Question 1: What are the primary categories of utilization management (UM)? How does UM determine medical necessity through the use of evidence-based guidelines?
Question 2: What are the key differences between conventional case management and disease management? Provide some examples of diseases that seem to benefit from a disease management model of care.
Question 3: To develop a schedule for a project, we will use the concept of a project network, which shows work activities taken from the work breakdown structure and organized according to the logical flow in time and relationships governing when the work will be performed. By combining this network of work activities with estimates of the time duration for performing each of the activities, we can create a schedule for the project work. What types of information can we learn about the project by reviewing the project schedule and all the information used to generate it?
Question 4: Assume you have just been assigned to a project risk team of five members. Because this is the first time your organization has formally set up a risk team for a project, it is hoped that your team will develop a process that can be used on all future projects. Your first team meeting is next Monday morning. Each team member has been asked to prepare for the meeting by developing, in as much detail as possible, an outline that describes how you believe the team should proceed in handling project risks. Each team member will hand out their proposed outline at the beginning of the meeting. Your outline should include but not be limited to the following information:
- Team objectives
- Process for handling risk events
- Team activities
- Team outputs