DCS Comprehensive Health Plan

Inter-Rater Reliability Testing

Policy No.

Responsible Area

Effective Date

Download

HS-MM-08

All DCS CHP Units

08/31/2023

PDF

Statement/Purpose

Inter-Rater Reliability (IRR) testing is utilized as a mechanism to monitor and evaluate comprehension of medical criteria, consistent decisions and to ensure accurate and consistent application of the criteria among all staff involved with the process. Inter-Rater Reliability testing is conducted in an effort to:

  • Minimize variation in the application of clinical guidelines;

  • Evaluate staff ability to identify potentially avoidable utilization;

  • Evaluate staff ability to identify quality of care concerns;

  • Evaluate staff ability to triage, systematically examine and finalize quality of care concerns;

  • Target specific areas most in need of improvement; and

  • Identify staff needing additional training.

Definitions

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Policy

[Policies are the guiding principles and/or rules that ensure consistency and compliance with DCS CHP’s mission, values and strategic goals]

Procedure

[Procedure are high-level actions that guide adherence to policy. Procedures describe the methods used to comply with policy]