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

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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

Copyright 2013 MidasPlus, Inc. All Rights Reserved. Contact us at: Midas+ Solutions 4801 East Broadway, Suite 335 Tucson, Arizona 85711 (800) 737 8835 Visit our Web site at: http://www.midasplus.com/

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, 2013 1

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 -3- -4-2 22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

HCM Concurrent Review Change in Midas+ v2012 Pre-v2012 v2012-5- -6-22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013 3

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 -7- -8-4 22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

HCM CR (Milliman tab) Generate a Review in CWQI -9- -10-22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013 5

Select your Guideline Select your Document -11- -12-6 22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

The Admission Review Add/Edit Notes -13- -14-22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013 7

Add a Care Day and document the progression Add a Note if indicated Meanwhile.back in Midas+ -15- -16-8 22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

Add a Review in Midas+ Add additional Care Days -17- -18-22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013 9

and see how the review grows! Midas+ Display -19- -20-10 22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

Add a Guideline Multiple Guidelines -21- -22-22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013 11

Progression of CWQI Review Day 1 Day 2 Day 4 HCM Worksheet HCM Worksheet Template Definition -23- -24-12 22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

Worklist Display Options Reporting Options SmarTrack ReporTrack -25- -26-22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013 13

SmarTrack Report Thank you for attending. Questions? Pat Faughnan Clinical Educator, MCG Health pat.faughnan@careguidelines.com Cindy Gebremariam Product Manager, Midas+ Care Management cynthia.gebremariam@xerox.com -27- -28-14 22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

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