Interqual 2015: A Case Study

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In 2015, McKesson released its newest EHR clinical decision support system called InterQual 2015. The updated system contains 55 new evidence based clinical content areas, and contains 33 new molecular diagnostic tests and criteria for 29 new specialty drugs. InterQual 2015 is comprised of 5 content suites, they are:

 Level of Care Criteria: Decision support based off of intensity of services, severity of illness and comorbities.  Behavioral Health Criteria: Decision support to aid clinicians in managing mental health and substance abuse patients both at the initial and existing stages.

 Care Planning Criteria: Decision support to help providers understand when imaging, procedures, specialty referrals, medications etc. are appropriate.

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