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To the Editor.—
It would seem that Dr. Schubert would do better to review his own comments regarding CHAP and publish some critical evaluations of his data rather than resent the lack of our professional integrity. The Illinois program does not utilize a prior authorization method, relies solely on nurses for coordinators, and finally, has developed its own recording and evaluation system. Furthermore, the Illinois program also includes long-term care evaluation, hospital utilization committee review, and a highly developed evaluation model, elements apparently lacking from CHAP.More important, however, is the size and methodology of the two programs. CHAP includes a few hospitals and under 100,000 patients. The Illinois program has to deal with the logistics of more than 250 hospitals and a recipient population of close to 1 million patients.There is no question that CHAP may have been the first program of a foundation involved in utilization review.
Flashner BA. Hospital Admission Surveillance Programs. JAMA. 1972;222(11):1426. doi:10.1001/jama.1972.03210110060028