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define the differences between quality improvement and utilization management within a healthcare facility

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The  differences between quality improvement and utilization management within a healthcare facility is that one involves improving the system while the other manages the system.

What is a quality improvement?

In healthcare, the quality improvement seeks to standardize processes and structure to reduce variation, achieve predictable results and improve outcomes for patients in the healthcare systems.

What is a utilization management?

In healthcare, the utilization management entails the evaluation of the medical necessity, appropriateness and efficiency of the use of health care services, procedures, facilities etc.

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