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引用次数: 1
有效的全医院质量保证/利用管理项目的经济效益
本文描述了约翰霍普金斯医院(巴尔的摩)质量保证/利用管理(QA/UM)部门的组织结构和功能，该部门开发了一个前瞻性的QA/UM计划，用于识别控制不适当住院患者的机会，缩短患者的住院时间，监控辅助服务的使用，并改进患者医疗记录中的医生文档。此外，QA/UM部门已经开发并实施了积极的第三方申诉机制，以确保该机构拥有有效的UM计划。QA/UM部门通过积极上诉拒绝第三方付款人，每年为医院追回300多万美元。概述了具体的图表审查变量。
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