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Keski-Suomen sairaanhoitopiiri on tiukassa paikassa: raju kiristys talouteen, epäluottamus johtajaan ja uuden sairaalan käynnistäminen keskellä hoitajapulaa
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0-3.1 3.1A8.5 8.5 0 0 0 1.3 10zm8.3-3.5a.6.6 0 0 1 .4-.1.6.6 0 0 1 .4 0l4.6 4.7a.6.6 0 0 1 .1.4l-.1.3-.3.3a.6.6 0 0 1-.3.2.6.6 0 0 1-.4-.2l-4-4-4 4a.6.6 0 0 1-.4.2.4.4 0 0 1-.3-.2L5 12a.6.6 0 0 1-.1-.4l.1-.3 4.6-4.7z'/%3e%3c/svg%3e")}@media screen and (min-width: 411px){.yle-header-lang-sv nav.yle-header-navigation{display:inline-block}.yle-header-lang-sv .yle-header-navigation-toggler-text{text-indent:-999em}.yle-header-lang-sv nav.yle-header-megamenu .yle-header-main-link{display:none}}@media screen and (min-width: 376px){.yle-header-lang-fi nav.yle-header-navigation,.yle-header-lang-en nav.yle-header-navigation{display:inline-block}.yle-header-lang-fi .yle-header-navigation-toggler-text,.yle-header-lang-en .yle-header-navigation-toggler-text{text-indent:-999em}.yle-header-lang-fi nav.yle-header-megamenu .yle-header-main-link,.yle-header-lang-en nav.yle-header-megamenu .yle-header-main-link{display:none}}@media screen and (min-width: 532px){.yle-header 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#4b535a}.yle-header nav.yle-header-navigation a,.yle-header-megamenu-wrapper>label{opacity:0.9}.yle-header nav.yle-header-navigation a:hover,.yle-header-megamenu-wrapper>label:hover{opacity:1}}.yle-header .yle-header-actions .yle-header-action.yle-header-action-search .yle-header-search-input{min-width:40px;max-width:40px}.yle-header .yle-header-actions .yle-header-action.yle-header-action-search .yle-header-search-input:focus{width:calc(100vw - 75px);min-width:150px;max-width:220px}.yle-header .yle-header-actions .yle-header-action.yle-header-action-search #yle-header-search-autocomplete{width:calc(100vw - 40px)}.yle-header .yle-header-actions .yle-header-action.yle-header-action-search #yle-header-search-autocomplete a{-webkit-box-flex:1;flex:1 1 100vw}@media screen and (min-width: 376px){.yle-header .yle-header-actions .yle-header-action.yle-header-action-search .yle-header-search-input:focus{width:220px}}@media screen and (min-width: 768px){.yle-header .yle-header-actions .yle-header-action.yle-header-action-search .yle-header-search-input{width:70px;min-width:70px;max-width:70px}.yle-header .yle-header-actions .yle-header-action.yle-header-action-search #yle-header-search-autocomplete{width:682px;max-width:calc(100vw - 150px);border-left:1px solid #ddd}.yle-header .yle-header-actions .yle-header-action.yle-header-action-search #yle-header-search-autocomplete a.yle-header-search-article{-webkit-box-flex:1;flex:1 1 640px}.yle-header .yle-header-actions .yle-header-action.yle-header-action-search #yle-header-search-autocomplete a.yle-header-search-article .yle-header-search-title{white-space:nowrap;text-overflow:ellipsis;height:20px}.yle-header .yle-header-actions .yle-header-action.yle-header-action-search #yle-header-search-autocomplete a.yle-header-search-video{-webkit-box-flex:1;flex:1 1 290px}}@-webkit-keyframes yle-header-appear{0%{display:none;opacity:0}1%{display:block;opacity:0}100%{opacity:1}}@keyframes yle-header-appear{0%{display:none;opacity:0}1%{display:block;opacity:0}100%{opacity:1}}@media print{header.yle-header,header.yle-header-stripe,header.yle-header-ad,header.yle-header-extras-demo{display:none}} </style><header role="banner" class="yle-header yle-header-lang-fi"> <div class="yle-header-container"> <figure class="yle-header-logo"> <a id="yle-header-main-link-ylefi" tabindex="0" href="https://web.archive.org/web/20211210152035/https://yle.fi/">yle.fi</a> </figure> <nav class="yle-header-navigation"> <a id="yle-header-main-link--uutiset" tabindex="0" href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset">Uutiset</a> <a id="yle-header-main-link--areena" tabindex="0" href="https://web.archive.org/web/20211210152035/https://areena.yle.fi/tv">Areena</a> <a id="yle-header-main-link--urheilu" tabindex="0" href="https://web.archive.org/web/20211210152035/https://yle.fi/urheilu">Urheilu</a> </nav> <input type="checkbox" id="yle-header-navigation-toggler"/> <span class="yle-header-megamenu-wrapper"> <label role="button" tabindex="0" class="yle-header-navigation-toggler-text" for="yle-header-navigation-toggler">Valikko</label> <nav class="yle-header-megamenu"> <ul> <li class="yle-header-main-link"> <a id="yle-header-megamenu-main-link--uutiset" tabindex="0" href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset">Uutiset</a> </li> <li class="yle-header-main-link"> <a id="yle-header-megamenu-main-link--areena" tabindex="0" href="https://web.archive.org/web/20211210152035/https://areena.yle.fi/">Areena</a> </li> <li class="yle-header-main-link"> <a id="yle-header-megamenu-main-link--urheilu" tabindex="0" href="https://web.archive.org/web/20211210152035/https://yle.fi/urheilu">Urheilu</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--saa" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://yle.fi/saa/">Sää</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--teksti-tv" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://yle.fi/aihe/tekstitv">Teksti-TV</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--elava-arkisto" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://yle.fi/aihe/elava-arkisto">Elävä arkisto</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--lapset" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://yle.fi/aihe/lapset">Lapset</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--radio" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://areena.yle.fi/radio">Radio</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--radio-opas" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://areena.yle.fi/radio/opas">Radio-opas</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--tv-opas" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://areena.yle.fi/tv/opas">TV-opas</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--suorat" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://areena.yle.fi/tv/suorat/yle-tv1">Katsele