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The utilization plan can make all of these things more accountable towards the management on how they perform their day-to-day tasks and duties resulting in much more efficient and better services provided to the patients.
The plan also helps in resolving and managing different issues such as human resources, departmental safety, risk management and so on. It is also responsible for all aspects of the staff management which includes issues such as personnel training, hiring, performance reviews as well as terminations integrated in broader medical center's overall utilization management initiatives. This also helps the upper level management in doing their routine tasks with more efficiency and better understandings of ground realities.
The plan also includes the assurity of the development, implementation and monitoring of the policies and procedures of all the departments. It also ensures that the member benefits are properly interpreted and applied correctly such that they come in compliance with the federal and state regulations. This also includes the overseeing of data entry as well as the documentation.
The previously mentioned are some of the main points which are in Kaiser's utilization management plan. Now, let's look at some of the weaknesses in this plan. Although the plan calls for many creative solutions such as departmental operational overseeing as well as proper management, it fails to go into the details of how these tasks should be achieved....
Here, more emphasis should be given on how the mentioned and other points in the utilization plan should be achieved. This will greatly simplify any person or organization that will choose to follow such plan in order to make the organization a better place. The management should also be able to hire the expertise from different other firms in order to accomplish this task.
Secondly, there seems to be a lack of focus on the training aspect of the personnel of the organization. Here more emphasis should be paid on how to keep up according to the best international standards by offering the best training to the employees. Besides training, the management should also be more focused to offer great incentives packages towards the employees. "The utilization plan should also include detailed information regarding the benefits that any employee can receive regarding his or her dedication towards their work." (Walshe, 2003). This will bring a great amount of confidence in them and the employees will work harder for the sake of additional benefits.
Finally, here is the URL as our main source of examination, "http://www.labratjobs.com/job/21136/utilization-management-registered-nurse-rn-/"
References
Dabbah, R. (1999). Total R&D Management. Illinois: Interpharm Press.
Smith, J. (2006). Healthcare Management. Maidenhead: Open University Press.
Walshe, K. (2003). Regulating Healthcare. Philadelphia: Open University Press.
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