1. CUSTOMER 4.0 Quality Management System 5.0 Management responsibility
4.1
4.2
4.1 General (4.2)
4.1.f Continual Improvement*
4.2 Document requirements
4.2.2 Quality Manual (4.2) Justification & process flow diagram*
4.2.3 Documentation (4.5)
4.2.4 Records (4.16)
5.1
5.2
5.3
5.4
5.5
5.6
5.0 Management responsibility
CUSTOMER
8.1
8.2
8.3
8.4
8.5
8.0 Measurement, analysis and improvement
CUSTOMER
6.1
6.2
6.3
6.4
6.0 Resource management
5.1 Management commitment (4.1)
5.2 Customer focus*
5.3 Quality Policy (4.1)*
5.4 Planning (objectives)
5.5 Responsibility & authority (4.1)
5.5.3 Internal Communication*
5.6 Management review (4.1)
8.1 General
8.2 Monitor & measure
8.2.1 Customer Satisfaction*
8.2.2 Internal audit (4.17)
8.2.3 Processes*
8.2.4 Product (4.10)
8.3 Nonconforming product (4.13)
8.4 Analysis of data *
8.5 Improvement
8.5.1 Continual*
8.5.2 Corrective (4.14)
8.5.3 Preventive (4.14)
6.1 Resources (4.1)
6.2 Human Resources (4.18)
6.3 Infrastructure (4.9)
6.4 Work environment (4.9)
7.0 Product realization
7.1
7.2
7.3
7.5
7.4
7.6
INPUT
OUTPUT
7.1 Planning and product realization (4.2 & 4.10)
7.2 Customer related
7.2.1 Determine requirements*
7.2.2 Review requirements (4.3)
7.2.3 Customer requirements*
7.3 Design & development (4.4)
7.4 Purchasing (4.6)
7.5 Production (4.7, 4.8, , 4.15)
7.6 Calibration (4.11)
© Det Norske Veritas AS. All rights reserved

2. Process Mapping Pre-Admission 2 Referral
4.2 Documentation Requirements
5.0 Management Responsibility
6.1 Provision of Resources
6.2 Human Resources
6.3 Infrastructure
6.6 Work Environment
7.4 Purchasing
8. Measurement, Analysis & Improvement
Process Mapping
Referral
Organizational Structure Management & Support
Pre-Admission
Review of Service Capabilities
5.2 Customer Focus
7.2 Customer Related Processes
Resources Staff & Equipment ( Including Training)
5.2 Customer Focus
5.4 Planning
7.2 Customer Related Processes
6.2 Human Resources
6.3 Infrastructure
6.4 Work Environment
Admission (Assessment / Diagnosis)
Support Services (Dietary, Housekeeping, Buildings & Grounds)
5.2 Customer Focus
7.2 Customer Related Processes
7.3 Design & Development (Research Hospital)
6.3 Infrastructure
6.4 Work Environment
7.1 Planning and Service Realization
7.5 Production & Service Provision
7.6 Control of Monitoring & Measuring Devices
8.2.3 Monitoring & Measurement of Processes
8.2.4 Monitoring & Measuring of Service
Development of Care / Treatment Plan
Performance Monitoring & Review
Delivery of Care
Service
Improvement
7.1 Planning & Service Realization
7.4.3 Verification of Purchased Product
7.5.1 Control of Product & Service Provision
8. Measurement, Analysis &Improvement
On-going Monitoring and Measurement
External Input:
DOH
CMS (COPs)
HFAP
Change Care / Treatment Plan as Appropriate
8.3 Control of Non-Conforming Service
8.4 Analysis of Data
8.5 Improvement
Discharge / Long Term Care
4.2.4 Control of Records
8.2.1 Customer Satisfaction
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08 November 2018 2

3. Process Map Example © Det Norske Veritas AS. All rights reserved
08 November 2018

4. Hospital Sequence and Interaction of Processes
© Det Norske Veritas AS. All rights reserved
08 November 2018