The Session Long Project for this course is to evaluate and critique a health care facility you are familiar with and compare it to the general principles and standards for quality assurance presented in this course.
In the earlier modules you identified a health care facility for the subject of the SLP and presented a description of the facility and its quality assurance program. You also critiqued the facility’s Continuous Quality Improvement program.
In this module you will discuss and critique the subject facility’s Utilization Management program. The remaining modules for the Session Long Project the remaining tasks are as follows:
SLP Assignment Expectations
For this module you are to complete the following tasks and to submit a 4- to 5-page paper. (This does not include the title or reference pages):
Describe and discuss the facility’s Utilization Management program.
Compare and critique the subject facility’s Utilization Management program to that of a model facility and whether the facility adheres to the recognized standard for utilization management, including utilization review and whether this review leads to improvement in the quality of care.
Identify areas for improvement in the facility’s Utilization management program, if any, and any recommendations you think should be implemented to improve the quality of patient care.
Please view the following video:
Utilization Review Committee – Resource Management Operations:
The value of utilization management and review has been debated among the leaders in health care since its inception. For this module’s case assignment, you are going to engage in the review of a utilization management plan for a health care organization.
Search the Internet for a hospital or other health care organization’s utilization management plan. Once you have found one, prepare a 4- to 6-page paper. (This does not include the title or reference page) in which you address the following:
- Identify the organization you researched and include the URL for the page of the utilization management plan that you examined.
- Provide an overview of the organizations utilization management plan- specifically, discuss each of the elements of the plan and describe how each of the elements contributes to health care quality.
- Identify two weaknesses of the organizations utilization management plan and describe “why” you consider them to be weaknesses. Postulate ways in which the weaknesses can be overcome.