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Utilization Management: Creating an Effective Daily Review Process

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Learn how to overcome the barriers to optimal patient throughput and delivery-of-care efficiencies by designing and implementing an effective daily utilization review process.

Price: $259.00

Product Code: AR102021


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Description Biography
 

For many proactive hospitals, utilization review has evolved into a daily process. The reason: Never before has it been more important — or challenging — to optimize throughput and the efficient use of resources, ensuring that every patient receives the right care, in the right place, at the right time. Yet, burdened with ever-heavier workloads, case managers struggle to support important resource management objectives. Compounding this challenge is fragmented or missing communication with providers and physician advisors.

During this RACmonitor webcast, you'll learn how to overcome these barriers to effective utilization management. Our presenters, Dr. Chris Shearer and Kathy Singleton, will walk you through the essentials of creating a proven daily utilization review plan, one that drives clearer, more consistent communication, greater collaboration and, above all, meaningful action to improve patient throughput and delivery-of-care efficiencies.

Why This is Relevant:

Without a strong daily review process, you could be missing a golden opportunity to strengthen your hospital's utilization management, leading to better coordination of patient care, increased de facto bed capacity, improved finances and more consistent compliance with federal regulations. Why a daily review process? Because effective utilization management requires that you stay on top of rapidly changing conditions and then respond in a coordinated, collaborative manner to meet patient care demands while improving throughput and efficiency.

Learning Objectives:

  • Gain an understanding of the history of utilization management
  • Grasp the regulatory requirements pertaining to utilization management
  • Identify key daily processes to enhance utilization management and improve throughput
  • Learn proven techniques for establishing effective communication and collaboration among physicians, physician advisors and case managers

Who Should Attend:

Case management staff and director, utilization review team, physician advisor, hospitalists, chief nursing officer, chief medical officer, revenue cycle staff and ancillary services staff.


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