Processes are considered the operational base of organizations, which have as strategy the improvement of their processes in order to respond to the demands of a demanding and changing market but are gradually becoming the structural basis of an increasing amount of organizations. This is the case of healthcare companies with different levels of services, for which it becomes a vital strategy because the development of the service portfolio entails varying levels of complexity inherent in all the processes that are executed, for which can present errors and losses of resources in its execution. A Health Care Institution (hereinafter referred to as IPS) is any medical center, clinic and hospital from which medical services are directly provided to patients or patients. They are classified in levels of complexity and care, characterized by the type of services they enable and accredit, ie: installed capacity, available technology, adequate personnel and the procedures and interventions that they are able to perform. The provision of Health Services in Colombia is regulated by the National Policy for the Provision of Health Services, obeying Law 1122 of 2007 and its regulatory decrees, whose main objective is to guarantee access and quality of services, optimize the use of resources, promote user-centered approaches and achieve the financial sustainability of Public Health Service Institutions. Decree 1011 of 2006 establishes the Obligatory System of Guarantee of Quality of Health Care of the General System of Social Security in Health, which defines the concepts related to the provision of medical services in Colombia, such as care health, auditing for the improvement of the quality of health care, among others; providing a clearer picture of the health services landscape. Regardless of the level of complexity of any case, the medical staff acts and establishes direct contact with the patients. However, in order to provide a certain medical service in an adequate manner, the IPS must carry out a series of activities called hospital logistics, which refer to all internal logistics tasks that take place in the provision of services to the patient within the hospital. Internal logistics activities include, among others, the processes of demand management and the activities that a patient must pass from admission to discharge. Therefore, the term hospital logistics groups all the hospital activities of transformation as well as optimization of flow of resources and patients in the institution providing medical services. The processes related to the provision of emergency care (considering initial care, stabilization, treatment, management and subsequent referral of patients, or discharge of patients) are considered as one of the critical points within the IPS, since which is this is the starting point of medical care. The optimal management of the processes carried out in the emergency department (both in the care and administrative areas), implies the need to generate an adequate use and distribution of resources, establishing for this purpose guidelines to improve the care provided to the patients, thus minimizing the risks in support of procedures, administration of medicines, etc. Also, finding inconsistencies due to pertinence in medical orders, which are later generating objections, which do not allow the financial cycle of collection to be carried out efficiently. Finally, this affects both the satisfaction of the service and the minimization of the costs generated in care