TV:tä</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--oppiminen" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://yle.fi/aihe/oppiminen">Oppiminen</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--kulttuuri" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://yle.fi/aihe/kulttuuri">Kulttuuri</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--luonto" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://yle.fi/aihe/luonto">Luonto</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--tiede" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://yle.fi/aihe/tiede">Tiede</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--svenska" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://svenska.yle.fi/">Svenska</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--news" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://yle.fi/news">News</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--novosti" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/osasto/novosti/">Novosti</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--sapmi" class="yle-header-megamenu-link" href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/osasto/sapmi/">Sápmi</a> </li> <li> <a tabindex="-1" id="yle-header-megamenu-link--cookie-preferences" class="yle-header-megamenu-link">Evästeasetukset</a> </li> </ul> </nav> </span> <div class="yle-header-actions"> <div class="yle-header-action yle-header-action-search"> <form novalidate method="get" action="https://web.archive.org/web/20211210152035/https://haku.yle.fi/" class="yle-header-search-form" role="search"> <input type="hidden" name="language" value="fi"/> <input type="hidden" name="uiLanguage" value="fi"/> <input tabindex="0" class="yle-header-search-input" name="query" type="text" placeholder="Hae" autocomplete="off" spellcheck="false" dir="auto" aria-label="Haku"/> <button tabindex="0" class="yle-header-search-submit" type="submit" title="Hae">Hae</button> </form> </div> <div class="yle-header-action yle-header-action-tunnus"> <div class="yle-header-action-login"> <button class="yle-header-tunnus-login" tabindex="0">Kirjaudu</button> </div> <div class="yle-header-action-open-tunnus-menu"> <button class="yle-header-tunnus-menu-open" aria-label="on sisäänkirjautunut Yle 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class="GridSystem__GridCell-sc-15162af-0 ExceptionalStripe__Container-sc-1njzu0g-1 iSIPpf bVaxRk"><span id="breaking-news-tag"><span class="Tag__Box-sc-d06pgy-1 iBGPpE">Juuri nyt</span></span><h2 class="Typography-sc-1his0m9-0 dKbdtM"><a href="/web/20211210152035/https://yle.fi/uutiset/3-12224296">Tällainen on Suomen uusi hävittäjä F-35 </a></h2></div></div><div class="GridSystem__GridRow-sc-15162af-1 xJCCA"><div class="GridSystem__GridCell-sc-15162af-0 gyKNOS"></div></div><div class="GridSystem__GridRow-sc-15162af-1 ArticlePage__ArticleRow-sc-1sk1ppm-2 xJCCA"><div class="ArticlePage__ArticlePageMainColumn-sc-1sk1ppm-0 hwVvD"><div class="GridSystem__GridCell-sc-15162af-0 ArticlePage__ArticleGridCell-sc-1sk1ppm-1 glQKzU auYeu"><article class="yle__article" itemtype="http://schema.org/Article" itemscope=""><div class="yle__article__header"><div class="sc-igXgud jmYlCu"><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-16617" class="sc-dSfdvi bgSoun">Sosiaali- ja terveyspalvelut</a></div><h1 class="sc-jrQzAO gafFvY yle__article__heading yle__article__heading--1" itemprop="headline">Keski-Suomen sairaanhoitopiiri on tiukassa paikassa: raju kiristys talouteen, epäluottamus johtajaan ja uuden sairaalan käynnistäminen keskellä hoitajapulaa</h1><p class="sc-bdvvtL sc-gHjyzD DcrRH hJlvSZ yle__article__paragraph">Uuden hyvinvointialueen valmistelu on vielä kesken ja johtajan lähtö hankaloittaisi työtä entisestään.</p><figure class="sc-hBUSln gNZOfE yle__article__figure" itemprop="image" itemscope="" itemtype="http://schema.org/Photograph"><div itemprop="image" class="sc-fotOHu heBGwE"><button class="sc-ieecCq gECQNi"><img alt="potilaspaareja." src="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_1200,h_900,ar_1.3333334,dpr_1,c_fill/q_auto:eco,f_auto,fl_lossy/39-89024861b305dc73625" class="sc-bkkeKt CcMiK"/></button></div><figcaption class="sc-ksdxgE eqDhFn"><span itemprop="description">Keski-Suomen sairaanhoitopiirin jäsenkuntia odottaa todennäköisesti lisälasku, koska alijäämää ei muuten saada ensi vuonna katettua.</span><span itemprop="copyrightHolder"> Kuva: Simo Pitkänen / Yle</span></figcaption></figure><div class="sc-dkQkyq iMTule"><div class="sc-hYQoXb ffwkXD"><div itemscope="" itemtype="http://schema.org/Person" itemprop="author" class="sc-iWBNLc gajveO"><span itemprop="name" class="sc-jivBlf gHsBtO">Sanna Savela</span></div></div></div><div class="sc-JEhMO eSjGcE"><div class="sc-itWPBs cjBBhP yle__article__date"><time class="sc-dcgwPl gUGIAw yle__article__date--published" datetime="2021-12-10T13:45:00+02:00" itemprop="datePublished">10.12. 13:45</time></div><div class="sc-fydGpi fXFxij"><button class="sc-cHzqoD cCxBOu" size="24" aria-label="Jaa artikkeli"><svg aria-label="" fill="#131415" height="24" role="img" viewbox="0 0 24 24" width="24"><path d="M9.70941393,0.295203929 L13.7071,4.29289 C14.0976,4.68342 14.0976,5.31658 13.7071,5.70711 C13.3166,6.09763 12.6834,6.09763 12.2929,5.70711 L10,3.41421 L10,14 C10,14.5523 9.5523,15 9,15 C8.4477,15 8,14.5523 8,14 L8,3.41421304 L5.70711,5.70711 C5.31658,6.09763 4.68342,6.09763 4.29289,5.70711 C3.90237,5.31658 3.90237,4.68342 4.29289,4.29289 L8.29058696,0.295203035 C8.47172823,0.112882186 8.72267789,0 9,0 C9.27732257,0 9.52827259,0.112882555 9.70941393,0.295203929 Z M1,10 C1.55228,10 2,10.4477 2,11 L2,19 C2,19.2652 2.10536,19.5196 2.29289,19.7071 C2.48043,19.8946 2.73478,20 3,20 L15,20 C15.2652,20 15.5196,19.8946 15.7071,19.7071 C15.8946,19.5196 16,19.2652 16,19 L16,11 C16,10.4477 16.4477,10 17,10 C17.5523,10 18,10.4477 18,11 L18,19 C18,19.7957 17.6839,20.5587 17.1213,21.1213 C16.5587,21.6839 15.7957,22 15,22 L3,22 C2.20435,22 1.44129,21.6839 0.87868,21.1213 C0.31607,20.5587 0,19.7956 0,19 L0,11 C0,10.4477 0.44772,10 1,10 Z"></path></svg></button></div></div></div><div class="yle__article__content"><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Keski-Suomen sairaanhoitopiiri on poikkeuksellisen vaikeassa tilanteessa.