Utilization
Review
Case Study:
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The majority of clinical hospital-based Case Management (CM) time spent on administrative Utilization Review (UR) functions.
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Challenges with Admission Reviews being performed within 24 hours.
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No visibility into UR workflow or productivity; technology difficult for management and staff to navigate; worklists inaccurate.
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CM not supporting physicians or nursing; poor coordination with social work and transition of care team.
Challenges.
the
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Challenges with Continued Stay Reviews performed within 24 hours and appropriate use of criteria.
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No interaction with patient and no rapid rounds to set discharge expectation with care team.
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Poor quality and inconsistent application of criteria and utilization of escalation protocols.
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Relatively high turnover and difficulty recruiting experienced CM nurses with right attitude, attention to detail, and capability.
the CŪR.
HURC is focused on creating space for healthcare professionals to provide the best care possible - Centralized Utilization and Review, or CŪR, assumes all of the burden shouldered by full-time employees and allows for an average of an 81% increase in time allocated to patient experience.
we’ve got
The Results
At HURC, we generate value by reducing costs and increasing revenue by removing the burdens hampering your staff and supporting optimal outcomes -
we believe that our approach to generating value sets us apart from the competition.
— Jose Vazquez, Chief Executive Officer