UTILIZATION MANAGEMENT

Air Force Medical Service's Utilization Management Program

Air Force Medical Service's Utilization Management Program

Introduction

Active and evolutionary transformations are proceeding in the Air Force Medical Service's Utilization Management program... The disputes faced in following the care procedure while meeting tactical business goals within the healthcare delivery system and accepting twenty first century digital business practices are overwhelming. Providing care in today's multifaceted, incorporated, healthcare delivery networks presents challenges formerly unseen in this industry. In particular, healthcare executives and clinical professionals are challenged to delineate and employ information systems that sustain an efficient and successful care process, while meeting the business needs of the healthcare delivery structure. Accomplishing digital transformation and executing a Virtual Patient Record in today's intricate delivery networks presents a complication previously unobserved in the industry. The days of documenting in a paper layout are deemed obsolete in an industry that has provided way to exceedingly complex and sophisticated clinical functionality that is maintained by refined technologies, complex infrastructures, and constantly mounting demands for assimilation and diffusion of data for real-time analysis and proactive outcome management of the patient. Conventional paradigms and methods of paper documentation are miserably inadequate, inefficient, and futile in meeting today's incorporated healthcare business needs (John, 2002).

The term "Medical Management" is used to portray a broad range of actions, from the administration of a medical group practice, to utilization management by a health plan, to the supervision of a group of patients with a certain disease, either preventive or acute, etc (Brodie, 2000)

Technological advancements:

In the face of compact settlements, regulatory expenses, and an aging population with amplified consumption, healthcare establishments will require making the superlative use of technology to automate procedures for better competence, and eventually for endurance. The aptitude to balance swiftness, expenditure, and eminence of care delivery will finally characterize the fate of ...