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Hoitajista ja erikoislääkereistä on pulaa ja koronan takia hoitovelka kasvaa. Potilastietojärjestelmän hankkiminen epäonnistui. Muutto uuteen sairaalaan. Ensi vuoden aikana on säästettävä toimintamenoista 30 miljoonaa euroa ja katettava lähes 34 miljoonaa euroa alijäämää, että hyvinvointialue pääsee aloittamaan puhtaalta pöydältä. Uuden hyvinvointialueen valmistelu on vielä kesken ja samaan aikaan sairaanhoitopiiriin johtajaan liittyy luottamuspula.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Keski-Suomen sairaanhoitopiirin hallituksen puheenjohtaja <strong class="sc-eCImPb gnyUYr yle__article__strong">Tony Melville</strong> myöntää, että tilanne on vakava.</p></div><div><figure class="sc-hBUSln dgBzGf yle__article__figure" itemprop="image" itemscope="" itemtype="http://schema.org/Photograph"><div itemprop="image" class="sc-fotOHu heBGwE"><button class="sc-ieecCq gECQNi"><img alt="Tony Melville." src="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_1200,h_900,ar_1.3333334,dpr_1,c_fill/q_auto:eco,f_auto,fl_lossy/39-89024461b305c521166" class="sc-bkkeKt CcMiK"/></button></div><figcaption class="sc-ksdxgE eqDhFn"><span itemprop="description">Keski-Suomen sairaanhoitopiirin hallituksen puheenjohtaja Tony Melville pitää henkilökohtaisesti kovimpina haasteina sairaala Novan virittämistä täyteen toimintaan sekä henkilöstön jaksamista.</span><span itemprop="copyrightHolder"> Kuva: Simo Pitkänen / Yle</span></figcaption></figure></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– Henkilökohtaisesti luotan, että yhteisvoimin tästä selvitään. Sairaanhoitopiirin ja sen hallituksen paras joululahja olisi työrauha.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Sairaanhoitopiirillä on riittänyt haasteita jo pitkään. Hallitus vaihdettiin lähes kokonaisuudessaan tänä syksynä. Syynä oli sairaala Novan rakentamiskustannusten reilu ylittyminen. <a class="sc-dkPtRN cJOPCK yle__article__link" href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/3-12145867">Myös potilastietojärjestelmän hankkimiseen liittynyt kahnaus painoi.</a></p></div><div><h3 class="sc-iqseJM gaEwMY yle__article__heading yle__article__heading--3">Toiminta jo nyt kustannustehokasta</h3></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Sairaanhoitopiirin alkuperäinen suunnitelma oli kattaa alijäämä vuoteen 2024 mennessä, mutta <a class="sc-dkPtRN cJOPCK yle__article__link" href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/3-11993768">sote-ratkaisu typisti aikataulua kahdella vuodella</a>. Sairaanhoitopiirien on tehtävä ensi vuonna vähintään nollatulos, että hyvinvointialueet pääsevät aloittamaan vuoden 2023 alusta puhtaalta pöydältä.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Sairaanhoitopiirin vs. johtaja <strong class="sc-eCImPb gnyUYr yle__article__strong">Juha Paloneva</strong> sanoo, että koko syksy on tehty tiiviisti talousarviota. Löysää sairaanhoitopiirin taloudessa ei ole ollut pitkään aikaan.</p></div><div><figure class="sc-hBUSln dgBzGf yle__article__figure" itemprop="image" itemscope="" itemtype="http://schema.org/Photograph"><div itemprop="image" class="sc-fotOHu iyZMJM"><button class="sc-ieecCq gECQNi"><img alt="Juha Paloneva katsoo kameraan." src="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_1200,h_900,ar_1.3334321,dpr_1,c_fill/q_auto:eco,f_auto,fl_lossy/39-88769761a9f6afccf05" class="sc-bkkeKt CcMiK"/></button></div><figcaption class="sc-ksdxgE eqDhFn"><span itemprop="description">Keski-Suomen sairaanhoitopiirin vs. johtaja ja johtajaylilääkäri Juha Paloneva sanoo, että taloutta on kiristetty niin, että se mahdollisimman vähän haittaisi ydintehtävää eli korkeatasoisen erikoissairaanhoidon järjestämistä.</span><span itemprop="copyrightHolder"> Kuva: Simo Pitkänen / Yle</span></figcaption></figure></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– Jokainen kivi ja kanto on käännetty ja tiristetty säästöjä sieltä, mistä vain suinkin voi. Myös epärealistiset vaihtoehdot on käyty läpi: voitaisiinko esimerkiksi jotain ei-lakisääteistä palvelutarjontaa karsia, sanoo Paloneva.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Alijäämän lisäksi sairaanhoitopiiri on supistanut ensi vuoden toimintamenoja noin 30 miljoonalla eurolla.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Keski-Suomen sairaanhoitopiirin talousjohtaja <strong class="sc-eCImPb gnyUYr yle__article__strong">Aija Suntioinen</strong> sanoo, että joka vuosi talouden tavoitteet ovat olleet kovat ja kunnianhimoiset, mutta ensi vuodesta tulee historiallisen tiukka.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– Tässä tilanteessa on myös ongelma, että jo tähän mennessä olemme tehneet paljon työtä kustannustehokkuuden eteen. Helpot keinot on jo käytetty.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Palonevan mukaan erikoissairaanhoito on Keski-Suomessa maan halvinta yhdessä Helsingin ja Uudenmaan sairaanhoitopiirin HUSin kanssa. Keski-Suomen sairaanhoitopiirin erikoissairaanhoidon menot ovat 1100 euroa asukasta kohti – 200 euroa vähemmän kuin valtakunnan keskiarvo.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– OIemme jo Suomen halvimpia, mutta emme vieläkään riittävän halpoja.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Palonevaa mietityttää, että missä vaiheessa säästämisessä tulee raja vastaan: mikä on kipuraja, jolla lakisääteiset tehtävät voidaan vielä hoitaa.</p></div><div><figure class="sc-hBUSln dgBzGf yle__article__figure" itemprop="image" itemscope="" itemtype="http://schema.org/Photograph"><div itemprop="image" class="sc-fotOHu heBGwE"><button class="sc-ieecCq gECQNi"><img alt="Sairaala Novan itseilmoittautumis automaatteja kolme kappaletta. Taka alla asiakas automaatilla." src="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_1200,h_900,ar_1.3333334,dpr_1,c_fill/q_auto:eco,f_auto,fl_lossy/39-89024361b305beaff85" class="sc-bkkeKt CcMiK"/></button></div><figcaption class="sc-ksdxgE eqDhFn"><span itemprop="description">Novan hoitojonot ovat joillakin aloilla helpottuneet syksyn aikana.