Save time, empower your teams and effectively upgrade your processes with access to this practical Utilization Management Toolkit and guide. Address common challenges with best-practice templates, step-by-step work plans and maturity diagnostics for any Utilization Management related project.
Download the Toolkit and in Three Steps you will be guided from idea to implementation results.
The Toolkit contains the following practical and powerful enablers with new and updated Utilization Management specific requirements:
STEP 1: Get your bearings
Start with...
- The latest quick edition of the Utilization Management Self Assessment book in PDF containing 49 requirements to perform a quickscan, get an overview and share with stakeholders.
Organized in a data driven improvement cycle RDMAICS (Recognize, Define, Measure, Analyze, Improve, Control and Sustain), check the…
- Example pre-filled Self-Assessment Excel Dashboard to get familiar with results generation
Then find your goals...
STEP 2: Set concrete goals, tasks, dates and numbers you can track
Featuring 996 new and updated case-based questions, organized into seven core areas of process design, this Self-Assessment will help you identify areas in which Utilization Management improvements can be made.
Examples; 10 of the 996 standard requirements:
- In what ways do you adapt the utilization management process to accommodate the unique needs and circumstances of patients with long-term or permanent disabilities, such as requiring additional time for rehabilitation or adapting to new conditions?
- What opportunities do you provide for healthcare providers to share their own experiences and perspectives on addressing health inequities in utilization management, and how do you incorporate their feedback into education and training programs?
- What are the key challenges faced by utilization managers in managing post-acute care for patients with complex or multiple chronic conditions, and how can these challenges be addressed through targeted interventions and programs?
- What measures are taken to prevent discrimination and ensure equal access to healthcare services for patients with disabilities, including compliance with relevant laws and regulations such as the Americans with Disabilities Act?
- What additional considerations are taken into account when evaluating the medical necessity of treatments for patients with permanent disabilities, such as adaptations to their living situation or access to assistive technology?
- What partnerships have you established with community-based organizations and advocacy groups to provide additional resources and support for healthcare providers in addressing health inequities in utilization management?
- What resources or tools do you provide to healthcare providers to help them navigate the complex network of community-based services and resources available to support patients with social determinants of health needs?
- How do you incorporate patient and caregiver feedback into your education and engagement strategies to ensure that healthcare providers are hearing directly from those most impacted by social determinants of health?
- How do you involve healthcare providers in the development of utilization management policies and procedures that take into account health inequities, and what benefits do you see from this collaborative approach?
- What opportunities exist for early intervention and prevention in the care of patients with long-term or permanent disabilities, and how are these opportunities integrated into the utilization management process?
Complete the self assessment, on your own or with a team in a workshop setting. Use the workbook together with the self assessment requirements spreadsheet:
- The workbook is the latest in-depth complete edition of the Utilization Management book in PDF containing 996 requirements, which criteria correspond to the criteria in...
Your Utilization Management self-assessment dashboard which gives you your dynamically prioritized projects-ready tool and shows your organization exactly what to do next:
- The Self-Assessment Excel Dashboard; with the Utilization Management Self-Assessment and Scorecard you will develop a clear picture of which Utilization Management areas need attention, which requirements you should focus on and who will be responsible for them:
- Shows your organization instant insight in areas for improvement: Auto generates reports, radar chart for maturity assessment, insights per process and participant and bespoke, ready to use, RACI Matrix
- Gives you a professional Dashboard to guide and perform a thorough Utilization Management Self-Assessment
- Is secure: Ensures offline data protection of your Self-Assessment results
- Dynamically prioritized projects-ready RACI Matrix shows your organization exactly what to do next:
STEP 3: Implement, Track, follow up and revise strategy
The outcomes of STEP 2, the self assessment, are the inputs for STEP 3; Start and manage Utilization Management projects with the 62 implementation resources:
- 62 step-by-step Utilization Management Project Management Form Templates covering over 1500 Utilization Management project requirements and success criteria:
Examples; 10 of the check box criteria:
- Responsibility Assignment Matrix: The total budget for the contract (including estimates for authorized and unpriced work)?
- Source Selection Criteria: What evidence should be provided regarding proposal evaluations?
- Procurement Audit: Are signature plates under the control of someone other than the individual given check-signing accountability?
- Cost Estimating Worksheet: What additional Utilization Management project(s) could be initiated as a result of this Utilization Management project?
- Quality Management Plan: Were the right locations/samples tested for the right parameters?
- Project Management Plan: How can you best help your organization to develop consistent practices in Utilization Management project management planning stages?
