The Inpatient Advantage

More than 1,900 clients use Milliman Care Guidelines products to support the care management of a majority of Americans. There is good reason for this broad acceptance, as Milliman's Inpatient and Surgical Care and General Recovery Guidelines products provide significant advantages over other criteria options:

• Proactive care and best-practice support – Care planning guidelines support proactive care through care pathways, define best practices, cover all admissions by specific diagnosis or procedure, and are supplemented by body-system and problem-oriented guidelines.
• Integrated clinical evidence – Full-time clinician editors – using only current best evidence and explicit evidence-based principles – include narrative Annotated Bibliographies and embed direct links to references and available abstracts throughout workflow.
• Concurrent review and discharge planning – Care pathway tables describe key elements and recovery milestones in six clinical categories, thus promoting optimal care delivery, tracking medically necessary and potentially avoidable variances, and prompting use of discharge planning and destination criteria.
• Access to patient materials and information – Includes evidence-based patient education guidelines for case managers, plus printable inpatient care plans, preoperative and discharge information written in layperson language for patients and family.
• LOS targets and utilization models – Provides evidence-based Goal and Benchmark Lengths of Stay for each diagnosis or procedure and six utilization models provide data on admits per 1,000, and average length of stay and days per 1,000 for commercial and Medicare-aged populations.
• Guidance for extended stay, complications – Outlines expected evaluation or therapeutic regimen and provides estimates of extension duration, while the Common Complications and Conditions section includes prevention information, continued-stay and discharge criteria.