</span><span itemprop="copyrightHolder"> Kuva: Simo Pitkänen / Yle</span></figcaption></figure></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– Henkilöstömitoitus on jo nyt varsin tiukka. Jos tästä täytyy vielä kiristää, niin se tulee varmasti pidentämään hoitojonoja ja heikentämään palvelutasoa.</p></div><div><h3 class="sc-iqseJM gaEwMY yle__article__heading yle__article__heading--3">Kunnille tulossa iso lisälasku</h3></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Sairaanhoitopiirin on tarkoitus kattaa puolet alijäämästä alentamalla peruspääomaa ja myymällä omaisuutta.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Toinen puolikas, noin 17 miljoonaa saattaa jäädä kuntien kustannettavaksi.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Jyväskylän kaupunginhallitus on antanut sairaanhoitopiirin valtuustoon kaupungin edustajille ohjeistuksen, ettei alijäämän kattaminen saa aiheuttaa lisäpainetta jäsenkuntien talouteen.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Keski-Suomen sairaanhoitopiirin hallituksen puheenjohtaja Tony Melville on myös Jyväskylän kaupunginvaltuutettu ja kaupunginhallituksen jäsen. Hän sanoo ymmärtävänsä hyvin, mistä lähtökohdista kaupunki halusi ohjeistuksen antaa.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– Pyrimme siihen, että kuntien loppulasku olisi mahdollisimman pieni, mutta en voi luvata, että se olisi puhdas nolla. Täytyy olla realisti, sanoo Melville.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Melville myöntää, että tilanne on jäsenkuntien kannalta ikävä, koska ensi vuonna sosiaali- ja terveydenhuollon menot pitäisi pitää kurissa.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– Muuten tulee kunnille vahinkoa, kun valtionosuudet pienenevät.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Kuntien saamista valtionosuuksista siirtyy uuden hyvinvointialueen rahoitukseen toiminnan kustannuksia vastaava osuus, joka määräytyy vuosin 2021 ja 2022 kustannustason perusteella. Mitä pienemmät hyvinvointialueelle siirtyvät kustannukset ovat, sitä vähemmän kuntien tulevaa rahoitusta pienennetään.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Valtakunnallinen hoitajapula koettelee myös Keski-Suomen sairaanhoitopiiriä. Paloneva kertoo, että syksyn mittaan hoitohenkilöstöä on saatu palkattua sairaala Novaan.</p></div><div><figure class="sc-hBUSln dgBzGf yle__article__figure" itemprop="image" itemscope="" itemtype="http://schema.org/Photograph"><div itemprop="image" class="sc-fotOHu heBGwE"><button class="sc-ieecCq gECQNi"><img alt="Sairaalan käytävällä kyltti jossa tekstiä: Odotustila, paariodotus. taustalla asiakkaita istumassa." src="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_1200,h_900,ar_1.3333334,dpr_1,c_fill/q_auto:eco,f_auto,fl_lossy/39-89025161b305ef9116c" class="sc-bkkeKt CcMiK"/></button></div><figcaption class="sc-ksdxgE eqDhFn"><span itemprop="description">Hoitajapula on valtakunnallinen ja se on näkynyt myös sairaalan päivystyksessä. </span><span itemprop="copyrightHolder"> Kuva: Simo Pitkänen / Yle</span></figcaption></figure></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– Tilanne ei silti ole vieläkään optimaalinen. Esimerkiksi kaikkia vuodeosastopaikkoja ei saada käyttöön, koska hoitohenkilöstöä ei ole riittävästi.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Lisäksi myös erikoislääkäreistä on pulaa.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Melville sanoo olevansa hyvin huolestunut henkilöstön jaksamisesta, koska terveydenhuollon työntekijät ovat olleet kovilla jo lähes kaksi vuotta koronapandemian takia.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– He ovat tehneet loistavaa työtä paineen alla. On ihan selvää, ettei kukaan voi jaksaa tehdä ylitöitä loputtomiin.</p></div><div><h3 class="sc-iqseJM gaEwMY yle__article__heading yle__article__heading--3">Johtajaan epäluottamusta huonolla hetkellä</h3></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Koronapandemia on tuonut terveydenhuoltoon lisäkuormitusta ja sen vuoksi hoitovelka kasvaa jatkuvasti. Keski-Suomen sairaanhoitopiirissä supistettiin muiden sairaanhoitopiirien tavoin kiireetöntä hoitoa kahdeksi kuukaudeksi hyvin voimakkaasti keväällä 2020.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– Sitä kaikkea velkaa ei ole vielä hoidettu, koska päälle tuli uuden sairaala Novan käyttöönotto. Tilanne oli pahin kesällä ja alkusyksystä. Nyt hoitojonoja on päästy purkamaan, mutta esimerkiksi tekonivelkirurgiassa tilanne on jonkin verran heikentynyt, sanoo Paloneva.</p></div><div><figure class="sc-hBUSln dgBzGf yle__article__figure" itemprop="image" itemscope="" itemtype="http://schema.org/Photograph"><div itemprop="image" class="sc-fotOHu heBGwE"><button class="sc-ieecCq gECQNi"><img alt="Sairaala Novan rakennus kuurassa." src="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_1200,h_900,ar_1.3333334,dpr_1,c_fill/q_auto:eco,f_auto,fl_lossy/39-89026061b3062d2ee37" class="sc-bkkeKt CcMiK"/></button></div><figcaption class="sc-ksdxgE eqDhFn"><span itemprop="description">Keski-Suomen uusi keskussairaala Nova otettiin käyttöön tammikuussa.</span><span itemprop="copyrightHolder"> Kuva: Simo Pitkänen / Yle</span></figcaption></figure></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Palonevan mukaan sairaalan käynnistymisvaihe on edelleen meneillään ja sekin aiheuttaa lisätyötä – puhumattakaan uuden hyvinvointialueen valmistelusta, joka jatkuu siihen saakka, kunnes vaaleissa valittavat aluevaltuutetut aloittavat työnsä maaliskuussa 2022.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Sosiaali- ja terveydenhuollon sekä pelastustoimen järjestämisvastuu siirtyy hyvinvointialueille vuoden alusta 2023.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Paloneva myöntää, että <a class="sc-dkPtRN cJOPCK yle__article__link" href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/3-12219303">sairaanhoitopiirin johtaja Juha Kinnuseen liittyvä epäluottamus</a> tulee hankalaan tilanteeseen, koska hyvinvointialueen valmistelu on kesken.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– Aiheuttaa suuria haasteita, jos kokenut kehäkettu siirtyy syrjään. Valmistelutyötä on vielä paljon jäljellä ja on vaikea saada kaikki valmiiksi määräaikaan mennessä.