InterQual AutoReview™ is a unique cloud-based solution that automates the InterQual® Initial and Episode Day 1 medical reviews at the point of the admission decision, using real-time data from your EHR. This breakthrough in robotic process automation can eliminate up to 75% of the time it takes your UM staff to conduct InterQual reviews, and allows them to focus on the exceptions that require their clinical expertise. The solution also provides real-time decision support, potentially reducing inappropriate admissions and denials. Integrated in Your Workflow: This flexible solution as a service (SaaS) is integrated into leading EHR applications and connected to case management systems. Automatically Conducts an InterQual Review Right from the EHR: Simply submit an order to admit from your EHR, and InterQual AutoReview springs into action—extracting the necessary data to create and populate InterQual Initial and Episode Day 1 reviews. Includes Data from the Source of Truth: Automated reviews eliminate manual data-entry errors and contain the clinical values extracted from the EHR. The result is an accurate medical review that promotes transparency and trust between providers and payers. Transmits Reviews Directly to the UM/CM System: Staff can validate reviews and make any necessary edits from within their existing workflow. Authorization requests can then be sent to payers using InterQual Connect™ at a time the hospital chooses. Provides Instant Notification Back to the EHR: Ordering clinicians see the care determination as soon as the admission order is submitted. Providing clinical decision support at the point of decision helps clinicians ensure the appropriate level of care is chosen from the start. Leverages Natural Language Processing (NLP): Many critical pieces of clinical information are stored in free text, such as imaging narratives. NLP models, trained by clinical experts, extract discrete clinical data from this text to complete specific criteria points within the InterQual review. Extracts Clinical Data to the Cloud: The auto-review process is launched the moment a clinician submits an order to admit. Using the diagnosis as a guide, InterQual AutoReview sorts through multiple sources of information, both structured and unstructured, within the EHR. It extracts the relevant clinical data available at the moment of admission and transmits it securely to the cloud. The process continues to run, extracting new and updated data every 2-4 hours, up to 24 hours from the time the order was submitted. Prepares InterQual Reviews: Using robotic process automation and NLP, InterQual AutoReview analyzes the structured and unstructured data acquired from the EHR at the moment of admission and maps the discrete data to the codified InterQual Criteria. Next, the solution creates InterQual Initial and Episode Day 1 Reviews, and transmits them to your participating UM/CM system. Over the next 24 hours, the solution uses the new clinical data extracted from the EHR to update the Episode Day 1 Review in the UM/CM system. At any time during that 24-hour period, a case manager can evaluate the Episode Day 1 Review, and save or complete it. This will halt the update process, and allow the case manager to use the automated review in your normal approval workflow. Security: Information security is of the utmost importance, and compliance is complex. InterQual AutoReview has met the rigorous standards required to protect your sensitive data and is HITRUST-certified.

Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.

VirtuALLY.io provides a full-service option for Virtual Sitting. From the time our partnership begins, we will work with your institution to build workflows to integrate into your team and provide seemless care and education for your stafff. From extensive GO LIVE planning, to the time we start are our services, and beyond- we are committed to starting a successful Virtual Sitting service at your institution. 

The 24/7 centralized team of highly trained observation technicians prioritizes a level of care that leads to improving patient outcomes and reducing hospital staffing costs through the use of preferred technology. The observation team facilitates constant communication to alert on-site staff about patient behaviors that may lead to falls, self-harm or other dangers.

We can use the technology already in place at the health system, or bring the tecnology through our partnerships with world-class technology providers.

From the very start, VirtuAlly was crafted by some of the sharpest minds in the virtual care space. Born out of a leading Academic Medical Center, this was a shared effort in collaboration with one of the only three Telehealth Centers of Excellence.

As the healthcare industry continues to navigate through exceptional challenges and never-before-seen pressures, we’re grateful for the opportunity to influence positive change. With a focus on providing top-quality Virtual Sitting and Virtual Nursing services to patients, caregivers and staff members we are the ALLY for those who need it most. For patients, we provide a layer of safety by reducing incedences of falls, prevent self-harm and suicide attempts within variety of institutions across the country. For caregivers, we’re providing the peace of mind and a second set of eyes is looking after your loved one. And for bedside care staff, we are partnering to optimize a culture of safety at your institution. 

As a technology agnostic company, we partner wtih reliable technology companies to provide our services. Our Virtual Sitters are housed in a well oiled Command Center that is dedicated to ensuring the safetest care is being delivered to our patients. The Virtual Nursing staff works from remote environments and heavily vetted to augment our top notch care model.  

Our solutions are built on a collaborative partnership between the bedside clinical team and the VirtuALLY.io staff. We partner with organizations to allign quality improvement efforts and focus on showing our impact on patient related outcomes and workforce benefits. 

Being a technology agnostic service provider, we partner with technology providers to fulfill the clients documentation requirements. Often this is directly into the EHR of the system, other times in the platform the client chooses for Virtual Sitting, or option for a home grown option that can be shared with the client.

• Longest standing service provider in the market
• Ability to leverage industry leading technologies
• Flexible, customizable solutions and service plans with in-depth documentation and reporting capabilities
• Evidence-based at our core with solutions designed alongside frontline care teams
• Primary virtual care services include Telesitting, Virtual Nursing, and consultative services
• Drastic improvements in annual savings per unit, patient fall reduction, employee retention and length of stay & admissions where deployed