Efficiency and effectiveness of the processes

Hi, we just completed out IATF audit with BVC. One of the minor NC's issued was for not having a measure of effectiveness and efficiency for everything we had defined in our quality policy manual as a "process". From our TS system we had many "processes maps" that formulated the basis of the audit plan. Our lead auditor stated that for each "process we had defined" that we needed a "measure of effectiveness and efficiency" in accordance with 9.3.2.1 Mgt. Review. As a group we are having a difficult time in make a clear separation between "process" and "procedure". By count there are 21 places in the standard that state the "organization shall have a documented process", but if we define all 21 as processes that define our business, do we need all eight measures in 4.4.1? Can we define the processes of our operation and those are what we review in management review? I have searched a variety of forums but have not been able to see any clear direction of how to proceed. We are stuck on the clear line between process and procedure and how to separate. Your thoughts and advice would be appreciated!