What does Utilization Review aim to ensure in healthcare?

Prepare for your Healthcare Accreditation Certification Exam with our quiz. Study with detailed questions, explanations, and flashcards. Sharpen your skills and boost your confidence for exam day!

Utilization Review is a critical process in healthcare that assesses the necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities. The primary aim of this review is to ensure that resources are being used appropriately, which directly contributes to better patient outcomes and efficient healthcare delivery.

By focusing on appropriate resource use, Utilization Review helps ascertain whether the care provided meets established criteria for quality and necessity. This process ensures that patients receive the right level of care without unnecessary procedures or interventions, thereby also helping control healthcare costs and improve system efficiency.

While patient satisfaction is important, it is not the primary focus of Utilization Review. Similarly, while infection prevention and emergency training are essential aspects of healthcare, they fall under different areas of management and practice rather than the specific objectives of Utilization Review. Therefore, the emphasis on appropriate resource use encapsulates the core purpose of Utilization Review, making it the most fitting answer.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy