Application and Outcomes of Treatment Guidelines in a Utilization Review Program - 30/07/15
Résumé |
The value of treatment guidelines in improving outcomes for patients and controlling costs is significantly enhanced in Washington by incorporating guidelines into a structured UR program. This article describes: (1) how the Washington Department of Labor and Industries (L&I) UR program uses guidelines; and (2) the impact of the UR program on costs and outcomes. The impact of guideline implementation in the Washington program is considerable. In 2014, the L&I program produced net savings of $7,519,823, and the return on investment was approximately $2.00. The impact on clinical outcomes includes an overarching effect from use of best practices.
Le texte complet de cet article est disponible en PDF.Keywords : Treatment guideline, Clinical practice guideline, Workers’ compensation, Utilization review, Utilization management, Cost containment, Quality of care, Clinical outcomes
Plan
| Conflicts of Interest: None. |
Vol 26 - N° 3
P. 445-452 - août 2015 Retour au numéro
Article précédent
- Introduction to Evidence-Based Decision Making in a Public Workers’ Compensation Agency
- Nicholas K. Reul
- Guideline for Prescribing Opioids to Treat Pain in Injured Workers
- Jaymie Mai, Gary Franklin, David Tauben
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