- Probability and Impact Assessment: What will be the likely political situation during the life of the Utilization Management project?
- Quality Audit: How does your organization know that its systems for providing high quality consultancy services to external parties are appropriately effective and constructive?
- Quality Audit: Does everyone know what they are supposed to be doing, how and why?
- Stakeholder Management Plan: What are the criteria for selecting other suppliers, including subcontractors?
Step-by-step and complete Utilization Management Project Management Forms and Templates including check box criteria and templates.
1.0 Initiating Process Group:
- 1.1 Utilization Management project Charter
- 1.2 Stakeholder Register
- 1.3 Stakeholder Analysis Matrix
2.0 Planning Process Group:
- 2.1 Utilization Management project Management Plan
- 2.2 Scope Management Plan
- 2.3 Requirements Management Plan
- 2.4 Requirements Documentation
- 2.5 Requirements Traceability Matrix
- 2.6 Utilization Management project Scope Statement
- 2.7 Assumption and Constraint Log
- 2.8 Work Breakdown Structure
- 2.9 WBS Dictionary
- 2.10 Schedule Management Plan
- 2.11 Activity List
- 2.12 Activity Attributes
- 2.13 Milestone List
- 2.14 Network Diagram
- 2.15 Activity Resource Requirements
- 2.16 Resource Breakdown Structure
- 2.17 Activity Duration Estimates
- 2.18 Duration Estimating Worksheet
- 2.19 Utilization Management project Schedule
- 2.20 Cost Management Plan
- 2.21 Activity Cost Estimates
- 2.22 Cost Estimating Worksheet
- 2.23 Cost Baseline
- 2.24 Quality Management Plan
- 2.25 Quality Metrics
- 2.26 Process Improvement Plan
- 2.27 Responsibility Assignment Matrix
- 2.28 Roles and Responsibilities
- 2.29 Human Resource Management Plan
- 2.30 Communications Management Plan
- 2.31 Risk Management Plan
- 2.32 Risk Register
- 2.33 Probability and Impact Assessment
- 2.34 Probability and Impact Matrix
- 2.35 Risk Data Sheet
- 2.36 Procurement Management Plan
- 2.37 Source Selection Criteria
- 2.38 Stakeholder Management Plan
- 2.39 Change Management Plan
3.0 Executing Process Group:
- 3.1 Team Member Status Report
- 3.2 Change Request
- 3.3 Change Log
- 3.4 Decision Log
- 3.5 Quality Audit
- 3.6 Team Directory
- 3.7 Team Operating Agreement
- 3.8 Team Performance Assessment
- 3.9 Team Member Performance Assessment
- 3.10 Issue Log
4.0 Monitoring and Controlling Process Group:
- 4.1 Utilization Management project Performance Report
- 4.2 Variance Analysis
- 4.3 Earned Value Status
- 4.4 Risk Audit
- 4.5 Contractor Status Report
- 4.6 Formal Acceptance
5.0 Closing Process Group:
- 5.1 Procurement Audit
- 5.2 Contract Close-Out
- 5.3 Utilization Management project or Phase Close-Out
- 5.4 Lessons Learned
Results
With this Three Step process you will have all the tools you need for any Utilization Management project with this in-depth Utilization Management Toolkit.
In using the Toolkit you will be better able to:
- Diagnose Utilization Management projects, initiatives, organizations, businesses and processes using accepted diagnostic standards and practices
- Implement evidence-based best practice strategies aligned with overall goals
- Integrate recent advances in Utilization Management and put process design strategies into practice according to best practice guidelines
Defining, designing, creating, and implementing a process to solve a business challenge or meet a business objective is the most valuable role; In EVERY company, organization and department.
Unless you are talking a one-time, single-use project within a business, there should be a process. Whether that process is managed and implemented by humans, AI, or a combination of the two, it needs to be designed by someone with a complex enough perspective to ask the right questions. Someone capable of asking the right questions and step back and say, 'What are we really trying to accomplish here? And is there a different way to look at it?'
This Toolkit empowers people to do just that - whether their title is entrepreneur, manager, consultant, (Vice-)President, CxO etc... - they are the people who rule the future. They are the person who asks the right questions to make Utilization Management investments work better.
This Utilization Management All-Inclusive Toolkit enables You to be that person.
Includes lifetime updates
Every self assessment comes with Lifetime Updates and Lifetime Free Updated Books. Lifetime Updates is an industry-first feature which allows you to receive verified self assessment updates, ensuring you always have the most accurate information at your fingertips.