Which type of utilization review should occur to monitor the number of inappropriate admissions?

The correct approach to monitor the number of inappropriate admissions is through prospective utilization review. This type of review takes place prior to or at the time of admission, allowing for the evaluation of the necessity and appropriateness of the admission before it occurs. By engaging in this pre-admission assessment, healthcare providers can proactively identify and address potential inappropriate admissions, thereby improving patient care and resource management.

Prospective reviews help in ensuring that admissions are justified based on established criteria, contributing to better decision-making and potentially reducing unnecessary hospitalizations. This proactive stance not only enhances patient outcomes but also supports efficient utilization of healthcare services, aligning with the goals of effective healthcare management and cost control.

Other types of reviews, such as concurrent or retrospective reviews, focus on admissions that have already occurred. While they can identify issues and potentially lead to improvements in processes over time, they do not prevent inappropriate admissions from happening in the first place. Therefore, prospectively monitoring admissions is the most effective strategy for addressing this specific concern.