Hospital Case Management, Concurrent Review Integration with MCG (Formerly Milliman Care Guidelines)

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1 22nd Annual Midas+ User Symposium June 2 5, 2013 Tucson, Arizona Hospital Case Management, Concurrent Review Integration with MCG (Formerly Milliman Care Guidelines) Wednesday, June 5, 2:30 pm This joint presentation will review integration between Midas+ Care Management and MCG s CareWebQI clinical decision support software. New integration points and enhanced reporting and worklist features included in Care Management v2012 will be reviewed, and an MCG representative will demonstrate the use of CareWebeQI (and the embedded care guidelines) for optimal outcomes. Presented By: Cindy Gebremariam, Product Manager, Care Management Pat Faughnan, Clinical Educator - MCG representative

2 Copyright 2013 MidasPlus, Inc. All Rights Reserved. Contact us at: Midas+ Solutions 4801 East Broadway, Suite 335 Tucson, Arizona (800) Visit our Web site at:

3 Hospital Case Management, Concurrent Review Integration with MCG (Formerly Milliman Care Guidelines) Pat Faughnan, RN, BSN, CCM, CTT+ Clinical Educator MCG Health Cindy Gebremariam, RN Product Manager, Midas+ Care Management MCG and Midas+ Relationship Milliman has a new name! Now they are MCG Partnered with each other for 15 years 2 MCG products CareWebQI (CWQI) Static Content Work together to troubleshoot issues MCG Account Managers/Executives Technical Support (800 number) Midas+ - Solutions Support/ Application Support -2-22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5,

4 Objectives Review functionality and new features in MCG and CWQI Demonstrate common workflow in CWQI Highlight new integration points in Midas+ including reports and SmarTrack Worklists Static Content nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

5 HCM Concurrent Review Change in Midas+ v2012 Pre-v2012 v nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5,

6 MCG Settings Scenario Clinical Summary: 61-year-old female presented to ED with chief complaint of bright red bloody stools and vomiting. Also complaining of chest pain in AM, now resolved. IV fluids and 1 unit fresh frozen plasma in ED Admitting diagnosis lower GI bleed Admitted to ICU Day 1 IV fluids; 4 units packed red blood cells; 2 units fresh frozen plasma upper GI endoscopy negative for source of bleeding Day 2 IV fluids; 2 units packed red blood cells; Colonoscopy showed diverticulosis Transferred to Medical floor Day 3 Pt. develops pneumonia nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

7 HCM CR (Milliman tab) Generate a Review in CWQI nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5,

8 Select your Guideline Select your Document nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

9 The Admission Review Add/Edit Notes nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5,

10 Add a Care Day and document the progression Add a Note if indicated Meanwhile.back in Midas nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

11 Add a Review in Midas+ Add additional Care Days nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5,

12 and see how the review grows! Midas+ Display nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

13 Add a Guideline Multiple Guidelines nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5,

14 Progression of CWQI Review Day 1 Day 2 Day 4 HCM Worksheet HCM Worksheet Template Definition nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

15 Worklist Display Options Reporting Options SmarTrack ReporTrack nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5,

16 SmarTrack Report Thank you for attending. Questions? Pat Faughnan Clinical Educator, MCG Health Cindy Gebremariam Product Manager, Midas+ Care Management nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

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