In this assignment, you will take on the role of Utilization Review (UR) Coordinator at Rasmussen Hospital who is preparing for a Utilization Review Meeting.
Part 1 – Utilization Review Worksheet
As the UR Coordinator, part of your weekly duties includes determining whether or not patients need to stay a little longer in the hospital. This week you have 3 patients to evaluate.
Download the Utilization Review Worksheet, study the case for each of the 3 patients, and use the Continued Stay Criteria within the document to determine whether or not the patient should be discharged. Once you have complete the Utilization Review Form within the document, save and submit your completed worksheet.
Part 2 – Meeting Agenda
Now that you have determined the discharge status of each patient, you need to call a meeting with the CEO, Chief Medical Officer, the patients’ doctors, and the Director of Nursing to inform them of the plans. However, you also need to discuss a few more topics during the meeting: the number of discharges planned for the next week, the lack of physician documentation, Utilization Review statistics from the previous month, and coverage for your 2 week vacation.
In a separate document, prepare an agenda reflecting the 3 patients’ statuses and the topics stated above. A quick Internet search on agenda writing may be helpful to complete this task.
Expert Solution Preview
Introduction:
In this assignment, the student will be taking on the role of Utilization Review Coordinator at Rasmussen Hospital, tasked with evaluating patients’ continued stay and preparing for a Utilization Review Meeting. The assignment consists of two parts, the first being a Utilization Review Worksheet where the student will evaluate three patients’ cases and determine whether or not they should be discharged. The second part involves preparing an agenda for a meeting with the CEO, Chief Medical Officer, patients’ doctors, and Director of Nursing to inform them of the discharge plans and discuss other topics.
Answer:
For Part 1 of the assignment, the student will need to download the Utilization Review Worksheet and study the case for each of the three patients. Using the Continued Stay Criteria within the document, the student will need to determine whether or not the patient should be discharged. Once the Utilization Review Form within the document is completed, the student will need to save and submit the completed worksheet.
For Part 2 of the assignment, the student will need to prepare an agenda reflecting the statuses of the three patients and other topics that need to be discussed during the Utilization Review Meeting. These topics include the number of discharges planned for the next week, the lack of physician documentation, Utilization Review statistics from the previous month, and coverage for the two-week vacation. The student may find it helpful to conduct a quick Internet search on agenda writing to complete this task.
