Process  set of interrelated or interacting activities which transforms inputs into outputs (ISO 9000:2000) Maria Areblad 16 May 2003  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

Process Condition Actor responsible for the process Condition Time course Objective

The processes Communication process refinement object: information on resources, documents, messages 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

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

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

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

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

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

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

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

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

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

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

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