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McKesson’s InterQual® 2014 Raises the Bar for Evidence-Based Clinical Content at the Point of Care

June 3, 2014

New Mobile Version, Enhanced Automation, and Expanded Content Aid Industry’s Transition to Value-Based Care

NEWTON, Mass.--(BUSINESS WIRE)-- Today McKesson released the 2014 update of its InterQual® clinical content and software portfolio, revolutionizing access to clinical evidence with the launch of the InterQual Mobile app. For the first time in InterQual’s 38-year history, payers and providers can get on-the-go access to McKesson’s InterQual content on iOS® and Android™ devices, to help improve their medical decisions at the point of care and expediting their medical necessity administrative process.

The 2014 release also helps advance collaboration at the point-of-decision and align clinical content with the latest medical evidence. Together, these updates support payers’ and providers’ need for the efficient, collaborative workflows that value-based care requires. By putting timely clinical criteria, automation and mobile capabilities into stakeholders’ hands, InterQual helps optimize care delivery and reduce administrative costs through evidence-based decision support.

“In an era where transparency and collaboration are crucial to achieving the goals of value-based care, InterQual 2014 Criteria is what will help payers and providers succeed,” says Jackie Mitus, senior vice president of clinical development and product strategy for McKesson Health Solutions. “With this release, we’ve strengthened the breadth of our medical evidence and made the criteria more accessible and timely. InterQual Mobile puts evidence-based clinical content and better decision support directly at the point of care.”

InterQual is now used by 92 percent of the top 100 hospitals, 300+ managed care organizations1, and is the trusted guide that both payers and providers use more than any other clinical criteria. And with today’s release of InterQual 2014, helping stakeholders support better patient outcomes has never been more convenient, more automated or more intelligent, thanks to innovations such as:

  • InterQual Mobile, the first mobile version of McKesson’s InterQual content, is now available at no additional cost. Payers and providers can get anytime, anywhere access to InterQual Level of Care Criteria and InterQual Behavioral Health Criteria via iOS or Android smartphones or tablets. InterQual Mobile’s tap-and-go menus help speed clinical documentation and medical necessity administration with roaming access to evidence-based decision support wherever and whenever it’s needed.
  • InterQual Behavioral Health Criteria has been revised to align with the latest DSM-5™ (Diagnostic and Statistical Manual of Mental Disorders), the common language clinicians use to communicate about patients and diagnose mental disorders. Applied Behavior Analysis (ABA) criteria subsets for autism spectrum disorders were added to Child Psychiatry. The most significant upgrade to InterQual’s Behavioral Health Criteria in over a decade, the new content features modified terminology, updated subset titles and added conditions.
  • InterQual Acute Criteria’s condition-specific content subsets were updated and refined to improve usability and navigation, and to support more efficient, consistent reviews. Changes include streamlining episode days, adding greater specificity in some general criteria subsets including Nursery and Antepartum/Postpartum, and expansion of the responder criteria.
  • InterQual Molecular Diagnostics Criteria updates make it the best in class at keeping pace with the explosive innovation in molecular diagnostics today. The criteria set now covers 680 tests, including 25 new tests added this year. McKesson is committed to helping its customers keep pace with the speed of change in this rapidly growing field.
  • InterQual 2014 Criteria and software with associated ICD-9 codes were updated to support ICD-10 compliance. The change from ICD-9 to ICD-10 was complete a full seven months in advance of the original (and now extended) CMS deadline. The update will expand the number of codes used to describe why a patient sought care and how they were treated from 20,000 to over 155,000.
  • InterQual 2014 Criteria and CareEnhance® Review Manager are available within Cerner and Epic’s EMR software. In addition, InterQual is integrated with 26 other McKesson Alliance partners, including 3M, AllScripts, EXL Landa, Horizon Enterprise Visibility, McKesson STAR, MedHOK, Morrisey, Midas+, Trizetto and ZeOmega.

    “InterQual has always been about helping healthcare stakeholders make better decisions that can lead to better outcomes for their patients,” says Ian Gordon, senior vice president and general manager of Decision Management for McKesson Health Solutions. “Knowing payers and providers are increasingly putting a premium on value and appropriate care, we wanted this version of InterQual to provide accurate, timely content, so our customers can drive more efficient, effective use of healthcare resources.”

    For more information on McKesson Health Solutions, please visit our Web site, hear from our experts at MHSdialogue and follow us on Twitter @McKesson_MHS.

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    About McKesson

    McKesson Corporation, currently ranked 15th on the FORTUNE 500, is a healthcare services and information technology company dedicated to making the business of healthcare run better. McKesson partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting. McKesson helps its customers improve their financial, operational and clinical performance with solutions that include pharmaceutical and medical-surgical supply management, healthcare information technology and business and clinical services. For more information, visit us at

    1based on AIS data

    McKesson Health Solutions

    Rich Levin, 610-205-5699

    Public Relations

    Source: McKesson Health Solutions

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