DRG clinical surveillance: an approach to internal control.
In the present healthcare environment, internal control of hospital resources is becoming increasingly important. One hospital's approach to instituting internal control is the development of a DRG clinical surveillance program. This program uses utilization review in conjunction with quality assurance to provide the hospital with a working framework for determining whether hospital admission is appropriate or whether an alternative method of healthcare delivery should be used.
D003211:Concurrent Review / Q000458:organization & administration*; D003365:Costs and Cost Analysis; D003953:Diagnosis-Related Groups; D005376:Financial Management / Q000379:methods*; D005377:Financial Management, Hospital / Q000379:methods*; D006744:Hospital Bed Capacity, 100 to 299; D007256:Information Systems; D008331:Management Information Systems; D010414:Pennsylvania; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D014600:Utilization Review / Q000458:organization & administration*