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MCG Cite helps payors partner with the provider community to achieve the shared goal of effective care. Built on a foundation of global, validated, and up-to-date best practices, Cite products support the delivery of care that optimizes patient outcomes while being cost-appropriate.
CareWebQI gives you easy access to evidence-based best practices and criteria so you can document care management decisions and efficiently develop more comprehensive, consistent, and coordinated care plans. Its integrated reporting tools help managers track variances, quality measures, and overall hospital efficiency.
Cite Guideline Transparency helps health plans respond to growing marketing opportunity and comply with emerging regulatory requirements by making available to its members and providers relevant sections of the MCG clinical guidance that was used to support a medical determination.
Cite AutoAuth Module is a Web-based tool that brings self-service simplicity to payors and their provider customers. Providers supply clinical details to support approval requests, guided by our evidence-based criteria. The system then evaluates the information and makes a determination, often in a matter of minutes.
The Web-based Interrater Reliability Module tests proper use of the care guidelines, assessing how consistently and appropriately staff find and apply guidelines to clinician-written case studies. This helps organizations meet URAC and NCQA requirements and identify opportunities for improvement.
Our evidence-based guidelines span the continuum of care, supporting clinical decision-making and easing transitions between care settings. Download the Care Guideline Development: Policies and Procedures to learn more.
Ambulatory Care features evidence-based guidelines for the assessment, treatment, and management of conditions addressed primarily in ambulatory or outpatient settings.
Inpatient & Surgical Care provides evidence-based criteria, goals, care pathways, and other decision-support tools, making it a valuable resource for proactive care management, case review, and patient assessments.
Multiple Condition Management addresses the unique challenge that is faced when patients present with more than one clinically active condition. These new evidence-based guidelines provide direction on 15 common pairs of diagnoses.
General Recovery Care complements Inpatient & Surgical Care to cover the entire spectrum of conditions and procedures requiring hospital admission, including complex cases.
Home Care guidelines facilitate post-discharge care planning and support the clinical evaluation of patients who cannot make it to a provider appointment.
Recovery Facility Care helps providers coordinate plans to move patients to recovery facilities successfully and subsequently transition them to appropriate care settings.
Behavioral Health Care describes best practice care for the majority of mental health and substance abuse diagnoses, covering 15 diagnostic groups with graded evidence from published research.
Chronic Care provides clinical content in a case and disease management framework, featuring care plans that guide daily workflows with practical patient care information for complex case management and 20 chronic conditions.
The preoperative information, inpatient care plans, and discharge instructions in Patient Information reflect the same evidence that informs the development of our guidelines.