Evaluation of a hospital- based utilization management program. The measure used to define appropriateness was the ISD- A, a diagnosis- independent measurement tool which relies on severity of illness and intensity of service criteria. The outcome measures for the study included appropriate admission to hospital and continued days of stay in hospital, 3. The sample frame for the study included two control and two intervention community hospitals, involving 1,8. Readmission rates were determined by analyzing all separations from medical services (N = 4. All physicians with admitting privileges (N = 3. The results of the study demonstrated that the proportion of inappropriate admissions did not decrease significantly in any of the hospitals, but there were significant decreases in inappropriate continued stay in the intervention hospitals (p < 0.
Both intervention and one of the control hospitals had lower 3. Eighty- six percent believed that there had been no adverse impact on access to care and, although 2.
Utilization Management Program and Medical Policy. Before your employees are discharged from the hospital, our Utilization Management nurses work with the hospital to ensure. Utilization Management Program and. Transforming an Obsolete Utilization Management Program in a VA Hospital A Systems Approach to Enhancing Quality and Efficiency OPT2LEAD
MASSACHUSETTS HOSPITAL ASSOCIATION MassHealth Acute Hospital Utilization Management Program f i t PtP resentation for Massachusetts Hospital Association Members October 27, 2009. At the core of our cost containment strategy is GMMI's Utilization Review and Medical Case Management Program. The Right Care, at the Right Time at the Right Place, by the Right Provider and at the Right Price.