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MY LIFE Service Integration Model

With the complex service system, it is difficult to help young people with numerous problems. The MY LIFE working method is a co-created, human service integration for young adults, complete with case management, a survey assessment, and an ePlatform.

Innovation Summary

Innovation Overview

The Finnish welfare state is based on large scale of universal public services funded through taxation. The human services are mostly provided by diverse public organizations such as health/social centres, hospitals, or by the private sector as outsourced services. In addition to the multiple organizations, funding, services and various professions there are numerous technologies, personal data records, legislation, processes and working methods are utilized simultaneously. This kind of multi-layered and complicated system has become a problem for individuals, especially for the disadvantaged customers with multiple services. Various professionals provide services to citizens according to legislation. Due to the legislation and the service system, the customer has overlapping and parallel service plans and service need assessments. If we could make the welfare system more effective and efficient, this could save a notable amount of Finnish tax payers’ money.

The “MY LIFE” Service Integration Model was innovated and developed as a part of the Finnish national development project leaded and funded by the Ministry of Finance and a subproject of the Municipality of Kuopio and its partners. The co-creation project was in 2015-2016 and was based on the experimental development. In this project Kuopio innovated, tested and developed a new model called “MY LIFE” for the human service integration for young adults.

The model includes the case manager, integrated services and brings the separate service plans together. The model was planned to be as digital as possible and to increase the customer participation. Experimental development approaches were used together with young people, professionals of the several services, process experts, scientists and technology specialists. In addition to the professionals, 34 young adults aged 16–29 years participated in the development project.

During the two years (2015–2016) project, we innovated, tested and evaluated new Quality of Life self-assessment called 3X10D Survey. The questionnaire and the visualization of 3X10D are together called as ”MY LIFE”. After filling the questionnaire, the young adult customer and one of the workers nominated as a personal case manager discuss about the life situation and plans. The customer and the professionals together make a Personal Welfare Plan together to the by using the 3X10D data. The Personal Welfare Plan and the questionnaire were carried out by the professionals’ and the customer’s common eService platform.

MY LIFE as a digital and multi-organisational service integration model was developed and tested with cooperation between the professionals, customers and the specialists. The aim of Kuopio’s new MY LIFE model was to include service integration and a case manager method as well as to bring the separate service plans together. Another aim was to construct an integrated model as digital and customer inclusive as possible. During the two years, 17 professionals and 34 youngsters innovated, tested and evaluated the model together.
The “3X10D Survey” consists of 10 themes as studies/work, family, health, friends, personal development, housing, finance, life satisfaction, self-esteem and resilience. The customer considers each theme from three different viewpoints: importance, satisfaction and future. During the experimental project the “3X10D Survey” was used as a 30-point questionnaire carried out by the eService platform. The experimental development project creating the MY LIFE method based on the temporary special legislation. Without the law, it is not legal to integrate the customer data between different services.

Innovation Description

What Makes Your Project Innovative?

Our model is new way to integrate services by integrating information, working methods and planning as well as engaging the young people for co-creation.
One crucial task was to bring parallel service plans of different sectors and professions together. Under the temporary legislation there was much more freedom to use collective customer data than usual. In spite of the permission to bring the plans together, the professionals were initially unable to benefit from the legislations, as we lacked a customer-friendly holistic plan. Therefore, we developed a holistic and need-based quality of life self-assessment system for the young adults: the “3X10D Circle of Life” survey. The visualized “3X10D Circle of Life” is used when the customer’s personal case manager interviews the young adult about his/her life situation for the first time. The visual version helps the customer to structure their life and identify different challenges.

What is the current status of your innovation?

The MY LIFE method has been applied to school children of different ages in elementary school. The national ODA project utilized the model developed in Kuopio's municipal experiment and applied it to the multiprofessional work of school nurses. The 3X10D Survey has been developed for 7-9, 10-13 as well as 14-17 years old pupils. In addition, a similar questionnaire has been developed to assess the family situation. The tests have been conducted in spring 2018 and will continue in the autumn of 2018. By the end of the year, the method is also available to other municipalities at national level. Technical progress has shifted to a Finnish state-owned limited liability company.

