South Karelia Social and Health Care District (Eksote) provides health services, family and social welfare services, and services for senior citizens.
Integrating social and health care services of multiple municipalities allows developing more comprehensive, cost efficient and client/patient friendly service processes. Integration has affected also financial systems as previously each municipality in the area had different systems. Now only one system is used. Integration changed also personnel systems and decision making and management. It is essential to develop the operations and processes so that the service production is based on recognition of customers’ and patients’ needs. The governance endorses self-development and work wellbeing. Renewal of service production and distribution and reduction of institutional care are also focused on. eServices are being taken in use in all possible areas. Mobile services and self-services are being developed to provide more flexible and easily reachable services. District’s financial capability is adapted to municipalities’ financial capabilities.