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Healthcare Service : Healthcare Services

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Healthcare Service Environment: According to Gunter & Terry (2005), the shift to an episodic care model like that of the shift from in-patient to ambulatory care has increased the “need for accurate and efficient flow of patient medical and billing information between organizationally and geographically distinct providers”. Another shift has been that to managed care, whose complex operations have evolved various needs. Their PCP’s as gate keepers have data needs, their consumers demand performance reviews, their system administrators have evolving needs for complex utilization review and risk management tools, and organizations have developed the need for data transparency (Gunter & Terry, 2005). The health service shift to shared care has also developed the patients need for access to health data, specifically information in their medical record. Shared care is described by Gunter & Terry (2005) as the relationship where “the patient shares responsibility with the provider for care. Shared care often leads to large numbers of fragmented or episodic relationships with multiple providers and it has created the need for providers to have continuous access to other occasions of treatment, especially pharmacy related care (Gunter & Terry, 2005). Lastly, the evolution of the health care industry has also introduced demand for increasing amounts of data regarding performance errors or near misses and outcomes in populations (Gunter & Terry, 2005). This clearly is information

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