Innovation Development

Collaborations & Partnerships

The customers (young adults) were key actors and co-creators. The specialist’s scientific knowledge was necessary to create and innovate the MY LIFE self-assessment. The technology firm delivered and customized the ePlatform in place. The Ministry of Finance and the Municipality of Kuopio made possible to implement and fund the experiment developing process. The project coordinator realized the project work in the real world as a full-time two-year job.

Users, Stakeholders & Beneficiaries

The customers gave their own opinions of their service experiences, life situation, future plans, ideas how to develop the model, technology and services. The professionals tested the experiment legislation in action, tested the technology, reflected and innovated new ideas. The administration supported and made possible to work, to achieve the goals and use resources. The project coordinator’s main objective was to co-operate, co-ordinate and harmonize the whole work of the Project.

Innovation Reflections

Results, Outcomes & Impacts

Thanks to the MY LIFE Service Integration Model, more young people said that they feel that they are listened to, they can participate more and they can give more feedback on the services they use, and they have a greater feeling of empowerment. The young people in this experimental project believed that the same model could also benefit other young people with varying needs.

Challenges and Failures

The technology was the biggest challenge. The workers and the customers had ideas but it was impossible to implement those to the ePlatform. Two years was a short period to innovate, test and evaluate a multi-sectoral process based on new legislation, technology and co-operation network. The field work period should have been longer than 9-10 months. Experimental development was new method for us. When starting the work we did not have tight plan and not an exact idea of the model. We had just a new legislation, and ideas. Even if the developing process was sometimes chaotic, we were very satisfied to the results. As a national level, the aim was to innovate an integrated model by using the possibilities of the temporal legislation. After two-year timeline, we had quite unpredictable return to the normal situation. We found several opportunities how to utilize outcomes and advance the implementation at the national level.

Conditions for Success

Depending on the welfare system or the operational environment, the Service Integration Model and the details must be tested and developed further. This is possible if you have policy and rules for the human service integration, supportive stakeholders, good leadership and specialists and financial resources. With your own information and innovation you can make the model even better.
ICT-Company Sotedigi Oy (owned by Ministry of Finance) develops and tests the use of the 3X10D survey digitally as part of the work of professionals. The number of users is likely to increase to thousands, so it is possible to test how well the respondent's information about his / her life situation can be utilized in multiprofessional and multifunctional environments. This is enabled by nationally defined digital processes and secure data storage and monitoring.

Replication

Parliament has not yet taken a decision on social and health reform, but most provinces have begun the process of modernizing service structures in the region rather than the previous municipal level. The first Mobile Version (Me Foundation and Diak) has been built on the 3X10D survey to facilitate self-evaluation of a life situation for any young person. Since the fall of 2018, the mobile version has been used in governmental development program for evaluating possible changes in the life of the young clients. The programs are holistic and emphasize young people`s own voice.

Lessons Learned

Early results have shown that the personal welfare plan based on the customer’s quality of life self- assessment, designed together with the case manager and the customer, completed with customer’s other workers and carried out with eService platform is a reasonable way to integrate services and actors together. We recommend this integrated approach to other structures where there are multiple organisations providing services to the same customer- without the holistic view, this could be wasting resources.
The integrated collaboration of services enabled a common understanding of the young person's life situation. The comprehensive self-assessment methodology of 3X10D Survey for the young adults’ life situation and goals helped the professionals understand the young peoples’ needs more widely than before. The questionnaire was visualized by the 3X10D Circle of Life, which enabled the professional and the young to launch a holistic life management discussion. The MY LIFE method helped employees discuss the needs for prioritizing services and even the division of work between professionals.
We found that the 3X10D Survey can be used as a common window for professionals in the life of a young client. The use of this model in the customer works across the sectoral boundaries. A holistic approach to customer life management as well as a plan for service delivery, prioritization and division of labour between the customer and various professionals was a cultural change in work orientation

Year: 2016
Level of Government: Local government

Status:

  • Developing Proposals - turning ideas into business cases that can be assessed and acted on

Innovation provided by:

Date Published:

29 October 2016

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