Process

1. 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

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

3. 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

4. Clinical process – health condition assess condition perceived condition Management process – mandate decision to assess demand for care decision on assessment Communication process – information receive demand for care demand for care received demand for care Demand for care Adm. kind Adm.data

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

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

7. Program of care Adapt to one specific patient Clinical process – health condition conditions in care plans pick activities Management process – mandate establish programme of care planning decision decide care planning programme of care decide usage of planned activities Communication process – information resource- provided activity list book resources activity list

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

9. Activities Defined achievements Clinical process – health condition perform treatment treated condition Update objective Management process – mandate programme of care decision to perform revise prog- ramme of care decide usage of planned activities Communication process – information resource- provided activity list book resources, record program of care activity list

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

11. End of process Clinical process – health condition assess healthcare objective as fulfilled perceived condition Process completed decide discharge message healthcare objective discharge decision Management process – mandate Communication process – information issue discharge message discharge message

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

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

14. Term catalogue Term name Quality level Definition Term usage Description Applicable for quality level B only Source Decision date Stage code