Electronically delivered information and funds transaction systems do offer such organisations great potential for efficiency and effectiveness, but many large integrated ICT systems, particularly in public service projects, have notoriously underperformed and disappointed. To ensure that quality is ‘engineered in’ a holistic, integrated and quality approach is required, and Total Quality Management (TQM) principles are the obvious foundations for this. TQM is a business philosophy that encourages an over-arching responsibility - both individual and collective - to quality and customer satisfaction. This paper describes a novel approach to viewing the operations of a healthcare provider where electronic means could be used to distribute information and facilitate electronic fund settlements, building around the Full Service Provider core. Specifically, an approach called the “triple pair flow” model is used to provide a view of healthcare delivery that is integrated, yet detailed, and that combines the strategic enterprise view with a business process view.