As a current healthcare worker, I understand that having a viable core system is pivotal for improving health services. I chose the "three core process model" for several reasons the biggest reason is that it encompasses each area of healthcare services needed to make healthcare successful in totality. Another paramount reason I chose this model is this model brings all elements back to the patient, the most important stakeholder. I feel that each aspect of this model reflects a division of healthcare necessary for the entire system to function and provides equitable support for improving patient outcomes.

In the three core process model, the many processes that take place in the health services organization are grouped into three core categories: (1) clinical, medical, and technical processes; (2) operational or patient-flow processes; and (3) administrative processes (Spath & Kelly, 2017). Each aspect of this process model is the chief reason patients seek to have medical services delivered. Spath & Kelly (2017) explain clinical, medical, and technical processes are the fundamental reasons individuals seek the assistance of a health services organization that is to take care of some need that involves diagnoses, treatment, prevention, or palliative care. Operational or patient-flow processes enable an individual to access the clinical, medical, and technical processes, and this category includes processes such as registering patients, scheduling activities, and coordinating services (Spath & Kelly, 2017). The administrative decision-making processes occupy two positions above and below the other two core processes, indicating that the administrative processes influence the overall operation of the organization (Spath & Kelly, 2017). The administrative processes include decision-making, communication, resource allocation, and performance evaluation (Spath & Kelly, 2017).

The three core process model has multiple lessons for managers including the message of the interdependent relationships between the three core processes suggesting that any improvement in any one of these processes has the potential to increase the value of the service provided (Spath & Kelly, 2017). Secondly, the three core process model helps promote a patient-focused orientation by recognizing the need for aligning processes and improvement efforts towards the needs of the patient (Spath & Kelly, 2017). Thirdly, the three core process model reinforces the different yet necessary and interdependent contributions each core process and each provider (or implementer) of those processes provide to patient care and organizational outcomes (Spath & Kelly, 2017). Fourth, when the administrative role is viewed as a process rather than a function or a structure, the tools used to improve other types of processes may also be applied to administrative processes (Spath & Kelly, 2017).

Excellent quality experience

When working in medical nursing informatics, I had the opportunity to be part of building clinical software for pediatric patients that was ordinarily used only with adults. The software was designed to reduce patient wait times, reduce clinical documentation errors, provide safer medication administration, and increase the overall efficiency of the entire medical process and patient experience. I was able to provide valuable nursing input regarding what information should be housed within the clinical applications and able to express how important it is to build software that would also address the needs of the parents to the pediatric patients. Though the organization spent way over budget to supply top-notch computer software, it was well worth it. It was discovered that the implementation of this computer software greatly improved clinical workflows, reduced the amount of time providers spend charting leaving more time spent with the patient, significantly reduced patient wait times, and cut the number of medication administration errors to less than half. The facility's administrators confirmed the effectiveness of using the new clinical software by extracting data that supported their findings. In this experience, the interdependent parts of this process work will together and circumvent backward and forward to each category. Additionally, this production was a well-oiled wheel.

Poor quality experience

One of the most interesting jobs in my career has been working as a corrections nurse. I was the only night nurse and this made things somewhat chaotic at times. However, because not every employee at the jail understood the value of having adequate evening snacks for diabetic patients, there was no definitive process for this. The lack of having a process in place and proper planning for these patients often created concerns for the evening nurse. When a diabetic patient did not have a snack that consisted of starch and protein, there was a great chance that the patient's blood sugar could bottom out during the night. If the blood sugar is too low it could lead to something as extreme as unresponsiveness. As the nurse, of course, it is my job to make sure that the patients have everything they need to sustain their quality of life medically. There were times when snacks were prepared for these patients but they were inadequate and full of things that a diabetic does not need to consume and then there were times when no snack at all was prepared. I was so concerned at times, I began bringing in snacks just in case there was nothing prepared for the patients. I was then told I could not bring food from the outside for the patients. While I understood why I could not do this, I was solely thinking of those patients who needed a blood sugar boost in the middle of the night but had nothing to assist. The facility did provide glucose tablets, but those were often ineffective. Thankfully, none of the diabetic patients have ever gone unresponsive during the night, but I have had a few very low blood sugars that I have had to attend to. Upon leaving my position at the jail, I did make some suggestions to administrators and even to the warden about a clinical process for caring for diabetic patients. The lack of an adequate process has often disrupted services, caused an interruption in the clinical process, and an ongoing disservice to the patients. In this experience, none of the interdependent parts worked together but were often separate and detached in nature. This process is hazardous and presents unsafe practices, and has the potential to create a life-threatening scenario if the process does not undergo a massive overhaul.

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