Healthcare often involves cooperation between several actors: primary care, hospitals, relatives etc. For elderly patients living in their own homes, integration with social care is also mandatory, as home healthcare teams andsocial care workers contribute to a unified “homecare”. Correct and updated information about patients, the treatment provided, and planned activities is crucial for successful cooperation in such cases, yet ICT tools for collaboration between all actors involved are not commonly used. Initial findings from one project to develop a process management tool for this type of situation (treatment of leg ulcers) are discussed from a multiactor economic perspective. It is argued that evaluations should identify the consequences for each among the most important collaborating organisations. Such evaluations could be used to predict the impact of the proposed changes, and to redesign projects accordingly. Such evaluations may also be used to define what could be achieved with process changes in general, aside from direct process related effects that can only be assessed when new ICT tools are actually introduced.