Continuous quality improvement and the utilization management process.
How does a managed health plan create a formalized utilization management program using quality improvement processes? One HMO is going through this process, trying to keep a Byzantine project simple through Deming's teachings. The author recounts this managed care organization's experiences.
Schwarz
T
T
Community Health Plan, Pleasant Valley, NY 12569.
D006279:Health Maintenance Organizations / Q000458:organization & administration / Q000592:standards*; D008332:Management Quality Circles; D017146:Models, Organizational; D009518:New York; D010934:Planning Techniques; D017749:Total Quality Management / Q000458:organization & administration*; D014600:Utilization Review / Q000458:organization & administration*