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The Canadian health-care system is faced with increasing costs, improved but more expensive technologies, an aging population with complex medical conditions, and decreasing resources. In this environment, utilization management (UM) becomes increasingly important to balance costs with patient care quality. This PPB focuses on UM for acute care and examines some of the key areas of concern, including appropriateness of admission, length of stay, wait times, and discharge planning. It also highlights the contribution of HIM professionals in effective utilization management.
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CHIMA members: One you have download and reviewed this PPB resource, you may wish to take the associated quiz: 0039 Utilization Management PPB Quiz.