week 4 HC333 discussion post

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Unit 4 Discussion – Utilization Management

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Utilization Management

This discussion focuses on influential factors in utilization management and the physician’s role in addressing quality care and utilization in providing services to patients.

Instructions:

  • From a personal perspective, describe the role of utilization management in healthcare delivery.
  • Does utilization management provide affordability, accessibility, and quality control in healthcare delivery? Why or why not?
  • Describe 3 important elements of the physician’s role in utilization and quality care. Provide rationale for why each is important.
  • Identify one way that healthcare utilization management could be improved or made more effective. Provide reasoning for this item.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 1 hour, 30 minutes

This topic is valued at 40 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Cite any resources/references in APA formatting that were used in the discussion – if applicable.

Peer Responses/Participation

Due Sunday

Discuss ideas presented about utilization management and the physician’s role in the process through discussion responses to classmates.

Instructions: Read the posts of classmates and compare the thoughts explained to personal thoughts on the topic. Respond to 3 classmates with the following:

  • Describe how the information described initially regarding utilization management’s role in healthcare delivery (classmate versus personal view) is similar
  • Describe how the initial information is different
  • Comment on the classmate’s suggestion for how utilization management could be more effective.
  • Site an additional way to improve the process of utilization management, referencing outside material as appropriate.

Please be sure to validate your opinions and ideas with citations and references in APA format. Estimated time to complete: 1-hour x 3 responses (3 hours total)

Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

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