20th Annual Case Management Conference and 14th Annual ACMA Meeting
 
 

6D: (McKesson) The Even Easier InterQual 2013

 
 
Speaker:  Maureen Doucette, RN MSN MBA, Senior Product Consultant, McKesson Health Solutions
 
Abstract:
InterQual criteria are the gold standard, chosen by over 60% of hospitals in the US. Enhancements for 2013 criteria release support a more user friendly, intuitive and even easier documentation process. Highlights include a condition specific focus for diagnosis driven care management support, additional content for documentation of re-admission avoidance and quality indicators and a full array of continuum support for transitions across the patient care continuum from SAC/SNF, Rehabilitation , LTAC and home care through a full suite of Behavioral Health content. Highlights also support a rich Q & A format for medical necessity documentation from medical necessity documentation for appropriateness of procedures and imaging studies through durable medical equipment and patient specialty referral.
 
Learning Objectives:
 
Discuss 2013 enhancements to InterQual level of care and care planning content
 
Discuss factors grounded in medical evidence which support high risk readmission potentials for patients and transition summary documentation.
 
Discuss the complete range of InterQual criteria content beyond the acute level of care to effectively manage continuum of care for patient populations