Change Healthcare Introduces InterQual® 2020 With COVID-19 Criteria
19 Mai 2020 - 4:30PM
Business Wire
Latest release includes immediate access to
InterQual COVID-19 criteria, further integration of medical
conditions with mental health and substance disorders, and addition
of AI Natural Language Processing to increase accuracy and
automation
Change Healthcare today unveiled InterQual 2020, the latest
edition of the company's flagship clinical decision support
solution. The new release builds on Change Healthcare’s tradition
of continuous innovation in content and technology with thousands
of updates, including immediate access to InterQual COVID-19
criteria to providers and payers nationwide, and the addition of
Change Healthcare AI Natural Language Processing models to further
automate medical reviews.
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the full release here:
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With the COVID-19 pandemic putting unprecedented pressure on all
facets of the healthcare system, the need for appropriate
utilization is more important than ever. Acute care facilities need
to maximize available bed capacity through careful admission
screening, continued stay management, and post-acute transition
planning. Additionally, patients who do not have COVID-19 benefit
from appropriate care transitions, helping to significantly reduce
the possibility of exposure.
To support healthcare stakeholders, Change Healthcare is
providing immediate access to InterQual criteria related to
managing COVID-19 patients to InterQual customers and
non-customers. InterQual COVID-19 criteria spans the full continuum
of care across content modules including Acute Adult and Pediatric,
Long Term Acute Care, Subacute/Skilled Nursing Facility, Home Care,
Durable Medical Equipment, and Medicare Durable Medical Equipment
Powered by InterQual.
InterQual 2020 also expands the reach of InterQual AutoReview™,
its medical review automation solution, which is now enhanced with
Natural Language Processing models. With these models, trained by
expert physicians, InterQual AutoReview can identify diagnostic
information, such as the presence of pneumonia with accuracy as
high as 98%, from unstructured clinical narratives. This helps
reduce the administrative burden of not only retrieving and
reviewing information, but also interpreting narratives.
Among the additional new and enhanced content included in this
latest release are the following features:
- Admission guidance for e-cigarette or vaping product
use-associated lung injury (EVALI)
- New criteria for Medicare Durable Medical Equipment aligned
with national and local coverage determinations
- InterQual Acute Pediatric criteria codified to work with
InterQual AutoReview Episode Day 1 reviews for approximately 80% of
non-trauma admissions
- Pediatric Physician Admission Guide, which summarizes the
differences in severity and treatment criteria between the
Observation and Acute levels of care
- Further integration of medical conditions with mental health
and substance use disorders
“Clinical decision-making and care management have always been
challenging, but clinicians today are facing new and highly complex
utilization issues,” said Laura Coughlin, RN, vice president of
Strategy and Clinical Development with Change Healthcare. “The
latest enhancements to InterQual help address many of the pressing
clinical issues these teams encounter, and further automate
resource-intensive activities. The Change Healthcare Clinical
Content team and technologists will continue to evaluate evidence
as it becomes available, update criteria as required, and seek new
ways to help those who are dedicated to care.”
InterQual 2020 criteria and software enhancements are available
immediately on Download Connect, a secure software distribution
platform. The new InterQual criteria is also available in all cloud
applications immediately, with no installation required. Users can
view and evaluate the new criteria now and decide when to make the
switch at any time.
To request access to InterQual COVID-19 criteria at no cost,
providers and payers can register at
https://inspire.changehealthcare.com/InterQual-Covid-19.
For more information on Change Healthcare, please visit our
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Podcasts, Google Podcasts, and YouTube.
About Change Healthcare
Change Healthcare (Nasdaq: CHNG) is a leading independent
healthcare technology company that provides data and
analytics-driven solutions to improve clinical, financial and
patient engagement outcomes in the U.S. healthcare system. We are a
key catalyst of a value-based healthcare system, accelerating the
journey toward improved lives and healthier communities. Learn more
at changehealthcare.com.
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version on businesswire.com: https://www.businesswire.com/news/home/20200519005675/en/
Kerry Kelly Vice President External Communications Change
Healthcare 339-236-2756 kerry.kelly@changehealthcare.com
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