staff who coordinate rehabilitation for patients on sick leave.
Journalen (Medical Records) allows the general public to read information from their own medical records online. The general public accesses this service through 1177 Vårdguidens e-tjänster. Journalen uses the same technical connections to Tjänsteplattformen as the Nationell Patientöversikt service.
Katalogtjänst HSA (Catalogue Service HSA) is an electronic catalogue that contains quality-assured information about people and organisations in Swedish healthcare. The information in HSA is used by many different services and is important for authorisation management, various security solutions as well as search and comparison services.
Nationell patientöversikt (National Patient Overview) is used by authorised healthcare staff to view medical records of a patient registered by other county councils, municipalities or private healthcare providers. This requires the consent of the patient. The service is based on the common IT architecture and Tjänsteplattformen.
Pascal allows healthcare staff to prescribe and order medication and commercial goods to ‘dose patients’; these are patients who receive their medication in separate pouches, making it easier for them to take the right medication at the right time.
Personuppgiftstjänsten (Personal Data Service) retrieves population register data from the Swedish Tax Agency, making it available to healthcare systems. This provides access to the personal data of everyone living in Sweden.
Rikshandboken i barnhälsovård
Rikshandboken (National Handbook for Child Healthcare) is a website that contains up-to-date and quality-assured information about the health and development of young children. It also contains methods and guidelines for paediatric care. Rikshandboken is well-known throughout Sweden and supports the daily work of paediatric care.
Rikshandboken had 1.3 million visits in 2016.
Rådgivningsstödet webb (Advice Support Web) provides support for registered healthcare staff, particularly nurses, when assessing care needs. Most county councils and regions use Rådgivningsstödet in primary and outpatient care. The content matches the advice support used for 1177 Vårdguiden på telefon.
Sjunet is a quality-assured communication network, developed and adapted for healthcare. It is not connected to the Internet and has guaranteed accessibility. There is often a requirement to use Sjunet when sending critically important information.
Stöd och behandling
The Stöd och behandling (Support and Treatment) service is accessed by the general public through 1177 Vårdguidens e-tjänster. It allows county councils, regions, municipalities and private healthcare providers to offer the general public support and treatment programmes online. There are programmes for anxiety, depression and pain, for example. It is also possible to design special programmes.
Svenska biobanksregistret (The Swedish Biobank Register) contains information about the biobank samples that have been saved by healthcare. By keeping general information about samples in one single system, it is easier to manage consent restrictions and search for samples that can be used in research. Since it started, 1.3 million samples have been transferred to the register.
Svenska informationstjänster för läkemedel (Sil)
Sil (Swedish Information Services for Medicinal Products) offers decision-making support for doctors and any other professionals who prescribe medication. The information in Sil is reviewed, up-to-date and comes from several different sources. Every county council and region has access to Sil through their medical record systems and other systems that have decision-making support.
Svevac is a system that collects information about vaccinations that have been performed and helps healthcare staff who administer them. Svevac is connected to Tjänsteplattformen and has approximately 13,000 users. Around three million patients are registered in the system and more than 10 million vaccinations have been registered.
Säkerhetstjänster (Security Services) ensures that connected healthcare systems handle patient data securely. It consists of a number of different services, including authentication, logs, consent and blocks.
UMO.se is a website where everyone between the ages of 13 and 25 can find relevant, up-to-date and quality-assured information about sex, health and relationships and allows them to reflect on these topics.
In 2016 Umo had almost nine million visits.
Webbtidbokning (Web Appointment Booking) enables clinics to offer their patients the option of booking, cancelling or rescheduling an appointment directly through 1177 Vårdguidens e-tjänster.
Video- och distansmöten
Video- och distansmöten (Video and Remote Meetings) streamlines and facilitates work in healthcare. Traditional healthcare appointments and hospital care can be supplemented with video consultations and remote care. The areas of use are increasing, including remote emergency medical services, paediatric cardiac surgery and psychiatry.
Vårdhandboken (Care Handbook) is a website for staff working in healthcare, offering them up-to-date information about applied healthcare. It provides practical advice and describes reliable methods. The content is peer-reviewed and quality-assured at several stages before publication.
In 2016 Vårdhandboken had 2.8 million visits.