Utilization Management Consulting

Hospital operational efficiency and emergency room consulting

UTILIZATION MANAGEMENT CONSULTING

Control Hospital resources with our Utilization Management Consulting

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The Sullivan Lakier Group Utilization Management consultants are ready to roll up their sleeves to help you assure appropriate utilization of resources while delivering high-quality, cost-effective care. We recognize the key role that physicians play in utilization resources and work very closely with your Medical Staff to incorporate them into the improvement process. Our goal is to work with your team to optimize your Utilization Management Program in a way that reflects your organization’s culture and ensures an efficient health care delivery system.

UTILIZATION MANAGEMENT CONSULTING SERVICES:

We utilize a four step process in our consulting which is tailored to the level of support you need. These four steps typically are as follows;

Evaluate your entire utilization management system or specific areas identified and make recommendations for improvement
Develop an action plan to guide the improvement work for either your team or a combined hospital-consultant team
Provide project leadership or hands-on support for implementation as needed
Provide an operations dashboard and training that allows the organization to monitor and ensure the gains are maintained.

The areas of focus for a utilization management assessment typically fall into the following categories:

Authorization process and timeliness
UM organization structure
Variations in delivery of care
Utilization of resources
Medical Record review for documentation of relevant information
Medical staff roles and involvement
UM reports and monitoring processes
Regulatory and accreditation compliance
Continuum of care and referral resources
Policies and Procedures
Staff and physician knowledge base

BENEFITS OF OUR UTILIZATION MANAGEMENT CONSULTING SERVICES:

We will work with you to develop and implement strategies that result in:

Appropriate use of inpatient, outpatient, ancillary and support services
Optimized use of hospital resources
Physician involvement and knowledgeable management of resources
Maximized authorization for coverage (prospective, concurrent, and retrospective)
Educational resources for staff and physicians
Educational tools for patients
Enhanced discharge planning
Maximized use of referral network and resources
Outcome tracking and monitoring tools and reports
Enhanced effectiveness of UM organizational structure and roles
Compliance to UM guidelines, regulatory, and accreditation standards

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