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">Myös Melville kokee, että Kinnusen lähtö olisi menetys.</p></div><div><p class="sc-bdvvtL sc-gsDKAQ DcrRH hTrGBA yle__article__paragraph">– Minun mielestäni on äärimmäisen surullinen asia, että johtaja on mahdollisesti lähdössä, koska hän on äärimmäisen ahkera ja ihmisenä jalomielinen.</p></div></div><div class="yle__article__footer"><div class="sc-JkixQ ehIcIn"><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-16617" class="sc-bUbRBg bkYqhP">Sosiaali- ja terveyspalvelut</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-5720" class="sc-bUbRBg bkYqhP">Sairaanhoitopiirit</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-834" class="sc-bUbRBg bkYqhP">Sosiaali- ja terveyshallinto</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-204933" class="sc-bUbRBg kyVbkq">Talous</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-5233" class="sc-bUbRBg kyVbkq">Erikoissairaanhoito</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-35370" class="sc-bUbRBg kyVbkq">Sote-uudistus</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-301766" class="sc-bUbRBg kyVbkq">Keski-Suomen sairaanhoitopiiri</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-36835" class="sc-bUbRBg kyVbkq">Terveydenhuollon, opetuksen, kulttuurin ja muiden yhteiskuntapalvelujen hallinto</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-202080" class="sc-bUbRBg kyVbkq">Helsingin ja Uudenmaan sairaanhoitopiiri (HUS)</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-207943" class="sc-bUbRBg kyVbkq">Kunnat</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-185882" class="sc-bUbRBg kyVbkq">Keski-Suomi</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-209134" class="sc-bUbRBg kyVbkq">Terveydenhoito</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-824" class="sc-bUbRBg kyVbkq">Potilastietojärjestelmät</a><a href="https://web.archive.org/web/20211210152035/https://yle.fi/uutiset/18-34837" class="sc-bUbRBg kyVbkq">Kotimaa</a><button class="sc-cHzqoD cEukva sc-gGPzkF cYiJiG" size="48"><svg aria-label="" fill="#131415" height="24" role="img" viewbox="0 0 24 24" width="24"><path d="M13 5C13 4.44772 12.5523 4 12 4C11.4477 4 11 4.44772 11 5V11H5C4.44772 11 4 11.4477 4 12C4 12.5523 4.44772 13 5 13H11V19C11 19.5523 11.4477 20 12 20C12.5523 20 13 19.5523 13 19V13H19C19.5523 13 20 12.5523 20 12C20 11.4477 19.5523 11 19 11H13V5Z"></path></svg></button></div></div></article><div id="yle-comments-plugin" 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https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_235,h_132,ar_1.7777777777777777,dpr_1,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639143031/13-3-12225234 1x"/><source media="(min-width: 768px) and (max-width: 1023px)" srcset="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_320,h_180,ar_1.7777777777777777,dpr_3,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639143031/13-3-12225234 3x, https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_320,h_180,ar_1.7777777777777777,dpr_2,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639143031/13-3-12225234 2x, https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_320,h_180,ar_1.7777777777777777,dpr_1,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639143031/13-3-12225234 1x"/><source media="(min-width: 1024px)" srcset="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_328,h_185,ar_1.7777777777777777,dpr_3,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639143031/13-3-12225234 3x, https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_328,h_185,ar_1.7777777777777777,dpr_2,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639143031/13-3-12225234 2x, https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_328,h_185,ar_1.7777777777777777,dpr_1,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639143031/13-3-12225234 1x"/><img class="ResponsiveImage__Img-sc-yvl7gl-0 gpkPTK" alt="f35_ominaisuudet" src="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639143031/13-3-12225234"/></picture></div></div></div><div class="MiniFrontpageExceptionalHeadline__ContentWrapper-sc-16oesrn-4 fHeHjo"><span class="Tag__Box-sc-d06pgy-1 iBGPpE">Juuri nyt</span><h4 class="Typography-sc-1his0m9-0 MiniFrontpageExceptionalHeadline__StyledHeadline-sc-16oesrn-5 kIJQGM gCyspw link-accent">Tällainen on Suomen uusi hävittäjä F-35 </h4><p class="Typography-sc-1his0m9-0 ixVCar">Nykyisten Hornetien jälkeen Suomen valinta on maailman nykyaikaisin hävittäjä, jota useat Nato-maat käyttävät. </p><div class="HeadlineMetaData__Container-sc-1n8lae9-0 xyYXn"><time class="DateTime__Time-sc-327z34-0 fNRHDu" aria-label="16:03" datetime="2021-12-10T16:03:20+0200" data-testid="datetime-test-id">16:03</time><div class="HeadlineMetaData__FluidContainer-sc-1n8lae9-1 hbTLdU"><span class="Tag__Chip-sc-d06pgy-2 grlKv" href="https://yle.fi/uutiset/18-250346">Hävittäjähankinnat</span></div><p class="HeadlineMetaData__CommentTypography-sc-1n8lae9-3 kVWrEI"><svg viewbox="0 0 24 24" height="16" role="img" aria-label="Kommentit aiheesta" aria-hidden="false" color="currentColor"><use 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srcset="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/c_crop,x_1467,y_0,w_3167,h_3167/w_74,h_74,ar_1,dpr_3,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1638680818/39-88827761ac488111481 3x, https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/c_crop,x_1467,y_0,w_3167,h_3167/w_74,h_74,ar_1,dpr_2,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1638680818/39-88827761ac488111481 2x, https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/c_crop,x_1467,y_0,w_3167,h_3167/w_74,h_74,ar_1,dpr_1,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1638680818/39-88827761ac488111481 1x"/><source media="(min-width: 376px) and (max-width: 767px)" srcset="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/c_crop,x_1467,y_0,w_3167,h_3167/w_172,h_172,ar_1,dpr_3,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1638680818/39-88827761ac488111481 3x, 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srcset="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/c_crop,x_1467,y_0,w_3167,h_3167/w_64,h_64,ar_1,dpr_3,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1638680818/39-88827761ac488111481 