How NYC Health + Hospitals built one utilization review process for 11 hospitals

This webinar is on-demand and can be viewed at your convenience.

  • Joshua Moskovitz, MD, MPH, MBA

    Presenter

    Joshua Moskovitz, MD, MPH, MBA

    Medical Director of Utilization Management

    NYC Health + Hospitals

  • Joy Osa Uzamere, DNP, RN CCM-BC

    Presenter

    Joy Osa Uzamere, DNP, RN CCM-BC

    Director, Emergency Department Utilization Review Care Management

    NYC Health + Hospitals

  • Rob Shutter, LMSW (he/him/his)

    Presenter

    Rob Shutter, LMSW (he/him/his)

    Director of Utilization Management

    NYC Health + Hospitals

NYC Health + Hospitals runs 11 acute care hospitals and more than 70 patient care locations, making it the largest public health system in the country. Standardizing anything across that footprint is difficult. Standardizing emergency department utilization review is harder.

The system took it on. Leaders undertook a strategic reorganization of ED utilization review built on a centralized, standardized and systematized framework, aimed at greater efficiency, quality and consistency across core front-end utilization management functions — and streamlined workflows along the way.

Three of the leaders behind it walk through the work: how they identified the stakeholders a redesign of this size depends on, how they built the implementation action plan and which change management methods moved adoption.

Insights include:

  • Identifying stakeholders and building an implementation action plan
  • Change management methods that improve adoption of tools teams already have
  • How to qualify and quantify current processes before changing them
  • What a centralized framework looks like across a multisite system