Hospital pharmacists are under constant pressure to process copious amounts of information while delivering fast and accurate drug information to frontline clinicians who are in need of access to consistent, credible and comprehensive drug information. To improve physician workflow, and help clinicians make more informed decisions, incorporating technology powered by AI can help link pharmacy information to patient-specific data, ultimately helping both pharmacists and clinicians make more informed decisions.
In 1989, the Institute of Medicine defined utilization management as a “set of techniques used by or on behalf of purchasers of healthcare benefits to manage healthcare costs by influencing patient care decision-making through case-by-case assessment of the appropriateness of care prior to its provision.”
Healthcare payers today are facing a changing healthcare marketplace that demands business model transformation and the redesign of operational processes. In this new paradigm, information-centric strategies that support datadriven decision making across the enterprise can help payers compete.