3x, https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/c_crop,x_1467,y_0,w_3167,h_3167/w_64,h_64,ar_1,dpr_2,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1638680818/39-88827761ac488111481 2x, https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/c_crop,x_1467,y_0,w_3167,h_3167/w_64,h_64,ar_1,dpr_1,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1638680818/39-88827761ac488111481 1x"/><img class="ResponsiveImage__Img-sc-yvl7gl-0 gpkPTK" alt="Poliisiauto kerrostalon edustalla." src="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/c_crop,x_0,y_247,w_4635,h_2607/c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1638680818/39-88827761ac488111481"/></picture></div></div></a></div></li><li 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gvanpH"><div class="ResponsiveImage__ImageWrapper-sc-yvl7gl-1 gEutWN"><picture><source media="(max-width: 375px)" srcset="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_74,h_74,ar_1,dpr_3,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639141380/13-3-12225105 3x, https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_74,h_74,ar_1,dpr_2,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639141380/13-3-12225105 2x, https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_74,h_74,ar_1,dpr_1,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639141380/13-3-12225105 1x"/><source media="(min-width: 376px) and (max-width: 767px)" srcset="https://web.archive.org/web/20211210152035im_/https://images.cdn.yle.fi/image/upload/w_172,h_172,ar_1,dpr_3,c_fill,g_faces/q_auto:eco,f_auto,fl_lossy/v1639141380/13-3-12225105 3x, 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lisälasku, koska alijäämää ei muuten saada ensi vuonna katettua.","source":"Simo Pitkänen \u002F Yle","recommendedFormat":"jpg","width":5000,"height":3750,"copyright":[{"language":"und","value":"Simo Pitkänen \u002F Yle"}],"licence":{"id":"6","name":[{"language":"und","value":"Yle"}]},"crops":[{"aspect":1.78,"coordinates":{"height":2812,"width":5000,"x":0,"y":198},"name":"16:9"},{"aspect":0.67,"coordinates":{"height":3750,"width":2500,"x":1509,"y":0},"name":"2:3"},{"aspect":1,"coordinates":{"height":3750,"width":3750,"x":534,"y":0},"name":"1:1"},{"aspect":2.5,"coordinates":{"height":1998,"width":4995,"x":4,"y":299},"name":"5:2"}]},{"type":"TextBlock","markdown":"Keski-Suomen sairaanhoitopiiri on poikkeuksellisen vaikeassa tilanteessa."},{"type":"TextBlock","markdown":"Hoitajista ja erikoislääkereistä on pulaa ja koronan takia hoitovelka kasvaa. Potilastietojärjestelmän hankkiminen epäonnistui. Muutto uuteen sairaalaan. Ensi vuoden aikana on säästettävä toimintamenoista 30 miljoonaa euroa ja katettava lähes 34 miljoonaa euroa alijäämää, että hyvinvointialue pääsee aloittamaan puhtaalta pöydältä. Uuden hyvinvointialueen valmistelu on vielä kesken ja samaan aikaan sairaanhoitopiiriin johtajaan liittyy luottamuspula."},{"type":"TextBlock","markdown":" Keski-Suomen sairaanhoitopiirin hallituksen puheenjohtaja **Tony Melville** myöntää, että tilanne on vakava."},{"type":"ImageBlock","id":"39-89024461b305c521166","alt":"Tony Melville.","aspect":1.3333334,"caption":"Keski-Suomen sairaanhoitopiirin hallituksen puheenjohtaja Tony Melville pitää henkilökohtaisesti kovimpina haasteina sairaala Novan virittämistä täyteen toimintaan sekä henkilöstön jaksamista.","source":"Simo Pitkänen \u002F Yle","recommendedFormat":"jpg","width":5000,"height":3750,"copyright":[{"language":"und","value":"Simo Pitkänen \u002F Yle"}],"licence":{"id":"6","name":[{"language":"und","value":"Yle"}]},"crops":[{"aspect":1.78,"coordinates":{"height":2812,"width":5000,"x":0,"y":123},"name":"16:9"},{"aspect":0.67,"coordinates":{"height":2699,"width":1799,"x":614,"y":120},"name":"2:3"},{"aspect":1,"coordinates":{"height":2888,"width":2888,"x":645,"y":97},"name":"1:1"},{"aspect":2.5,"coordinates":{"height":1998,"width":4995,"x":0,"y":202},"name":"5:2"}]},{"type":"TextBlock","markdown":"– Henkilökohtaisesti luotan, että yhteisvoimin tästä selvitään. Sairaanhoitopiirin ja sen hallituksen paras joululahja olisi työrauha."},{"type":"TextBlock","markdown":"Sairaanhoitopiirillä on riittänyt haasteita jo pitkään. Hallitus vaihdettiin lähes kokonaisuudessaan tänä syksynä. Syynä oli sairaala Novan rakentamiskustannusten reilu ylittyminen. [Myös potilastietojärjestelmän hankkimiseen liittynyt kahnaus painoi.](https:\u002F\u002Fyle.fi\u002Fuutiset\u002F3-12145867)"},{"type":"HeadingBlock","level":3,"text":"Toiminta jo nyt kustannustehokasta"},{"type":"TextBlock","markdown":"Sairaanhoitopiirin alkuperäinen suunnitelma oli kattaa alijäämä vuoteen 2024 mennessä, mutta [sote-ratkaisu typisti aikataulua kahdella vuodella](https:\u002F\u002Fyle.fi\u002Fuutiset\u002F3-11993768). Sairaanhoitopiirien on tehtävä ensi vuonna vähintään nollatulos, että hyvinvointialueet pääsevät aloittamaan vuoden 2023 alusta puhtaalta pöydältä."},{"type":"TextBlock","markdown":"Sairaanhoitopiirin vs. johtaja **Juha Paloneva** sanoo, että koko syksy on tehty tiiviisti talousarviota. Löysää sairaanhoitopiirin taloudessa ei ole ollut pitkään aikaan."},{"type":"ImageBlock","id":"39-88769761a9f6afccf05","alt":"Juha Paloneva katsoo kameraan.","aspect":1.3334321,"caption":"Keski-Suomen sairaanhoitopiirin vs. johtaja ja johtajaylilääkäri Juha Paloneva sanoo, että taloutta on kiristetty niin, että se mahdollisimman vähän haittaisi ydintehtävää eli korkeatasoisen erikoissairaanhoidon järjestämistä.","source":"Simo Pitkänen \u002F Yle","recommendedFormat":"jpg","width":4503,"height":3377,"copyright":[{"language":"und","value":"Simo Pitkänen \u002F Yle"}],"licence":{"id":"6","name":[{"language":"und","value":"Yle"}]},"crops":[{"aspect":1.78,"coordinates":{"height":2532,"width":4503,"x":0,"y":147},"name":"16:9"},{"aspect":0.67,"coordinates":{"height":3363,"width":2241,"x":998,"y":14},"name":"2:3"},{"aspect":1,"coordinates":{"height":2576,"width":2576,"x":841,"y":165},"name":"1:1"},{"aspect":2.5,"coordinates":{"height":1799,"width":4498,"x":4,"y":330},"name":"5:2"}]},{"type":"TextBlock","markdown":"– Jokainen kivi ja kanto on käännetty ja tiristetty säästöjä sieltä, mistä vain suinkin voi. Myös epärealistiset vaihtoehdot on käyty läpi: voitaisiinko esimerkiksi jotain ei-lakisääteistä palvelutarjontaa karsia, sanoo Paloneva."