Automating the Review Process

By pairing InterQual Criteria, the gold standard in evidence-based clinical decision support, with the latest in browser-based technology McKesson provides one of the most user-friendly care management applications available: CareEnhance Review Manager. Hospitals, health plans and case management companies use CareEnhance Review Manager to automate the review process. Designed for integration, CareEnhance Review Manager is available through over 20 leading healthcare information technology companies and can be integrated seamlessly into enterprise applications.

CareEnhance Review Manager helps organizations streamline workflows and enhance consistency as well as facilitate the collection, sharing and reporting of information. The care management team can:

• Use nested decision trees to speed review of symptom evaluations and proposed interventions
  
  
• Access extensive medical references, glossaries, discussions of patient management and safety warnings
  
  
• Incorporate organization-specific policies alongside InterQual criteria products for a unified, comprehensive set of guidelines
  
  
• Prioritize, assign, monitor and adjust work loads
  
  
• Use flexible reporting to support compliance with HIPAA privacy regulations and other quality initiatives

Delivering Fast, Consistent Results

The benefits of using CareEnhance Review Manager are widespread and proven. Organizations gain new abilities to:

• Facilitate communication among staff and between health plans and providers
  
  
• Identify opportunities to improve performance, and monitor progress toward goals
  
  
• Improve workflow processes for increased productivity and consistency
  
  
• Enhance data collection and mine that data for actionable information
  
  
• Streamline preauthorization and secondary review processes
  
  
• Ease accreditation and other quality reporting processes

Expanding Flexibility, Functionality

For maximum flexibility and capability, McKesson offers CareEnhance Review Manager Enterprise. In addition to all the benefits of using CareEnhance Review Manager, the Enterprise version provides accessibility to InterQual Criteria via any computer with Internet Explorer, HL7 compatibility and a host of integration and feature-rich options to enhance technology performance and program effectiveness.