Process set of interrelated or interacting activities which

Process ¡ ¡ ¡ ¡ set of interrelated or interacting activities which transforms inputs into outputs (ISO 9000: 2000) has one refinement object is value adding to someone has a defined goal/objective someone is responsible has resources at its own disposal has a time course has a clear starting point and end point Maria Areblad 16 May 2003

Process Actor Objective responsible for the process Condition Process Time course Condition

The processes Clinical process refinement object: patient condition including health issues as peceived by healthcare professionals Decision process refinement object: mandate based on demand for care and healthcare commitment, planning, decisions Communication process refinement object: information on resources, documents, messages

Demand for care d Adm. kin Clinical process – health condition assess condition ata . d Adm Management process – mandate decision on assessment Communication process – information demand for care received demand for care decision to assess demand for care perceived condition

Healthcare mandate healthcare commitment Clinical process – health condition match against service repository condition identify health issues possible to handle Management process – mandate decide on care mandate Communication process – information healthcare no mandate

Health issue thread, hc objective Prel. planning Clinical process – health condition health issues get supplementary information supplemented perceived condition assess need for care condition assessed regarding need for care Management process – mandate delineate health issue complex to be handled health issue complex assess priority, define healthcare objective Communication process – information match objective against available activities

Program of care Adapt to one specifi c patie nt Clinical process – health condition pick activities conditions in care plans Management process – mandate decide care planning decision establish programme of care decide usage of planned activities Communication process – information activity list book resources resourceprovided activity list

Activities Investigating activities Clinical process – health condition perform investigation investigated condition assessed condition Management process – mandate decision to perform redefine healthcare objective Communication process – information match objective against available activities

Activities Defined ach ievements Clinical process – health condition perform treatment treated condition Update objective Management process – mandate revise programme of care decide usage of planned activities decision to perform Communication process – information activity list book resources, record program of care resourceprovided activity list

Quality check Evaluation Clinical process – health condition evaluate result assessed condition match condition against objective remaining need for care Management process – mandate check quality Communication process – information quality result redefine healthcare objective

End of process es sc perceived condition oc assess healthcare objective as fulfilled Pr Clinical process – health condition ed t ple om healthcare objective decide discharge message discharge decision Management process – mandate Communication process – information issue discharge message

Documentation and process Patient’s health care record Adm. data Demand for care Defined achievements Treatment History Result Investigating activities Objective Status Assessment Programme of care Evaluation Process completed Quality assurance Discharge letter

Process and resource layers Adm data History Status Assessment Objective Result Measures taken Evaluation

Term catalogue Term name Quality level Definition Term usage Description Source Decision date Stage code ality le for qu Applicab nly level B o