Interactive External Utilization Review (IEUR)
Why Does Interactive External Utilization Review Work?
Interactive External Utilization Review is the only effective process to improve physician
and hospital practice rapidly and permanently. The process is effective because it teaches providers,
using their actual patient case management, how and why they could have improved blood transfusion
usage or other services. If physicians and staff know that all events, such as orders or
documentation, will be monitored, then there is an immediate conscious effort to provide better care.
This social principle is known as the “Hawthorne Effect” and can result in an immediate improvement
of as much as 15%, making IEUR virtually free through resulting cost savings.
Benefits of Interactive External Utilization Review:
- Teaches physicians how and why to better allocate resources, using a case study of their actual patient management
- Implemented rapidly, resulting in immediate change that translates into a large ROI
- Reviews all events, not just a small sample
- Rapidly provides a complex analysis of clinical and laboratory data
- Permits review to be completed shortly after hospital discharge
- Provides objective critiques by external reviewers
- Tracks all compliance issues
- Scalable from one to dozens to hundreds to thousands of hospitals across country borders
- Provides certification of best medical practice
- Creates a registry of outcomes
- Meets current and any future Joint Commission metrics
- Accurately facilitates physician re-credentialing, as currently required by the Joint Commission
- Protects against sham peer review
- Reduces exposure to “Never Events”
- Applicable to any UR project
- Serves to screen and analyze all high-risk events
- Applicable to medical staff peer review process
- May be used to appeal declined reimbursement for patient care
- Potential to develop a National QI healthcare network