utilisation review

utilisation review

Evaluation of the necessity (e.g., for surgery or other therapy), appropriateness (of admissions or of services ordered) and efficiency of the use of healthcare services, procedures, and facilities.

Components
Pre-admission reviews, concurrent (i.e., while patient is in hospital) reviews, reviews of procedures, levels of care and medical necessity after discharge.
References in periodicals archive ?
Contract award: EMPACT Utilisation Review Software Tools.
Supply of Utilisation Review Software Tool that covers Level of Care and Mental Health.