SAMBA – update report

1. SAMBA – update report fogare Maria Areblad Chief terminologist, Östergötland county SAMBA project team member Oslo 16 May 2003

2. 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

3. Assessment of demand for care Person / Patient hc provider organisation service repository Declining with referral ”do we manage this?” Receive demand for care Demand for care Assessment of demand for care HC commitment --- * perceived condition 1:M result/response • Commitment • plan • ---- • Program of care • 1:M • * Objective Performed HC activity ---- * Result Perform HC activity Care assessment ---- * Degree of fulfillment * Remaining needs Terminate commitment Commitment end state demand for care ”fetch type descriptions” Individual adaption external actions Create plan Assess care need Care need Plan con- tinued care continue according to plan Assess with respect to plan objective change / redefine HC commitment Region-IT/ MA translation fogare

4. The health care process • The patient’s process • The communication process • The clinical (core) process • The administrative process • The decision process Maria Areblad 16 May 2003 Magnus Fogelberg 26 Jan 2003

5. Process Healthcare process Decision process Core process Communication process Maria Areblad 16 May 2003

6. Process Maria Areblad 16 May 2003

7. Process Maria Areblad 16 May 2003

8. Process (Patient’s process) (Process ofresources) Decision process HC provider process Core process Communication process (Process of other HC provider) Maria Areblad 16 May 2003

9. Process Maria Areblad 16 May 2003

10. Process Core process Decision process Communication process Maria Areblad 16 May 2003

11. Terminology CONTsys Connection SAMBA- CONTsys Processteps SAMBA Activities SAMBA Concepts CONTsys Maria Areblad 4 Febr 2003

12. The processes Core process refinement object: perceived patient condition/health issues Decision process refinement object: mandate, decisions Communication process refinement object: information Maria Areblad 16 May 2003

13. receive demand for care received d_f_care Demand for care Core process assess condition perceived condition Decision process d_f_c to be assessed decision on assessment d_f_c not to be assessed Communication process demand for care refer refer referred demand referred demand Maria Areblad 16 May 2003

14. Healthcare mandate identify health issues match against service repository condition treatability decide on health- care mandate healthcare mandate no mandate refer refer referred case referred case Maria Areblad 16 May 2003

15. Health issue thread, hc objective get supplementary information health issues refined health issue collection delineate health issue thread to be treated, define healthcare objective healthcare objective match objective against available services Maria Areblad 16 May 2003

16. Program of care conditions in care plans choose activities establish program of care planning decision decide care planning program of care decide usage of planned activities book resources, record program of care list of activities updated activity list Maria Areblad 16 May 2003

17. Activities perform investigation assess condition investigated condition assessed condition update health- care objective decision to perform healthcare objective match objective against available services Maria Areblad 16 May 2003

18. Activities perform treatment treated condition program of care decision to perform update prog- ram of care decide usage of planned activities book resources, record program of care list of activities updated activity list Maria Areblad 16 May 2003

19. Quality check match condition against objective evaluate result perceived condition in relation to healthcare objective assessed condition quality assessment check quality update health- care objective record component record activity Healthcare record process Maria Areblad 16 May 2003

20. End of process healthcare objective assessed as fulfilled perceived condition decide discharge message healthcare objective discharge decision issue discharge message discharge message Maria Areblad 16 May 2003

21. Health care objective healthcare objective assessed as fulfilled healthcare objective Maria Areblad 16 May 2003

22. Health care objective healthcare objective

23. Health issue thread, hc objective get supplementary information health issues refined health issue collection delineate health issue thread to be treated, define healthcare objective healthcare objective match objective against available services Maria Areblad 16 May 2003

24. Referral to other healthcare provider assess health is- sues to be referred health issues in referral health is- sue thread decide referral referral decision delineate health issue thread in referral issue referral no service available demand for care Maria Areblad 16 May 2003

25. receive demand for care received d_f_care Other healthcare provider’s start assess condition perceived condition d_f_c to be assessed decision on assessment d_f_c not to be assessed demand for care refer refer referred demand referred demand Maria Areblad 16 May 2003

26. Documentation • Document in Swedish 30 June 2003 • English abstract • Document in English autumn 2003 fogare Maria Areblad 16 May 2003