In utilization review, the statistical approach focuses on what outcome?

• A. Scheduling appointments for patients
• B. Training staff in documentation
• C. Determining which providers are most efficient and cost-effective
• D. Conducting patient satisfaction surveys

Answer: (C)

In utilization review, using a statistical approach means examining data on resource use and outcomes to see how care is delivered across providers. The focus is on identifying which providers achieve outcomes efficiently and at lower cost, i.e., who is most cost-effective without sacrificing quality. This helps guide decisions about where to allocate resources and how to optimize care. Scheduling appointments relates to access logistics, training in documentation is about process and compliance, and patient satisfaction surveys measure experience, not the cost-efficiency of care. So the best focus is pinpointing the providers who are most efficient and cost-effective.