Utilization management in Alberta's new funding environment.
Although physicians have the greatest influence on the resource utilization of hospital patients, Canadian hospitals have not been too successful in bringing physicians into the resource planning and decision-making processes. This is because most hospitals have been unable to provide the information needed by physicians to participate in resource management in a meaningful way. With the introduction of a new system in the Canadian Province of Alberta that fundamentally changes the way hospitals are funded, it has become even more important to involve medical staffs in the utilization management process. This article describes the new funding system and highlights some of the ways in which Wetaskiwin Health Care Centre has leveraged information technology to support the utilization management process in this new environment.
Chengalath
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Wetaskiwin Health Care Centre, Alberta, Canada.
Walker
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KE
D000416:Alberta; D003361:Cost Allocation / Q000379:methods; D003659:Decision Making, Organizational; D005375:Financial Audit; D005377:Financial Management, Hospital / Q000379:methods* / Q000706:statistics & numerical data; D017721:Hospital Costs / Q000706:statistics & numerical data; D018578:Hospital-Physician Relations; D018803:Models, Economic; D014600:Utilization Review / Q000191:economics* / Q000706:statistics & numerical data