SAMBA

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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
  90002000)

• 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
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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 patients process

• The communication process

• The administrative process

• The decision process

• The clinical (core) process

Maria Areblad 16 May 2003
Magnus Fogelberg 26 Jan 2003
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Process
Healthcare process
Decision process
Core process
Communication process
Maria Areblad 16 May 2003
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Process
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Process
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Process
(Patients process)
(Process of resources)
Decision process
HC provider process
Core process
Communication process
(Process of other HC provider)
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Process
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Process
Core process
Decision process
Communication process
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Connection SAMBA - CONTsys
Processteps SAMBA
Activities SAMBA
Concepts CONTsys
Maria Areblad 4 Febr 2003
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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
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Demand for care
Core process
assess condition
perceived condition
Decision process
decision on assessment
d_f_c not to be assessed
d_f_c to be assessed
Communication process
demand for care
refer
refer
referred demand
referred demand
Maria Areblad 16 May 2003
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Healthcare mandate
identify health issues
match against service repository
condition treatability
decide on health- care mandate
no mandate
healthcare mandate
refer
refer
referred case
referred case
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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
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Program of care
choose activities
conditions in care plans
establish program of care
decide care planning
planning decision
decide usage of planned activities
program of care
book resources, record program of care
list of activities
updated activity list
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Activities
assess condition
perform investigation
investigated condition
assessed condition
update health- care objective
decision to perform
healthcare objective
match objective against available services
Maria Areblad 16 May 2003
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Activities
perform treatment
treated condition
update prog- ram of care
program of care
decide usage of planned activities
decision to perform
book resources, record program of care
list of activities
updated activity list
Maria Areblad 16 May 2003
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Quality check
evaluate result
match condition against objective
assessed condition
perceived condition in relation to healthcare
objective
check quality
quality assessment
update health- care objective
record activity
record component
Healthcare record process
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End of process
healthcare objective assessed as fulfilled
perceived condition
decide discharge message
discharge decision
healthcare objective
issue discharge message
discharge message
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Health care objective
healthcare objective assessed as fulfilled
healthcare objective
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Health care objective
healthcare objective
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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
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Referral to other healthcare provider
assess health is- sues to be referred
health issues in referral
decide referral
referral decision
health is- sue thread
delineate health issue thread in referral
issue referral
no service available
demand for care
Maria Areblad 16 May 2003
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Other healthcare providers start
assess condition
perceived condition
decision on assessment
d_f_c not to be assessed
d_f_c to be assessed
demand for care
refer
refer
referred demand
referred demand
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Documentation

• Document in Swedish 30 June 2003
• English abstract
• Document in English autumn 2003

fogare
Maria Areblad 16 May 2003