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- 1. Healthcare Service Model Key Factor Service Provision Quality of Care Cost / Finance Service Delivery Service Provision Accessibility Quality Standards Required Allocated Spend Commissioned Service Levels Provision Service Delivery Service Levels Required Quality Standards Delivered Service Line Finances Meeting Service Levels Quality of Care (inc safety) Quality Provision Quality Ideals Quality Cost (differential) Quality Delivered Cost / Finance Budgeted Spend Cost of Quality Efficiency Surplus / Deficit Ed Grimshaw © 2016