},{"type":"TextBlock","markdown":"Alijäämän lisäksi sairaanhoitopiiri on supistanut ensi vuoden toimintamenoja noin 30 miljoonalla eurolla. "},{"type":"TextBlock","markdown":"Keski-Suomen sairaanhoitopiirin talousjohtaja **Aija Suntioinen** sanoo, että joka vuosi talouden tavoitteet ovat olleet kovat ja kunnianhimoiset, mutta ensi vuodesta tulee historiallisen tiukka. "},{"type":"TextBlock","markdown":"– Tässä tilanteessa on myös ongelma, että jo tähän mennessä olemme tehneet paljon työtä kustannustehokkuuden eteen. Helpot keinot on jo käytetty."},{"type":"TextBlock","markdown":"Palonevan mukaan erikoissairaanhoito on Keski-Suomessa maan halvinta yhdessä Helsingin ja Uudenmaan sairaanhoitopiirin HUSin kanssa. Keski-Suomen sairaanhoitopiirin erikoissairaanhoidon menot ovat 1100 euroa asukasta kohti – 200 euroa vähemmän kuin valtakunnan keskiarvo."},{"type":"TextBlock","markdown":"– OIemme jo Suomen halvimpia, mutta emme vieläkään riittävän halpoja."},{"type":"TextBlock","markdown":"Palonevaa mietityttää, että missä vaiheessa säästämisessä tulee raja vastaan: mikä on kipuraja, jolla lakisääteiset tehtävät voidaan vielä hoitaa."},{"type":"ImageBlock","id":"39-89024361b305beaff85","alt":"Sairaala Novan itseilmoittautumis automaatteja kolme kappaletta. Taka alla asiakas automaatilla.","aspect":1.3333334,"caption":"Novan hoitojonot ovat joillakin aloilla helpottuneet syksyn aikana.","source":"Simo Pitkänen \u002F Yle","recommendedFormat":"jpg","width":5000,"height":3750,"copyright":[{"language":"und","value":"Simo Pitkänen \u002F Yle"}],"licence":{"id":"6","name":[{"language":"und","value":"Yle"}]},"crops":[{"aspect":1.78,"coordinates":{"height":2809,"width":4995,"x":0,"y":573},"name":"16:9"},{"aspect":0.67,"coordinates":{"height":3750,"width":2500,"x":1844,"y":0},"name":"2:3"},{"aspect":1,"coordinates":{"height":3750,"width":3750,"x":44,"y":0},"name":"1:1"},{"aspect":2.5,"coordinates":{"height":2000,"width":5000,"x":0,"y":612},"name":"5:2"}]},{"type":"TextBlock","markdown":"– Henkilöstömitoitus on jo nyt varsin tiukka. Jos tästä täytyy vielä kiristää, niin se tulee varmasti pidentämään hoitojonoja ja heikentämään palvelutasoa."},{"type":"HeadingBlock","level":3,"text":"Kunnille tulossa iso lisälasku"},{"type":"TextBlock","markdown":"Sairaanhoitopiirin on tarkoitus kattaa puolet alijäämästä alentamalla peruspääomaa ja myymällä omaisuutta."},{"type":"TextBlock","markdown":"Toinen puolikas, noin 17 miljoonaa saattaa jäädä kuntien kustannettavaksi."},{"type":"TextBlock","markdown":"Jyväskylän kaupunginhallitus on antanut sairaanhoitopiirin valtuustoon kaupungin edustajille ohjeistuksen, ettei alijäämän kattaminen saa aiheuttaa lisäpainetta jäsenkuntien talouteen."},{"type":"TextBlock","markdown":"Keski-Suomen sairaanhoitopiirin hallituksen puheenjohtaja Tony Melville on myös Jyväskylän kaupunginvaltuutettu ja kaupunginhallituksen jäsen. Hän sanoo ymmärtävänsä hyvin, mistä lähtökohdista kaupunki halusi ohjeistuksen antaa. "},{"type":"TextBlock","markdown":"– Pyrimme siihen, että kuntien loppulasku olisi mahdollisimman pieni, mutta en voi luvata, että se olisi puhdas nolla. Täytyy olla realisti, sanoo Melville."},{"type":"TextBlock","markdown":"Melville myöntää, että tilanne on jäsenkuntien kannalta ikävä, koska ensi vuonna sosiaali- ja terveydenhuollon menot pitäisi pitää kurissa."},{"type":"TextBlock","markdown":"– Muuten tulee kunnille vahinkoa, kun valtionosuudet pienenevät. "},{"type":"TextBlock","markdown":"Kuntien saamista valtionosuuksista siirtyy uuden hyvinvointialueen rahoitukseen toiminnan kustannuksia vastaava osuus, joka määräytyy vuosin 2021 ja 2022 kustannustason perusteella. Mitä pienemmät hyvinvointialueelle siirtyvät kustannukset ovat, sitä vähemmän kuntien tulevaa rahoitusta pienennetään."},{"type":"TextBlock","markdown":"Valtakunnallinen hoitajapula koettelee myös Keski-Suomen sairaanhoitopiiriä. Paloneva kertoo, että syksyn mittaan hoitohenkilöstöä on saatu palkattua sairaala Novaan."},{"type":"ImageBlock","id":"39-89025161b305ef9116c","alt":"Sairaalan käytävällä kyltti jossa tekstiä: Odotustila, paariodotus. taustalla asiakkaita istumassa.","aspect":1.3333334,"caption":"Hoitajapula on valtakunnallinen ja se on näkynyt myös sairaalan päivystyksessä. ","source":"Simo Pitkänen \u002F Yle","recommendedFormat":"jpg","width":5000,"height":3750,"copyright":[{"language":"und","value":"Simo Pitkänen \u002F Yle"}],"licence":{"id":"6","name":[{"language":"und","value":"Yle"}]},"crops":[{"aspect":1.78,"coordinates":{"height":2812,"width":5000,"x":0,"y":500},"name":"16:9"},{"aspect":0.67,"coordinates":{"height":3750,"width":2500,"x":864,"y":0},"name":"2:3"},{"aspect":1,"coordinates":{"height":3750,"width":3750,"x":430,"y":0},"name":"1:1"},{"aspect":2.5,"coordinates":{"height":1998,"width":4995,"x":0,"y":900},"name":"5:2"}]},{"type":"TextBlock","markdown":"– Tilanne ei silti ole vieläkään optimaalinen. Esimerkiksi kaikkia vuodeosastopaikkoja ei saada käyttöön, koska hoitohenkilöstöä ei ole riittävästi."},{"type":"TextBlock","markdown":"Lisäksi myös erikoislääkäreistä on pulaa."},{"type":"TextBlock","markdown":"Melville sanoo olevansa hyvin huolestunut henkilöstön jaksamisesta, koska terveydenhuollon työntekijät ovat olleet kovilla jo lähes kaksi vuotta koronapandemian takia."},{"type":"TextBlock","markdown":"– He ovat tehneet loistavaa työtä paineen alla. On ihan selvää, ettei kukaan voi jaksaa tehdä ylitöitä loputtomiin."},{"type":"HeadingBlock","level":3,"text":"Johtajaan epäluottamusta huonolla hetkellä"},{"type":"TextBlock","markdown":"Koronapandemia on tuonut terveydenhuoltoon lisäkuormitusta ja sen vuoksi hoitovelka kasvaa jatkuvasti. Keski-Suomen sairaanhoitopiirissä supistettiin muiden sairaanhoitopiirien tavoin kiireetöntä hoitoa kahdeksi kuukaudeksi hyvin voimakkaasti keväällä 2020."},{"type":"TextBlock","markdown":"– Sitä kaikkea velkaa ei ole vielä hoidettu, koska päälle tuli uuden sairaala Novan käyttöönotto. Tilanne oli pahin kesällä ja alkusyksystä. Nyt hoitojonoja on päästy purkamaan, mutta esimerkiksi tekonivelkirurgiassa tilanne on jonkin verran heikentynyt, sanoo Paloneva."