Finances

HUS produced a substantially higher volume of medical care services than anticipated in 2019.

The service production volume exceeded the budget by 3.3% and grew by 4.7% compared to the previous year. However, if we exclude the functions transferred from member municipalities to HUS at the beginning of 2019, the comparable growth in service production was only about 0.8%.

Medical service production FS 2018 Budget 2019 FS 2019 Deviation %, FS 2019 / Budget 2019 Change % FS 2019 / FS 2018
Service production
– Change in volume weighted according to billing share 3.3% 4.7%
– Psychiatry treatment days 1) 162,073 160,184 −1.2%
– NordDRG products 751,257 744,296 774,719 4.1% 3.1%
DRG groups 151,136 155,613 166,371 6.9% 10.1%
DRG-O Groups 159,876 161,657 167,766 3.8% 4.9%
Endoscopy 31,800 31,397 32,731 4.2% 2.9%
Minor procedures 110,818 103,379 109,316 5.7% −1.4%
900 group 296,438 292,071 297,541 1.9% 0.4%
Cost-based period 1,189 179 994 454.1% −16.4%
– Outpatient products, somatic care 1,424,473 1,484,126 4.2%
– Outpatient products, psychiatric care 527,699 534,398 1.3%
– Health center emergency clinic visits 150,552 301,929 261,302 −13.5% 73.6%
– Billable transfer delay inpatient days 1,312 1,331 1.4%
– Visit products 2,730,677 2,932,553 7.4%
Emergency clinic visits (including DRG billing) 250,396 297,865 19.0%
First visits 263,639 264,061 0.2%
– Treatment day interim performances 809,592 860,125 6.2%
– Surgical operations 91,558 91,972 0.5%
Ambulatory surgery procedures 36,897 37,032 0.4%
– Births as at December 31, 2019 15,858 15,549 −1.9%

1) Excluding residential care days

Outpatient care billing accounted for 45.6% of HUS specialist medical care billing in 2019, remaining almost the same as in 2018. Outpatient care billing accounted for 46.6% of all of HUS’s own service production, i.e. specialist medical care and basic health care.

Outpatient care accounted for 87.6% of the quantity of service products in specialist medical care and 88.5% in the total service production.

The number of outpatient care DRG products delivered (Diagnosis Related Groups, an international patient grouping and product definition system) increased by 1.6% on 2018, while the number of inpatient care DRG products delivered increased by 8.8%.

The actual average price of outpatient care DRG products increased by 0.7% on the previous year, while the actual average price of inpatient care DRG products decreased by 1.8%.

The greatest increase in outpatient DRG products was seen in the DRG-O groups. Most of the increase in the DRG-O groups can be explained by a substantial growth in the number of procedures on skin or subcutaneous tissue and of dialysis treatments. The increase in the number of visit products is explained for instance by the growth in emergency clinic visits and care calls.

The number of treatment day products delivered was 2.7% higher than in the previous year. This growth is explained by an increase in the number of neurology and physiatry rehabilitation day products delivered. The City of Helsinki transferred its neurological and physiatric rehabilitation activities to HUS from the beginning of 2018. The number of psychiatry treatment days decreased by 1.2%.

In 2019, HUS performed a record number of organ transplants, 453 in all. In 2018, by comparison, only 393 were performed.