The nurse has taken a position in the utilization review (UR) department of a hospital. This nurse can expect to be involved in evaluating which care components? Select all that apply
1. Was the care provided necessary?
2. How much medication did the patient receive?
3. How appropriate was the care provided?
4. How much did each procedure cost to provide?
5. How efficiently was care provided?
1, 3, 5
Explanation: 1. Utilization review and management is the process that evaluates the necessity of the healthcare services provided for specific patients or patient populations.
2. Medication reconciliation is done jointly by nursing and the pharmacy and is not a UR focus.
3. UR evaluates the appropriateness of care provided.
4. Cost should be a secondary factor in UR. The focus is quality of care.
5. Efficiency of provision of care is evaluated by UR.
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