NMPN - Utilization Management Sub-Committee

Occurs monthly on the last Wednesday starting on 10/31/2018 at 7:00 AM
Wednesday, October 31, 2018, 7:00 AM - 8:30 AM, CDH Admin Board Room // WebEx & Dial-In As Well


The purpose of the Utilization Management (UM) Committee is to monitor and drive improvement in the following areas: Patient care activities and the appropriateness of care. Efficient and effective utilization of resources. Clinical and financial outcomes of patient care activities. Patient/member and physician satisfaction. NMPN processes to ensure compliance with the UM plans of contracted health plans. Utilization management, development of medical economics goals and oversight of coverage decisions for risk programs. To do so, the UM Committee and NMPN staff will collect and analyze data, and recommend to the NMPN Quality Committee interventions and program changes to improve performance. The UM Committee is delegated to, develop, revise and implement polices and procedures relative to the running of the UM program

1. Apply best practices and create utilization management guidelines that promote medically necessary care, at the appropriate time, in the appropriate setting.
2. Construct data capture methodologies and clinical guidelines based upon relevant evidence.
3. Analyze quality data and implement policies that improve population health and reduce the costs of healthcare.

The Northwestern University Feinberg School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement

The Northwestern University Feinberg School of Medicine designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Attendance (1.00 hours)

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