What is the function of Utilization Review in healthcare?

Utilization Review plays a critical role in the healthcare system by focusing on ensuring appropriate use of resources. This process involves evaluating the necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities. By examining if the resources used in patient care are justified and align with established standards and guidelines, Utilization Review helps to minimize unnecessary costs and enhance patient care quality.

Moreover, it aims to ensure that patients receive the right services at the right time and setting, thereby improving clinical outcomes while also managing healthcare expenditures effectively. This is vital for both healthcare providers and payers, as it directly impacts the overall efficiency of the healthcare delivery system.

The other options address important aspects of healthcare but do not align with the core function of Utilization Review. Confirming emergency preparedness protocols relates to disaster management, assessing nutritional services efficacy focuses on patient dietary needs, and managing infection control policies is crucial for patient safety but not directly linked to resource utilization assessment.