OBJECTIVES: To develop and test a standardized instrument, the purpose of which is to
assess (1) whether skilled nursing facilities (SNFs) transfer residents to emergency …

▪ Abstract Utilization management encompasses a diverse set of activities designed to
influence the use of health care services and thereby constrain health care resource …

The financing of mental health care services hasundergone significant change in the past
several years, with increasing emphasis on resource management. Thisemphasis has …

Background: Despite their widespread acceptance, utilization review tools, which were
designed to assess the appropriateness of care in acute care hospitals, have not been well …

Introduction by the column editor: An essential ingredient in the matrix of factors required to
achieve best practices is a sound, evidenced-based decision support system that ensures …

Managed behavioral health care organizations (MBHOs) often profile hospitals on length of
stay (LOS) and other performance measures. However, previous research has suggested …

Today's Hospital-Based Case Manager: How One Hospital Integr... : Professional Case
Management Today's Hospital-Based Case Manager: How One Hospital Integrated/Adopted …

McKesson's Interqual criteria are one of the medical screening criteria that are widely used
in emergency departments (EDs) to determine if patients qualify for observation or inpatient …

Objectives: We tried to judge appropriate psychiatric hospitalization in Korea. Mental health
policy necessitates the evaluation and discussion of the appropirteness for psychiatric …

In this chapter, we will consider the tension between service provision and resource use and
then examine various approaches to guide service intensity decision-making or put more …