Improving Outcomes in Utilization Management. Module D. Transdis
Given our complex and rapidly evolving healthcare environment, good organization is needed to improve our delivery of care and streamline the process for patients and hospitals. This module explains that process by looking at how transdisciplinary and inter-organizational collaboration can help prevent avoidable complications, delays in care, and hospital admissions. The module then details the breadth of the entire team, and looks at how better physician involvement—such as doing bedside rounds, leading the utilization management committee (UMC), and using a physician’s advisor—can help boost effectiveness and efficiency. Finally, the module looks at one other vital team member: the patient, and how CMs can help improve patient involvement through shared decision making (SDM), which is a more active process than traditional informed consent.