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medCPU Modules Overview

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Best Practice and Compliance Modules:

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EMAIL: medCPU@scantec.com

Best-Practice Modules

OBSTETRICS

  • A set of ~4,200 protocols and rules; 29 different chapters to cover the entire OB vertical; ~800 pages in the OB AdvisorTM Rule Book
  • Assists in point-of-care compliance with obstetrics care pathways by providing associated best-practice decision support in the broad spectrum of low and high-risk obstetrical care.

STROKE

  • A set of ~800 protocols and rules
  • Assists in point-of-care compliance with stroke care pathways and provides associated decision support. Protocols are comprised of detailed and comprehensive set of practices that focus on advising on best practice management and treatment of stroke patients or suspected stroke patients, from hospital admission through discharge.

VTE PROPHYLAXIS

Assists in point-of-care compliance with VTE Prophylaxis care pathways by providing associated best practice decision support in the inpatient settings.

SPINE

Assists in point-of-care compliance with low back pain care pathways by providing associated best practice decision support in the outpatient settings.

CHF

Assists in point-of-care compliance with CHF care pathways by providing associated best practice decision support in the broad spectrum of inpatient and outpatient settings.

COPD

Assists in point-of-care compliance with COPD care pathways by providing associated best practice decision support in the broad spectrum of inpatient and outpatient settings.

DIABETES

Assists in point-of-care compliance with Diabetes care pathways by providing associated best practice decision support in the broad spectrum of inpatient and outpatient settings.

SEPSIS

Assists in point-of-care compliance with Sepsis care pathways by providing associated best practice decision support in the ER and inpatient settings, through:

  • facilitation of early diagnosis (focus mainly on Sepsis early diagnosis)
  • maximization of the quality of evaluation and approach to the patient
  • assurance that the correct empiric treatment is provided
  • guidance for the correct specific antimicrobial treatment, comprised of a robust AMS content which includes specific antibiotics selection guidance based on disease and hospital microbiogram, antibiotic use/dosage/toxicity, transition from I.V. to P.O. administration, drug/bug mismatches, patient risk stratification, de-escalation/streamlining protocols, and more.

PNEUMONIA

Assists in point-of-care compliance with Pneumonia care pathways by providing associated best practice decision support in the broad spectrum of inpatient and outpatient settings.

UTI

Assists in point-of-care compliance with UTI care pathways by providing associated best practice decision support in the broad spectrum of inpatient and outpatient settings.

RADIOLOGY

Assists providers in reaching better utilization of imaging. Using best-practice guidelines (e.g. ACR Appropriateness Criteria) and clinical content in the patient’s medical record, medCPU prompts providers in the ER, inpatient and outpatient settings for appropriate ordering of imaging studies.

BLOOD PRODUCTS TRANSFUSION

Assists in point-of-care compliance with Blood Products Transfusion care pathways by providing associated best practice decision support at the point-of-care.

Compliance Modules

MU CQMS, INPATIENT & OUTPATIENT, STAGES I + II (GOV’T CERT.)

Assists providers in meeting the Meaningful Use Clinical Quality Measures for both the Inpatient (i.e. stroke and venous thromboembolism) and Outpatient (44 CQMs) settings, by providing real-time decision support at the point-of-care, as well associated certified (MU I + II) compliance reports

AQC (BCBS OF MASS ACO ALTERNATIVE QUALITY CONTRACT)

Assists providers in meeting the Blue Cross Blue Shields of Massachusetts Alternative Quality Contract (AQC) Measures, as part of the BCBS ACO contracts with providers, by providing real-time decision support at the point-of-care.

POPULATION HEALTH

Assists providers and Care Managers in maintaining Health Home care pathways by providing associated decision support at the point-of- care.

READMISSIONS REDUCTION

Assists in maintaining readmission reduction care pathways by providing associated best practice decision support at the point-of-care in both the outpatient and inpatient settings for patient before and during the first 30-days post discharge with Acute Myocardial Infarction (AMI), Heart Failure (HF) and Pneumonia (PN).

VALUE BASED PURCHASING

  • Assists the organization in complying with Medicare’s 2014, 2015 and 2016 Clinical Process of Care VBP Measures, by prompting the clinicians, at the point-of-care, when non-compliance is identified.
  • The objective of this module is to assure maximum compliance with Midicare’s Clinical Process of Care Measures is achieved

TWO-MIDNIGHT RULE

  • Bring the organization to full compliance with CMS’ Inpatient Prospective Payment System (IPPS) Rule:
  • An “appropriate” inpatient admission is when a patient stays at the hospital for at least two midnights.
  • Make the CMS’ Two-Midnight Rule actionable, in real-time, to actively guide the physicians on the right decision of whether to admit or not to admit
Results in:
• Significant decrease in hospital’s inpatient admission denials
• Significant decrease in patients’ time spent in extended observation leading to significant decrease in Part B-related costs
• Successful RAC (Recovery Audit Contractor) audits

INPATIENT-ONLY SURGERIES

  • Assists the organization in reducing failures in physicians’ and nurses’ documentation at the point-of-care associated with appropriately identifying Inpatient-Only surgeries.
  • The objective of this module is to assure maximum identification of Inpatient-Only surgeries, assist-
    ing clinicians in defining them as such hence minimizing financial losses associated with such misses.

ICD-10/DRG ADVISOR

  • Assists the organization in reducing failures in physicians’ and nurses’ documentation at the point-of-care, which result in less complicated DRG/ICD-10 coding.
  • Makes the DRG/ICD-10 ‘best practices’ actionable, in real-time, to actively guide the physicians not to fail in appropriately documenting the severity of the clinical case. This is done by prompting the clinicians, at the point-of-care, when incomplete documentation is identified
  • Shifts towards more complicated DRG/ICD-10 codes
  • Reduces revenue loss due to inefficient documentation