Jane is a 75-year-old patient in a community hospital. She has been hospitalized due to periods of unexplained of dizziness. She has been diagnosed as having anemia and dehydration. She has received a blood transfusion and several liters of fluids. She has been in the hospital for 24 hours and is still weak. Cindy, the case manager, has reviewed Jane's case, and Jane no longer meets criteria for hospitalization and must be discharged or pay privately to stay in the hospital. Cindy has conducted a ______________________________________ of Jane's case.

Question

Quizplus · Accepted Answer

Cindy has conducted a utilization review of Jane's case, which involves evaluating the necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities to ensure that the patient is receiving care at the appropriate level of care according to established criteria.

Jane Is a 75-Year-Old Patient in a Community Hospital