InterQual® Level of Care Criteria
Assess the safest and most efficient care level based on severity of illness, comorbidities, complications, and the intensity of services being delivered.
InterQual® Level of Care Criteria help healthcare organizations assess the safest and most clinically appropriate care level for more than 95% of reasons for admission. The condition-specific format presents evidence-based interventions that are specific to the condition and help to cost-effectively improve outcomes. The unique episode-day structure helps evaluate whether a patient is responding as expected and recommends interventions in the event of complications or a slower-than-expected response to treatment, as well as next steps for early responders.
Our novel approach involves evaluating Severity of Illness along with Intensity of Service to provide a clinically specific methodology for stay determinations. Additionally, only InterQual has incorporated management of comorbid conditions upon admission, along with continued stay.