},{"type":"ImageBlock","id":"39-89026061b3062d2ee37","alt":"Sairaala Novan rakennus kuurassa.","aspect":1.3333334,"caption":"Keski-Suomen uusi keskussairaala Nova otettiin käyttöön tammikuussa.","source":"Simo Pitkänen \u002F Yle","recommendedFormat":"jpg","width":5000,"height":3750,"copyright":[{"language":"und","value":"Simo Pitkänen \u002F Yle"}],"licence":{"id":"6","name":[{"language":"und","value":"Yle"}]},"crops":[{"aspect":1.78,"coordinates":{"height":2812,"width":5000,"x":0,"y":396},"name":"16:9"},{"aspect":0.67,"coordinates":{"height":3750,"width":2500,"x":413,"y":0},"name":"2:3"},{"aspect":1,"coordinates":{"height":3750,"width":3750,"x":93,"y":0},"name":"1:1"},{"aspect":2.5,"coordinates":{"height":1998,"width":4995,"x":4,"y":831},"name":"5:2"}]},{"type":"TextBlock","markdown":"Palonevan mukaan sairaalan käynnistymisvaihe on edelleen meneillään ja sekin aiheuttaa lisätyötä – puhumattakaan uuden hyvinvointialueen valmistelusta, joka jatkuu siihen saakka, kunnes vaaleissa valittavat aluevaltuutetut aloittavat työnsä maaliskuussa 2022."},{"type":"TextBlock","markdown":"Sosiaali- ja terveydenhuollon sekä pelastustoimen järjestämisvastuu siirtyy hyvinvointialueille vuoden alusta 2023."},{"type":"TextBlock","markdown":"Paloneva myöntää, että [sairaanhoitopiirin johtaja Juha Kinnuseen liittyvä epäluottamus](https:\u002F\u002Fyle.fi\u002Fuutiset\u002F3-12219303) tulee hankalaan tilanteeseen, koska hyvinvointialueen valmistelu on kesken. "},{"type":"TextBlock","markdown":"– Aiheuttaa suuria haasteita, jos kokenut kehäkettu siirtyy syrjään. Valmistelutyötä on vielä paljon jäljellä ja on vaikea saada kaikki valmiiksi määräaikaan mennessä. "},{"type":"TextBlock","markdown":"Myös Melville kokee, että Kinnusen lähtö olisi menetys."},{"type":"TextBlock","markdown":"– Minun mielestäni on äärimmäisen surullinen asia, että johtaja on mahdollisesti lähdössä, koska hän on äärimmäisen ahkera ja ihmisenä jalomielinen."}],"sources":null,"places":null},"supplements":{"topHeadlines":[{"uuid":"831423c1-59c4-11ec-aca6-a906b90e564f","type":"article","url":"\u002Fuutiset\u002F3-12225442","size":null,"texts":{"headline":{"text":"Kiuru: Kaikkien oireisten päästävä testiin, oli rokotuksia tai ei, pikatestit käyttöön työpaikoille ja kouluihin – katso tiedotustilaisuus juuri nyt"}},"image":{"id":"39-86055861558d4a7ff96","alt":"Sosiaali- ja terveysministeriö kertoo päivitetystä kansallisesta koronatestaus- ja jäljitysstrategiasta","version":1632996814,"blurhash":"L9GIGm*^8w?b~p4oo#f+HXE4.SR4","crops":[{"aspect":1.78,"coordinates":{"height":4473,"width":7952,"x":0,"y":410}}],"template":null},"isABTestOn":false,"variantId":"a","theme":null,"contentId":"3-12225442","format":"livefeed","journalisticStyle":null,"hideSummary":null,"hideViewerCount":null,"breakingNews":null,"journalistDriven":null,"customKicker":null,"video":{"id":"1-60970282"},"publishedAt":"2021-12-10T16:10:25+0200","contentModifiedAt":"2021-12-10T17:19:37+0200","relatedHeadlines":null,"concepts":[{"id":"18-89760","text":"Koronavirus","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20211210152035\u002Fhttps:\u002F\u002Fyle.fi\u002Fuutiset\u002F18-89760"},{"id":"18-220306","text":"Politiikka","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20211210152035\u002Fhttps:\u002F\u002Fyle.fi\u002Fuutiset\u002F18-220306"}],"topic":null,"byline":{"name":"Tulikukka de Fresnes","description":null,"image":{"id":"13-3-8271007","alt":"Tulikukka De Fresnes","version":1460379321,"blurhash":null,"crops":[],"template":null}},"livefeed":{"livefeedId":"64-1-703","livemode":true,"excerpts":[{"createdAt":"2021-12-10T15:17:54.171742Z","content":"Kiuru: Kotitestaus ei syrjäytä virallisia testejä"},{"createdAt":"2021-12-10T15:11:22.854587Z","content":"Puumalainen testausstrategiasta: Vahva suositus"},{"createdAt":"2021-12-10T15:04:16.924087Z","content":"Antigeenitestit eli pikatestit laajempaan käyttöön"}],"viewers":{"count":1023},"chat":{"isOpen":false}},"specialTopic":null},{"uuid":"6e0fbef1-59ae-11ec-bb4a-75f21b093611","type":"article","url":"\u002Fuutiset\u002F3-12224829","size":null,"texts":{"headline":{"text":"Yksi Kankaanpään terrorismijutun epäillyistä on päästetty vapaaksi – todennäköisiä syitä rikosepäilylle ei ole"},"lead":{"text":"Vapautettua henkilöä epäillään yhä terrorismirikoksista, ja hänen osallisuuttaan tapaukseen tutkitaan edelleen. 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"}},"image":{"id":"13-3-12225234","alt":"f35_ominaisuudet","version":1639143031,"blurhash":null,"crops":null},"publishedAt":"2021-12-10T16:03:20+0200","concepts":[{"id":"18-250346","text":"Hävittäjähankinnat","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20211210152035\u002Fhttps:\u002F\u002Fyle.fi\u002Fuutiset\u002F18-250346"},{"id":"18-155632","text":"F-35 Lightning II","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20211210152035\u002Fhttps:\u002F\u002Fyle.fi\u002Fuutiset\u002F18-155632"},{"id":"18-34837","text":"Kotimaa","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20211210152035\u002Fhttps:\u002F\u002Fyle.fi\u002Fuutiset\u002F18-34837"},{"id":"18-220306","text":"Politiikka","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20211210152035\u002Fhttps:\u002F\u002Fyle.fi\u002Fuutiset\u002F18-220306"},{"id":"18-211287","text":"Puolustuspolitiikka","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20211210152035\u002Fhttps:\u002F\u002Fyle.fi\u002Fuutiset\u002F18-211287"},{"id":"18-208043","text":"Puolustusvoimat","url":"https:\u002F\u002Fweb.archive.org\u002Fweb\u002F20211210152035\u002Fhttps:\u002F\u002Fyle.fi\u002Fuutiset\u002F18-208043"}]},{"contentId":"3-12224288","type":"article","url":"\u002Fuutiset\u002F3-12224288","texts":{"headline":{"text":"UPM:n vaneritehtaille ja sahoille syntyi sopu työehdoista, Teollisuusliitto muutti kantaansa – UPM-pomo: Tässä on tehty historiaa"},"lead":{"text":"UPM on pyrkinyt seitsemään liiketoimintakohtaiseen työehtosopimukseen, joista kaksi on nyt saatu solmituksi. Paperiliiton kanssa neuvottelut ovat olleet jumissa. 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