Using utilization review information to improve hospital efficiency

UMMS Affiliation

Department of Quantitative Health Sciences

Publication Date


Document Type



Data Collection; *Databases, Factual; Health Services Misuse; Hospital Bed Capacity, 500 and over; *Hospital Information Systems; Hospitals, Teaching; Medical Staff, Hospital; Professional Staff Committees; Software; United States; Utilization Review


Biostatistics | Epidemiology | Health Services Research


Hospitals are currently under great pressure to improve the efficiency of internal operations without sacrificing quality of care. In the rush to do this, they often overlook an extremely useful source of information that already exists--data routinely collected as part of the utilization review (UR) process. This article describes a system using UR data for management purposes that was developed in a large urban teaching hospital. The components described are: (1) data collected systematically by trained reviewers applying the Appropriateness Evaluation Protocol; (2) software for data collection using inexpensive, highly portable computers; and (3) formats for reporting UR findings to hospital administrators and physicians. Information derived from UR in the study hospital is discussed, as well as factors to be considered in adapting some or all of the system's components in other hospitals.


Hosp Health Serv Adm. 1991 Winter;36(4):473-90.

Journal/Book/Conference Title

Hospital and health services administration

PubMed ID


Related Resources

Link to Article in PubMed