Hospital admission reviews help protect both patients and hospitals from unnecessary medical treatments, admissions, and costs. If you are about to have a utilization review in your hospital, here are some things you need to know about the process.
What is Utilization Review?
Case Management Innovations agrees that a hospital utilization review is something that healthcare providers do to protect patients against “unnecessary and inappropriate medical care”. In this process, healthcare providers review documents on patient care by focusing on the quality of care provided, medical necessity, correctness of the decision-making, patient’s length of stay in the hospital, and more.
Why is Utilization Review important in healthcare?
Other than protecting patients against unnecessary medical treatments, URs help hospitals reduce costs and avoid fines. They also ensure that the hospital was able to provide patients with the appropriate treatment that matched their needs. In addition, the reviews make sure all the protocols set were followed during the treatment.
How can UR help outpatient care?
Utilization reviews help determine if there are any improvements that can be made to speed up the treatment process. It can also help healthcare providers look into the possibility of the treatment to be delivered through outpatient care so that patients don’t need to be admitted to the facility. This can greatly assist both hospitals and patients in reducing healthcare costs.
URs are created to help improve the healthcare system from both sides of the fences. Keep these things in mind if you are about to have URs in your own medical facility. It’s one of the steps you need to take to improve your hospital operations and patient care ratings. It can also help improve your ratings for customer satisfaction.