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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
InterQual Connect™
InterQual Connect™

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Categories

Solutions

Description

Product Description:
With InterQual Connect™, payers can easily automate all authorization requests, even those requiring medical review, within their existing systems. Providers receive quicker authorization approvals for most requests and payers only need to touch the exceptions that can’t be approved automatically—no more duplicative medical reviews or wasting precious staff time on routine authorizations. - InterQual Medical Review & Authorization: InterQual Connect is a flexible SaaS solution, integrated into payer and provider health information systems. It pairs the leading InterQual® Criteria, now available as a web service, with proven and secure connectivity. - A Unique Solution: The only integrated solution to enable full auto authorization, including medical review. - Uses Existing IT Infrastructure: No new hardware, software or IT staff required. - Easy to Implement: Time to value can be as little as 60 days when using a certified Change Healthcare Alliance Partner. - Provides Fast, Secure Connectivity: Uses the proven authorization gateway. - Keeps Users in Existing Workflows: Providers submit an authorization request, and payers receive the request and medical review from within their current UM/CM workflow. - Delivers Real-time InterQual Access: Just-in-time content from our cloud platform helps ensure you get the latest version, but you can choose when to make the switch. - Aligns with InterQual Hospitals: Payers benefit from the shared clinical language with thousands of InterQual hospitals plus a direct connection to those hospitals already on the InterQual Connect cloud. - Supports Payer/Provider Collaboration: Helps reduce the costs and hassle of prior authorization, while providing full transparency of payer criteria to providers. - Medical Review Service: Optimized for integration, this web service delivers seamless access to the InterQual medical review within your UM/CM system or payer’s provider portal. You get the same leading evidence-based InterQual Criteria combined with our modern, user-friendly interface. The SaaS platform helps you reduce your IT burden, providing realtime access to content. You receive software and content upgrades automatically without waiting for installation and validation, but still maintain control of when to switch to the newer content. You also gain the freedom to make the Medical Review Service available throughout a networked system, such as a multi-hospital and outpatient network or multi-location payer. The Medical Review Service works with any modern browser. - Secure Authorization Connectivity: Our cloud platform and authorization gateway enable the creation of a secure network of connected payers and providers by providing a common language, standard API protocols, access controls and routing rules. Providers transmit an authorization request, complete with an InterQual medical review, through the gateway directly to a payer. The payer system then applies business rules and the InterQual Criteria to this request, and instantly delivers the authorization status back through the gateway to the provider. The gateway has been deployed as part of our cloud solutions, and currently supports thousands of authorization transactions per week between connected payers and providers. It is optimized for our interoperable (XML) medical review format, and can also support the HIPAA X12 278 transaction standards.
About Change Healthcare:
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.
Product Description:

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.

About VirtuAlly LLC:

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. 

Compatibility level

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Clients

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Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

VirtuALLY.io Virtual Sitting Solutions can be deployed in a number of healthcare settings and environments. 

While each organization we work with has unique needs, the VirtuALLY.io Virtual Sitting Solution has benefits for all. Our solutions reduce the need for in person sitters, increase staff retention and satisfaction, and improve care team safety.

Hospitals - VirtuALLY.io Virutual Sitting can replace or augment the 1:1 in person sitting for: 

  • Patients at risk for falls
  • Patients at risk for elopement
  • Patients with low to moderate suicidal ideation
  • Patients with altered mental status
  • Patients obstructing care plans
  • Behavioral health patients

Mental Health Facilities - When deployed in mental health facilities, VirtuALLY.io’s Virtual Sitting Service helps:

  • Patients with mental health disorders leading to altered mental status
  • Patients at risk of self-harm behavior
  • Patients obstructing care plans
  • Patients with aggression
  • Patients with low to moderate suicidal ideation

Post-Acute Care - Our Virtual Sitting Solutions are implemented in post-acute care settings for:

  • Patients at risk for falls
  • Patients at risk for self-harm or injury
  • Patients experiencing altered mental status

Senior Living Communities - Virtual Sitting provides senior living communities with a reliable system to help care for:

Residents with Alzheimer’s and Dementia

Residents at an increased risk for falls

Residents with a history of aggression

Residents with a spouse/partner who may need assistance/ redirection when alone

Residents who may require sleep cycle or toileting documentation

Residents with an assertive toileting plan

Pediatric use cases:

VirtuAlly.io Virtual Sitting Services can be used in pediatric facilities and as we are currently in that space, we have refined focused training for this population. Most frequently we are used for: 

-Behavioral Health Patients

-Eating Disorders

-Low/Moderate Suicide Risk

-Self Harm

-Staff Safety

-Drug Diversion

-Social Concerns

Users:

We have a variety of facilities that we currently work with:

  • Medical Univeristy of South Carolina
  • Emory Healthcare
  • Orlando Health 
  • Tidelands Health
  • Mount Pleasant Gardens
  • Mission Community Hopital 

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

Not applicable

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

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.

Differentiators vs Competitors:
  • 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

Keywords

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Company Details

Founded in 2007

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