Where can you go to find interactive support, answers to commonly asked questions, and links to other resources?

This subset is to be used when a patient requires an inpatient surgical procedure.

These are the different Levels of Care that you can IQ a patient in.

This is the first, or initial review a healthcare organization conducts to determine if a medical intervention is/was appropriate for a patient.

This is a level of care (IP vs OBS) determination tool, intended to be used as a real time decision support in the Emergency Department.

This categorizes drug names and classes that are mentioned within the criteria.

If a patient has a condition that is not listed in a condition specific subset, which subset should you choose?

This provides Explanations of criteria, definitions, information about a clinical condition, and gives directions on how to apply specific criteria. They are located at the end of the criteria points.

This document provides guidelines for using criteria, reference materials, steps for conducting a review, practical tips and is located within the IQ subset by clicking the IQ Clinical Reference tab.

What is a reason that an Initial Review would be contraindicated on a patient?

Describe when Episode day 1 for a new admission begins.

When the episode days within a condition-specific subset OR the end-points within a general subset are exhausted and a patient is medically appropriate for continued stay you would select which subset?

What are the age ranges for Adult vs. Pediatric Subsets?

This is a tool created by McKesson to help determine if the procedure is appropriate for IP admission and does NOT match up with the Medicare List.

Patient presents with abdominal pain/nausea/vomiting and has received 2 doses of IV pain medication and 1 dose of IV antiemetic. The symptoms are still uncontrolled. The patient has been for a CT scan of the abdomen, but there are no results at this time. What would the appropriate next step be?

This indicates that the patient is clinically appropriate at the level of care, for the designated episode day and condition.

This type of subset is organized by diagnosis and includes episode days.

When a patient develops a new condition during the stay and you have to change to a more appropriate subset, which Episode day would you begin with in the new subset?

Name one of the new Subsets in the 2017 Acute Adult criteria

This is a type of review that is conducted when a patient does not meet IQ criteria conducted in a primary review.

When would it be appropriate to use a General Medical Subset?

What are the two different ways that Criteria Points can be arranged within a Subset?

When a patient has been here for any amount of time in BOP/OBS and they convert to IP, which Episode day would you begin with in this new Subset?

True or False: A 60 year old patient presents to the ED for stroke like symptoms. They have had imaging that reveals a ischemic CVA. The MD has written admit to IP orders. The appropriate subset for the UR RN to conduct a review in is Stroke/TIA?