Transcript SAMBA process model

Process
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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
Clinical process – health condition
assess
condition
Management process – mandate
decision on
assessment
Communication process – information
demand
for care
receive
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
healthcare
objective
Communication process – information
match objective
against available
activities
Program of care
Clinical process – health condition
pick
activities
conditions in
care plans
Management process – mandate
decide
care planning
planning
decision
establish
programme
of care
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
assess
condition
assessed
condition
Management process – mandate
decision
to perform
redefine healthcare objective
healthcare
objective
Communication process – information
match objective
against available
activities
Activities
Clinical process – health condition
perform
treatment
treated
condition
Update objective
Management process – mandate
revise programme of care
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
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
Clinical process – health condition
assess healthcare
objective
as fulfilled
healthcare
objective
perceived
condition
decide discharge
message
discharge
decision
Management process – mandate
Communication process – information
issue discharge
message
discharge
message
Documentation and process
Patient’s health care record
Adm.data
Demand for care
History
Defined
achievements
Treatment
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