The elements of a concurrent integrated UR-QR management system, Part two.

Abstract

The previous discussions obviously lend credibility to the construct of concurrent integrated UR-QR management. DRG prospective payment obviously accelerates the need for coordinated interdepartmental UR-QR management so that managers are in positions to control the units of service. The value of concurrent integrated UR-QA management is patent in supporting the institutional mission of fiscal solvency under DRG prospective payment. However, very few acute care facilities have such programs in place; the rule is to departmentalize the components of UR and QR at the expense of efficiency, cost-effectiveness and problem resolution.