What are three important functions of utilization management

Assignment Help HR Management
Reference no: EM133275647

1. In many healthcare organizations the following department is often responsible for developing policies and procedures aimed at accident and injury prevention.

Risk management

Health information management

Administration

Security

2. Which of the following is an occurrence, such as a medical error that may result in personal injury?

Root-cause analysis

Standard

Clinical protocol

Potentially compensable event

3. What are three important functions of utilization management?

Case management, discharge planning, and risk management

Discharge planning, risk management, and incident response

Incident response, risk management, and utilization review

Utilization review, case management, and discharge planning

4. Which of the following is the process of managing the legal and administrative aspects of the healthcare organization's response to injury claims?

Case management

Discharge planning

Claims management

Utilization management

5. Which of the following is an occurrence that resulted, or could have resulted, in life-threatening injuries to patients, medical staff, or employees?

Claims management

Sentinel event

Forcefield analysis

Benchmarking

6. What is the process that monitors and confirms that a patient receives consistent dosing across all facility transfers called?

Sentinel event

Risk management

Clinical documentation integrity

Medication reconciliation

7. The following document is used to help healthcare facilities identify and correct problem areas and prepare for legal defense. This document is for operational purposes, not used for patient care, and is never included in the health record.

Process indicator

Incident report

Score card

Financial report

8. Which of the following is an important part of quality patient care as it helps to ensure necessary and appropriate care, effectiveness of the services provided to the patient, and timely and safe discharge of patients?

Clinical performance measure

Performance improvement

Risk management

Utilization management

9. The basic functions of healthcare risk management programs are similar for most organizations and should include which of the following?

Reporting of claims, initial investigation of claims, protection of primary and secondary health records, negotiation of settlements, management of litigations, and use of information for claim's resolution in performance management activities

Risk acceptance, risk avoidance, risk reduction or minimization, and risk transfer

Safety management, security management, claims management, technology management, and facilities management

Risk identification and analysis, loss prevention and reduction, and claims management.

Reference no: EM133275647

Questions Cloud

Discuss how clinical benchmarks and dashboards : Discuss how clinical benchmarks and dashboards are utilized for three specific clinical care guidelines.
Incorporate evidence-based practice as educational leader : Describe how you will incorporate evidence-based practice as an educational leader.
Describe company culture : Describe the company's culture, and how it has been built. How does the culture facilitate the company's effectiveness.
Positive and negative rights in modern societies : Creates an obligation upon another, discuss so-called "positive" and "negative" rights in modern societies
What are three important functions of utilization management : What are three important functions of utilization management? In many healthcare organizations following department is often responsible for developing policies
Assessing employee productivity : New coding employees are not expected to perform at the same productivity level as seasoned coders.
Manage relationships : Manage relationships with approximately 75 prospective donors and will be expected to identify, qualify, cultivate, solicit and steward these important alumnae
What is visual artifacts of procter and gamble : What is Visual Artifacts of Procter and Gamble Company ? What is the espoused values of Procter and Gamble Company ?
Pay for performance remains controversial : From an employee's perspective, what are the advantages and disadvantages of using a pay-for-performance plan?

Reviews

Write a Review

HR Management Questions & Answers

  Performance appraisal training program

How does this connection help us understand why the performance appraisal training program was not more successful?

  Using only the materials provided in course explain the

using only the materials provided in the course define the ethical frameworks of deontology utilitarianism and free

  Specific guidelines that regulate individual behaviour

Specific guidelines that regulate and restrict the behavior of individuals" is a definition of __________.

  State foreign policy and international politics

Describe how a state's foreign policy and international politics are influenced by international relations theory.

  Discuss early challenges faced by mba graduates

Discuss early challenges faced by MBA graduates in their leadership journe have you faced any of them? If so, which ones? How have you dealt with

  Outline steps-timing recommend implementing actions

You have now reviewed different waste management industries and companies, there is a need to develop a plan that supports reducing 30% of the workforce

  Individuals-teams can be used effectively in organization

Explain the difference between individuals and teams as they are used in organization. Explain how individuals and teams can be used effectively in organization

  Importance to organizational development

Define diversity and describe its importance to organizational development, including the legal entities associated with diversity.

  Operating as part of a team rather than as an individual

One of the dangers of performance management is that, because the focus is so much on a particular individual, teamwork aspect gets lost.

  What are considerations in decision for robbinsdale hospital

The program director is deciding whether to use an emotional or rational appeal in advertising copy. What are the considerations in this decision?

  Sourcing and securing a sme interview candidate

This individual assignment requires each individual student to independently reflect on the entire learning process when completing Group Assignment 1 on Indige

  Why would be a standard set in place for planning

If every organisation is different and no two incidents are ever going to be the same, why would there be a standard set in place for planning for emergencies?

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd