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Retrospective utilization review as a focused method of evaluation.
QRB. Quality Review Bulletin
|February 1, 1980
Summary
Retrospective utilization review (UR) is ideal for addressing issues identified in completed patient records. This method supports quality assurance programs by focusing on specific care delivery problems.
Area of Science:
- Healthcare Management
- Quality Improvement
- Medical Auditing
Background:
- Retrospective utilization review (UR) is a method for evaluating healthcare services.
- Existing methods like patient care evaluations and audits compare ideal care standards with actual documented care.
Purpose of the Study:
- To define the role and application of retrospective UR.
- To highlight its utility in quality assurance.
Main Methods:
- Sampling of completed patient records for review.
- Focusing on previously identified problems in care delivery.
Main Results:
- Retrospective UR differs from traditional patient care evaluations or audits.
- It is effective when problems are best assessed through existing records.
Conclusions:
- Retrospective UR is a valuable tool for targeted quality improvement.
- It serves as an effective component within a comprehensive quality assurance program.