Primary uses of patient records are associated with the provision of patient care, that is, with providing, consuming, managing, reviewing, supporting, and charging and reimbursing patient care services. Secondary uses of patient records are not considered necessary for a particular encounter between a patient and a health care professional, but such uses influence

BOX 2-1B

Health Care Delivery (inpatient and outpatient)

Alliances, associations, networks, and systems of providers

Ambulatory surgery centers

Donor banks (blood, tissue, organs)

Health maintenance organizations

Home care agencies


Hospitals (general and specialty)*

Nursing homes

Preferred provider organizations

Physician offices (large and small group practices, individual practitioners)

Psychiatric facilities

Public health departments

Substance abuse programs

Management and Review of Care

Medicare peer review organizations

Quality assurance companies

Risk management companies

Utilization review and utilization management companies

Reimbursement of Care

Business health care coalitions


Insurers (federal, state, and private)


Disease registries

Health data organizations

Health care technology developers and manufacturers (equipment and device firms, pharmaceutical firms, and computer hardware and software vendors for patient record systems)

Research centers


Allied health professional schools and programs

Schools of medicine

Schools of nursing

Schools of public health


Accreditation organizations

Institutional licensure agencies

Professional licensure agencies


Federal government agencies

Local government agencies

State government agencies


Various hospital departments are one kind of institutional patient record user. A few such users include the blood bank, diagnostic radiology, emergency medical services, intensive care units, nutrition services, pharmacy, surgery, and social work.

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