SEATTLE, July 14 /PRNewswire/ -- Northeast Health Care Quality Foundation, one of the nation's leading Quality Improvement Organizations (QIOs), has signed a five-year licensing agreement with Milliman Care Guidelines, LLC, A Milliman Company, to use the Care Guidelines for Medicare utilization and quality reviews in Maine, New Hampshire and Vermont, and for Medicaid utilization and quality reviews in New Hampshire.
Northeast Health Care Quality Foundation will use all Care Guidelines products -- Ambulatory Care, Inpatient and Surgical Care, General Recovery Guidelines, Recovery Facility Care, Home Care, Chronic Care Guidelines and Behavioral Health Guidelines -- through Web software to support appropriate quality of clinical care for Medicare and Medicaid beneficiaries.
The Centers for Medicare & Medicaid Services (CMS) contracts with QIOs to conduct Medicare reviews and quality initiatives across a variety of healthcare settings in each state. CMS does not mandate or endorse the use of any specific clinical guidelines or criteria set by QIOs.
The Care Guidelines promote quality care by providing healthcare professionals with access to best practices based on annually updated evidence. The Care Guidelines also display Quality Measures used by CMS, and each inpatient topic includes care planning information highlighting interventions that lead to improved outcomes. Designed for prospective, concurrent, and retrospective reviews, the Care Guidelines enable informed and consistent clinical care decisions, and support the best possible care management using the most current evidence-based medicine.
"The Care Guidelines incorporate Hospital Quality Alliance measures," said Scott Harris, Milliman Care Guidelines Senior Vice President of Sales and Marketing. "Access to these evidence-based clinic
|SOURCE Milliman Care Guidelines|
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