People with healthcare needs Functional health status The Clinical Value Compass NEED RESULT People with healthcare needs Outcome: Changed health status Value Compass Functional health status Costs Expecta-tions Clinical biological status Total costs Satisfaction against needs Clinical out- comes WHAT WE DO The Healthcare processes/ performances WHAT DO THEY LOOK LIKE? Initial health status/condition Changed health status/condition

Functional health status 3- © 1996 Dartmouth Medical School and Lahey Hitchcock Clinic The Clinical Value Compass • Physically • Social/Role • Risk status • Well being • Mental • Pain • Vitality • Perceived well being • Health risk status Functional health status • Clinical result Mortality • Achieved health • Morbidity/ infirmity Sjuklighet = morbidity, infirmity, invalidity Satisfaction compared to need • How he/she is met • Respect • Participation • Information • Pat/ family’s satisfaction with the process • Perceived health benefit Medical status • Complications • Lab results • Test results • Clinical signs • Symptoms Cost • Direct medical • Indirect social • Costs for substitutes • Direct health costs • Resource consumption

A way to think about aims, activities, participants in healthcare © 1996 Lahey Hitchcock Clinic 24 10- The Clinical Value Compass A way to think about aims, activities, participants in healthcare Processes Result Need Dx Rx Initial health status Healthcare performances New health status

A Strategic compass 2. Key processes 3. Patient satisfaction 1. Innovation & learning 4. Economy