Utilization management (or utilization review) is a method of controlling health care costs and quality of care by reviewing the appropriateness and necessity of care provided to patients prior to the administration of care (prospective review) or aftercare has been provided (retrospective review)

Health Science Dec 11, 2021

Utilization management (or utilization review) is a method of controlling

health care costs and quality of care by reviewing the appropriateness and necessity of care provided to patients prior to the administration of care (prospective review) or aftercare has been provided (retrospective review).
You are a health care manager in the Performance Improvement Department at your local hospital. You are interested in developing a quality improvement/performance monitoring program.