{
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"title": "Puheentunnistusj\u00e4rjestelm\u00e4n hankinta ja k\u00e4ytt\u00f6\u00f6notto",
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"Kanta-H\u00e4meen sairaanhoitopiiriss\u00e4 on tarkoituksena lis\u00e4t\u00e4 puheentunnistuksen k\u00e4ytt\u00f6\u00e4 siten, ett\u00e4 lukum\u00e4\u00e4r\u00e4isesti paljon sanelevat tai pitki\u00e4 saneluja tuottavat l\u00e4\u00e4k\u00e4rit siirtyv\u00e4t digisanelun sijaan k\u00e4ytt\u00e4m\u00e4\u00e4n puheentunnistusta. Vain harvoin ja lukum\u00e4\u00e4r\u00e4isesti v\u00e4h\u00e4n saneluja tuottavat l\u00e4\u00e4k\u00e4rit jatkavat digisanelua. Lyhyen aikav\u00e4lin tavoitteena on, ett\u00e4 elokuun 2021 alkuun menness\u00e4 yli 70 % kaikista Kanta-H\u00e4meen keskussairaalan sis\u00e4tautil\u00e4\u00e4k\u00e4reist\u00e4 k\u00e4ytt\u00e4\u00e4 puheentunnistusta (JYL linjaus 12.4.21). Sis\u00e4tautil\u00e4\u00e4k\u00e4reit\u00e4 on noin 40, joten tavoite t\u00e4yttyy, kun 28 heist\u00e4 ottaa pysyv\u00e4sti puheentunnistuksen k\u00e4ytt\u00f6\u00f6ns\u00e4.",
"",
"Puheentunnistuksen k\u00e4ytt\u00f6\u00f6notto v\u00e4hent\u00e4\u00e4 sihteerity\u00f6n\u00e4 purettavien sanelujen m\u00e4\u00e4r\u00e4\u00e4 huomattavasti. 50 lisenssin k\u00e4ytt\u00f6\u00f6notto tarkoittaa noin 1,5 sihteerin ty\u00f6panosta vastaavaa saneluiden purkutarpeen v\u00e4hennyst\u00e4. 150 lisenssin k\u00e4ytt\u00f6\u00f6notto puolestaan tarkoittaa noin 5 sihteerin ty\u00f6panoksen v\u00e4hennyst\u00e4. Sihteerity\u00f6n laskennallinen arvo on 50 000 \u20ac vuodessa henkil\u00f6st\u00f6sivukuluineen. ",
" T\u00e4ll\u00e4 hetkell\u00e4 osa sanelun purkua on jouduttu tekem\u00e4\u00e4n my\u00f6s ostopalveluna, jonka m\u00e4\u00e4r\u00e4\u00e4 puheentunnistuksella ensisijaisesti v\u00e4hennet\u00e4\u00e4n. Sihteerienty\u00f6n tarvetta v\u00e4hent\u00e4\u00e4 my\u00f6s puheentunnistuksen vaikutus Lifecare-viestipiikin k\u00e4ytt\u00f6\u00f6n.",
"",
"Puheentunnistuksen my\u00f6t\u00e4 sanelunpurussa ei ole viivett\u00e4, valmis teksti on heti k\u00e4ytett\u00e4viss\u00e4, sanelujen laatu paranee, potilaan hoitoprosessi nopeutuu ja sujuvoituu ja potilaan tiedot l\u00f6ytyv\u00e4t nopeasti ja helposti.",
"",
"Kanta-H\u00e4meen sairaanhoitopiiri on saanut tarjouksen puheentunnistuksesta Tieto Finland Oy:lt\u00e4.",
"Viime aikoina lisenssien hinnoittelu on kehittynyt suotuisaan suuntaan, nyt kustannus on saadun tarjouksen mukaisesti 116 \u20ac\/l\u00e4\u00e4k\u00e4ri\/kk. L\u00e4\u00e4k\u00e4rikohtainen jatkuvan palvelun kustannus 50 lisenssille 5 800 \u20ac\/kk, johon lis\u00e4t\u00e4\u00e4n j\u00e4rjestelm\u00e4n perustuki 440 \u20ac\/kk. Sopimusaika on sitova ensimm\u00e4iset 2 vuotta, jonka j\u00e4lkeen vuosi kerrallaan.",
"K\u00e4ytt\u00f6\u00f6nottovaiheen kustannus 11 000 \u20ac on kertakustannus (toimitusprojektin suunnittelu ja hallinta, ty\u00f6asemapakettien toimitus ja jakelu, k\u00e4ytt\u00e4j\u00e4tunnusten perustaminen pilvipalveluun, p\u00e4\u00e4k\u00e4ytt\u00e4j\u00e4koulutukset ja k\u00e4yt\u00f6n aloituksen tuki).",
""
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"justification": [
"Lifecare asiakas- ja potilastietoj\u00e4rjestelm\u00e4n k\u00e4ytt\u00f6 sujuvasti tarvitsee SOTE ammattilaisen k\u00e4yt\u00f6ss\u00e4 sujuvan integraation ja potilaskohtaisen saumattoman sis\u00e4ll\u00f6n hallinnan puheentunnistuksen ja potilaskertomuksen tallennuksen v\u00e4lille. Lifecare puheentunnistus on integroitu saumattomasti KHSHP:n k\u00e4yt\u00f6ss\u00e4 olevaan Lifecare j\u00e4rjestelm\u00e4\u00e4n, eik\u00e4 vastaavaa integrointia ole viel\u00e4 saatavilla. Puheentunnistuksen teknologia kehittyy voimakkaasti ja oletettavasti n. kahden vuoden kuluttua puheentunnistukseen on saatavilla vastaavien keinoin integroituvina mahdollisesti my\u00f6s muita puheentunnistuksen ratkaisuja.",
"",
"Julkisista hankinnoista ja k\u00e4ytt\u00f6oikeussopimuksista annetun lain 40 \u00a7 2 momentin 2 kohdan mukaan hankintayksikk\u00f6 voi valita suorahankinnan, jos teknisest\u00e4 tai yksinoikeuden suojaamiseen liittyv\u00e4st\u00e4 syyst\u00e4 vain tietty toimittaja voi toteuttaa hankinnan; lis\u00e4edellytyksen\u00e4 on, ett\u00e4 j\u00e4rkevi\u00e4 vaihtoehtoisia tai korvaavia ratkaisuja ei ole, eik\u00e4 kilpailun puuttuminen johdu hankinnan ehtojen keinotekoisesta kaventamisesta. Edell\u00e4 kerrotuista syist\u00e4 perusteet suorahankinnalle ovat olemassa. ",
"",
"Hankintap\u00e4\u00e4t\u00f6s tehd\u00e4\u00e4n ehdollisena siten, ett\u00e4 mik\u00e4li tietosuojavaikutusten arvioinnissa tulee esille seikkoja, joiden toteuttamista ei voida tehd\u00e4 molempien organisaatioiden tietosuojaohjeiden mukaisesti, hankintap\u00e4\u00e4t\u00f6s voidaan purkaa. ",
""
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