Solution Bundle

InterQual Optimization Solutions

Clinical education, interrater reliability, and customization solutions for InterQual clients who want to get the most from their InterQual solution.

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Optimization optionsto help improve usage and quality within your organization

Clinical education to build quality and promote accurate reviews

Meet your staff-development needs with rigorous and effective education options. Multiple modalities for modern learners include on-demand online learning, as well as scheduled live sessions led by clinical education consultants. Explore the on-demand library, manage assigned training, and more from the InterQual Learning Management System.

InterQual Interrater Reliability (IRR) tool to promote consistent application of criteria

Measure, evaluate, and improve the consistency of criteria application from reviewer to reviewer with the IRR online testing application. Reports are available in real time with results at both the individual and aggregate levels. This helps you meet regulatory and accreditation requirements related to IRR (e.g., URAC, NCQA, Joint Commission).

InterQual Customize editing software for customized content creation

Streamline your workflow by using our content-creation and editing software to author your own care management guidelines or customize existing InterQual criteria to conform to your unique medical and business policies. You can then publish these custom policies alongside the InterQual criteria to create a single workflow within your internal utilization management (UM) solution.

What’s included in InterQual Optimization Solutions

  • Multimodal InterQual Education services

    •  Learning-source platform
    •  Learning Basics skill-based, online modules
    •  Prework and post-session assessments
    •  Ability to track CEUs and print certificates
    •  Scheduled live sessions led by clinical education consultants. Webinar sessions and regional seminars.
    • Advanced learning programs: InterQual Certified Instructor, Certified Expert Resource, and custom clinical-content education (add-on options)

  • InterQual Interrater Reliability application (add-on option)

    • Hosted, online testing application
    • Comprehensive test portfolio that’s updated annually
    • Case studies and process questions that highlight specific InterQual concepts
    • Real-time reports for easy data management
    • System-administrator training 

  • Flexible InterQual Customize software (add-on option)

    • Content creation and editing software
    • Cross-format customization
    • Central-repository content library
    • SaaS delivery for streamlined implantation
    • Version-migration capability

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Our outcomes

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We Follow the Science—and Defend Against Bias

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We Follow the Science—and Defend Against Bias

See how we follow the science where it leads, validating the research we find to uphold the unmatched clinical integrity of the InterQual content.

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