Inpatient & Surgical Care

Inpatient & Surgical Care

Proactive Care Management

Actively manage your healthcare programs with:

  • Optimal recovery guidelines – Recovery and treatment plans with day-by-day steps that yield the most favorable outcomes.
  • Actionable criteria – Admission criteria, alternatives to admission, procedures, and discharge details to support your clinical care efforts.
  • Observation care guidelines – Comprehensive criteria covering observation care admission and discharge decisions.
  • Integrated quality measures – Hospital Quality Alliance (HQA) measures to support quality care.
  • Easy evidence access – Annotated bibliographies and footnotes integrated into the guidelines for easy reference.
  • Readmission risk – Measures to help reduce readmission for heart failure, myocardial infarction, and community-acquired pneumonia.
 
Qualified healthcare professionals may use our guidelines as a tool to support medical necessity decisions, but they should not use them as the sole basis for denying treatment or payment. Our guidelines must be applied to individual patients on a case-by-case basis and always in the context of a qualified healthcare professional's clinical judgment. 
 
 
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