Utilization Review Criteria: Introduction to MCG (Part of the Hearst Health Network)

Utilization Review Criteria: Introduction to MCG (Part of the Hearst Health Network) is organized by AAACEUs. This Course has been approved for a maximum of Credit Hours: 4.

Course Description:
Outline:
Utilization Review Criteria: Introduction to MCG (Part of the Hearst Health Network) - Introduction
• General Introduction to the Utilization Review Criteria: Introduction to MCG (Part of the Hearst Health Network))
• Inpatient and Surgical Care
1. Introduction
2. Applying the Clinical Indications for Admission or Procedure
3. Maximizing Use of the Optimal Recovery Course
4. Discharge Planning Resources
5. The Basics
• Case Studies - Practice Test

Course Objectives:
• Define the purpose and goals of MCG Care Guidelines (formerly Milliman Care Guidelines)
• Define the Clinical Indications for Admission to Inpatient Care and use these Indications to determine appropriateness of inpatient admission
• Describe the key features of:
o the Optimal Recovery course
o the Discharge Planning Resources
• Define and differentiate between:
o Recovery Milestones and Care Elements
o Four types of variances
• Apply the MCG Care Guidelines to manage the Inpatient progression of care