DESCRIPTION
In healthcare, Utilization Management is the process of reviewing and managing patient care to ensure that medical services are necessary, appropriate, and provided cost-effectively. It involves evaluating treatment plans, coordinating care, and making decisions about the most efficient use of healthcare resources while maintaining quality standards. Effective Utilization Management helps healthcare providers reduce unnecessary procedures, control costs, and improve patient outcomes.
This Healthcare Utilization Management Implementation Toolkit includes a set of best practice templates, step-by-step workplans, and maturity diagnostics for any Healthcare Utilization Management implementation related project. Please note the above partial preview is ONLY of the Self Assessment Excel Dashboard, referenced in steps 1 and 2 (see below for more details).
Through a 3-step process, this toolkit will guide you from idea to implementation. Please find a below a summary of the 3 steps.
STEP 1: Get your bearings
Start with the latest quick edition of the Utilization Management Self Assessment book in PDF containing 49 requirements to perform a quickscan, get an overview and share with stakeholders.
Organized in a data driven improvement cycle RDMAICS (Recognize, Define, Measure, Analyze, Improve, Control and Sustain), check the example pre-filled Self-Assessment Excel Dashboard to get familiar with results generation.
STEP 2: Set concrete goals, tasks, dates and numbers you can track
Featuring 996 new and updated case-based questions, organized into seven core areas of process design, this Self-Assessment will help you identify areas in which Utilization Management improvements can be made.
The Self-Assessment Excel Dashboard; with the Healthcare Utilization Management Self-Assessment and Scorecard you will develop a clear picture of which Healthcare Utilization Management areas need attention, which requirements you should focus on and who will be responsible for them:
• Shows your organization instant insight in areas for improvement: Auto generates reports, radar chart for maturity assessment, insights per process and participant and bespoke, ready to use, RACI Matrix
• Gives you a professional Dashboard to guide and perform a thorough Utilization Management Self-Assessment
• Is secure: Ensures offline data protection of your Self-Assessment results
• Dynamically prioritized projects-ready RACI Matrix shows your organization exactly what to do next
STEP 3: Implement, Track, follow up and revise strategy
The outcomes of STEP 2, the self assessment, are the inputs for STEP 3; Start and manage Utilization Management projects with the 62 implementation resources. There are 62 step-by-step Utilization Management Project Management Form Templates covering over 1500 Utilization Management project requirements and success criteria.
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Source: Best Practices in Healthcare Excel: Healthcare Utilization Management - Implementation Toolkit Excel (XLSX) Spreadsheet, Gerard Blokdijk
Healthcare Integrated Financial Model Value Chain Analysis Quality Management & Assurance ISO 13485
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