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Updated InterQual® guidelines for 2012

May 31, 2012

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.

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