McKesson Health Solutions, an independent company, has made significant changes
to the InterQual Level of Care Criteria for 2012. Starting in mid-July, we will
implement the revised InterQual guidelines.
The InterQual Level of Care Acute Criteria are continuing to move towards a
condition-specific focus and transition away from body-system subsets. This
year, there are 17 new condition-specific subsets:
Anemia/Bleeding
Arrythmia
Chronic Obstructive Pulmonary Disease (COPD)
Deep Vein Thrombosis
General Subsets:
Antepartum/Postparturm
General Medical
General Surgical
General Transplant
General Trauma
Gastrointestinal Surgery
Infections
Central Nervous System
Endocarditis
Gastrointestinal/Genito-urinary/Gynecological
Musculoskeletal
Skin
Inflammatory Bowel Disease
Pulmonary Embolism
This represents a significant change from the previous InterQual Level of Care
intensity of service and severity of illness approach. Providers should note
that the new guidelines will require the provision of more detailed information
on treatment plans, including medication administration, diagnostic testing
results, and laboratory values.
For more information on the condition-specific subsets in the 2012 Acute
Criteria, please visit
www.McKesson.com.