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Program Eval/Quality

Program Evaluation and Qualty Improvement

Continuous Quality Improvement CQI System Orientated Approach. Uses limitations to increase change
Total Quality Improvement TQM Organised culture - enables employees to participate
Performance Assessment and Improvement PAI Systematic method to evaluate appropriateness of services
Utilisation Review Resources within facility
Statistical Utilisation Review Reimbursement claims data used to review
Professional Review Organisation PRO Peers who evaluate service/care under reimbursement or state
Prospective Review Used by 3rd party payers to approve OT intervention programs
Concurrent Review Evaluation of ongoing intervention
Retrospective Looks at past data
Risk Management Looks at level of risk in location/intervention
Created by: 574260469