samba – update report maria areblad chief terminologist, Östergötland county samba project team...
DESCRIPTION
Assessment of demand for care Declining with referral HC commitment --- * perceived condition 1:M Receive demand for care Receive demand for care Demand for care Performed HC activity ---- * Result Perform HC activity Perform HC activity Care assessment ---- * Degree of fulfillment * Remaining needs organisation service repository hc provider Person / Patient Assessment of demand for care Assessment of demand for care Commitment plan ---- Program of care 1:M * Objective result/response Terminate commitment Terminate commitment Commitment end Region-IT/ MA translation f og a re ”do we manage this?” Assess care need Care need Plan con- tinued care Create plan Assess with respect to plan objective Assess with respect to plan objective continue according to plan external actions Individual adaption ”fetch type descriptions” change / redefine HC commitment state demand for careTRANSCRIPT
SAMBA – update report
Maria ArebladChief terminologist, Östergötland countySAMBA project team member
Oslo 16 May 2003
fogare
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
Assessment ofdemand for care
Decliningwith
referral
HCcommitment
---* perceived
condition 1:M
Receivedemand for care
Demandfor care
PerformedHC activity
----* Result
Perform HCactivity
Care assessment----
* Degree of fulfillment* Remaining needs
organisation service repositoryhc providerPerson /
Patient
Assessment ofdemand for care
Commitmentplan----
•Program of care •1:M
* Objective
result/response
Terminatecommitment
Commitmentend
Region-IT/ MA translation fogare
”do we manage this?”
Assess care need
Care need Plan con-tinued care
Create plan
Assess withrespect to
plan objective
continue according to plan
external actionsIndividual adaption
”fetch type descriptions”
change / redefine HC commitment
state demand for care
The health care process
The clinical (core) process
Maria Areblad 16 May 2003Magnus Fogelberg 26 Jan 2003
The patient’s process The administrative process The communication process The decision process
Process
Communication process
Decision process
Core process
Healthcare process
Maria Areblad 16 May 2003
Process
Maria Areblad 16 May 2003
Process
Maria Areblad 16 May 2003
Process
Communication process
Core process HC provider process
(Process of other HC provider)
(Patient’s process)
(Process of resources)
Maria Areblad 16 May 2003
Decision process
Process
Maria Areblad 16 May 2003
Process
Maria Areblad 16 May 2003
Communication process
Decision process
Core process
Connection SAMBA - CONTsys
Processteps SAMBA
Concepts CONTsys
Activities SAMBA
Terminology CONTsys Maria Areblad 4 Febr 2003
The processes
Communication processrefinement object: information
Core processrefinement object: perceived patient condition/health issues
Decision processrefinement object: mandate, decisions
Maria Areblad 16 May 2003
Demand for care
Maria Areblad 16 May 2003
demandfor care
receive demand for care
receivedd_f_care
decision on assessment
d_f_c not to be assessed
refer
referreddemand
d_f_c tobe assessed
assesscondition
perceivedcondition
refer
referreddemand
Communication process
Core process
Decision process
Healthcare mandate
Maria Areblad 16 May 2003
decide on health-care mandate
nomandate
identify health issues
healthcaremandate
refer
referredcase
match againstservice repository
conditiontreatability
refer
referredcase
Health issue thread, hc objective
Maria Areblad 16 May 2003
health issues
delineate health issuethread to be treated,
define healthcare objectivehealthcareobjective
match objectiveagainst available
services
getsupplementary
informationrefined healthissue collection
Program of care
Maria Areblad 16 May 2003
list ofactivities
decidecare planning
planningdecision
book resources,record program
of careupdated
activity list
decide usage of planned activities
chooseactivities
conditions incare plans
programof care
establishprogram of
care
Activities
Maria Areblad 16 May 2003
assesscondition
investigatedcondition
assessedcondition
decisionto perform
perform investigation
update health-care objective
healthcareobjective
match objectiveagainst available
services
Activities
Maria Areblad 16 May 2003
performtreatment
treatedcondition
list ofactivities
update prog-ram of care
programof care
book resources,record program
of careupdated
activity list
decide usage of planned activities
decisionto perform
Quality check
Maria Areblad 16 May 2003
evaluateresult
assessedcondition
check quality qualityassessment
match conditionagainst objective
record activity recordcomponent
perceived conditionin relation to
healthcare objective
update health-care objective
Healthcare record process
End of process
perceivedcondition
decide dischargemessage
dischargedecision
issue dischargemessage
dischargemessage
Maria Areblad 16 May 2003
healthcareobjective
healthcare objectiveassessed as
fulfilled
Health care objective
healthcareobjective
healthcare objectiveassessed as
fulfilled
Maria Areblad 16 May 2003
Health care objective
healthcareobjective
Health issue thread, hc objective
Maria Areblad 16 May 2003
health issues
delineate health issuethread to be treated,
define healthcare objectivehealthcareobjective
match objectiveagainst available
services
getsupplementary
informationrefined healthissue collection
Referral to other healthcare provider
Maria Areblad 16 May 2003
no serviceavailable
decidereferral
referraldecision
issue referral demandfor care
health is-sue thread
assess health is-sues to be referred
delineate healthissue threadin referral
health issuesin referral
Other healthcare provider’s start
Maria Areblad 16 May 2003
demandfor care
receive demand for care
receivedd_f_care
decision on assessment
d_f_c not to be assessed
refer
referreddemand
d_f_c tobe assessed
assesscondition
perceivedcondition
refer
referreddemand
Documentation
Maria Areblad 16 May 2003
Document in Swedish 30 June 2003 English abstract
Document in English autumn 2003
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