Taxonomy of systems of care

This flowchart depicts the Taxonomy of Systems of Care, looking at the Structure Process System Outcome, or SPSO. An effective system of care comprises four main elements: structure, process, system, and patient outcome within a framework of continuous quality improvement, or CQI.  This diagram shows the relationship between these elements. On the far left is a green square labeled “Structure.” Text above this square indicates Structure relates to “People, Education, and Equipment.” An arrow points from the Structure element to a yellow box to the right labeled “Process.” Text above reveals Process relates to “Protocols, Policies, and Procedures.” From this box, there is an arrow pointing to the right to an orange circle labeled “System.” Text above shows that System relates to “Programs, Organization, and Culture.” From the System circle, an arrow points to a red triangle labeled “Patient Outcome.”  Text at each point of the triangle reveals this final main element relates to “Satisfaction, Safety, and Quality.” The output arrow from Patient Outcome passes by text that says “Continuous Quality Improvement,” which includes “Integration, Collaboration, Measurement, Benchmarking, and Feedback.” The arrow then branches, leading back as inputs to the other three main elements: “Structure, Process, and System.” This figure is copyright 2015 by the American Heart Association.