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The MSR MAP has three components:
      The Quality MAP
      The Inpatient MAP
      The Resource MAP

• It is a tool that uploads data into an enterprise-wide information system of unlimited   users.
• It Provides very affordable cost of use - priced per review, per user, per member or   eligible employee, or per licensed bed.
• The ease of Microsoft Windows application features user- intuitive data entry.

The MSR MAP was developed using symptom and service recommendations of physician specialists in Cardiology, Family Practice, General Surgery, Hospitalists, Infectious Disease, Intensivists, Internal Medicine, Nephrology, Obstetrics/Gynecology, Ophthalmology, Orthopaedic Surgery, Pediatrics, Psychiatry, Psychology, Pulmonology and Urology.

MSR MAP FACILITY VERSION AND OFFICE PRACTICE VERSION

Why were two versions developed of the MSR MAP? – the Facility Version and the Office Practice Version? Hospitals, insurance companies, hospitalist practices, other inpatient reviewers and payers need a software tool that will both objectively document the appropriateness of an admission, as well as help the attending physician(s) to comply with required clinical practice guidelines and quality improvement studies. At the same time, many communities rely upon the patient’s own primary care physician to manage an inpatient admission, and to comply with those same guidelines and quality studies. The two MSR MAP versions allow the same patient management to occur, but from slightly different perspectives.

MSR QUALITY MAP

What is the MSR Quality MAP? It is a data collection instrument completed by an outpatient or inpatient provider. It is specifically designed to prompt the collection of and accurately record data for clinical practice guideline compliance and quality improvement studies required by payers, accreditation or certification organizations, or for user initiated quality or efficiency improvement projects.

Who should use the MSR Quality MAP? Outpatient and inpatient providers, managed care organizations, hospitals, insurers, and review organizations will benefit from using the MSR Quality MAP to document compliance with clinical practice guidelines and quality improvement projects (QIP). The MSR Quality MAP supports and interfaces with JCAHO, URAC and NCQA requirements.

Why use the MSR Quality MAP? Providers, payers and regulators benefit from using this efficient, cost effective data collection instrument when documenting clinical practice guideline compliance or completing quality improvement studies. No other instrument is currently available. The MSR Quality MAP is simple to program and easy to use.

How does the surveyor use the MSR Quality MAP? The data elements to be monitored or collected are entered into the MSR Quality MAP. The physician, nurse or clerk places a check mark by the data elements completed applicable to the patient at the time of the visit, or each day during hospitalization, at discharge and if appropriate, at follow up. The data is downloaded to a data base for analysis.

MSR INPATIENT MAP

What is the MSR Inpatient MAP? It is a concurrent review instrument, the original version created in 1988, completed by a clerk, nurse or physician reviewer, on site or telephonic. It is specifically designed to objectively document the appropriateness of adult inpatient hospital admissions and for the daily review of hospitalized patients, eighteen (18) years and older, including seniors, admitted to acute care hospital ICU/medical/surgical wards, or for extended observation. The reviewer uses the MSR Inpatient MAP to support an admission determination, an observation stay, continued inpatient stay or discharge recommendation.

What are the advantages of the MSR Inpatient MAP? Clients find that the MSR Inpatient MAP is more objective, easier to learn, and requires less time to complete than alternative instruments. Also, whenever a discharge is recommended using the MSR Inpatient MAP, clients find that the admission is less likely to be denied by the payer, or that the continued stay or discharge recommendation is less likely to be appealed by patients, physicians, or when the determination is made by an insurance company, hospitals.

Who should use the MSR Inpatient MAP? Outpatient and inpatient providers, managed care organizations, hospitals, insurers, and review organizations will benefit from using the MSR Inpatient MAP to support clinically sound, cost effective decision recommendations about the appropriate use of acute care hospital inpatient and observation services.

Why use the MSR Inpatient MAP? Hospitalization has an associated morbidity which can be dangerous to the patient’s health and even result in preventable death. Therefore, a patient should be admitted to an acute care hospital only when necessary and remain hospitalized only as long as needed to receive services. The MSR Inpatient MAP is used to support the attending physician’s decision to continue a patient stay or discharge.

How does the reviewer use the MSR Inpatient MAP? The reviewer places a check mark by all the symptoms and service options listed in the MSR Inpatient MAP applicable to the patient each day during hospitalization. A continued stay recommendation or discharge is indicated on the MSR Inpatient MAP screen. A text section is included in the instrument to document test results and/or unique situations.

How effective is the MSR Inpatient MAP when compared with InterQual/McKesson? NevadaCare, Inc., a Nevada based managed care insurance company with clients in Nevada, Iowa and Illinois, used both instruments for concurrent review of the same hospitalized patients during a two year period.

NevadaCare, Inc. determined that 973 inpatient days met MSR Inpatient MAP continued stay criteria, 20 fewer than the 993 inpatient days that met InterQual/McKesson. In addition, they concluded that the MSR Inpatient MAP was easier to administer and took less time to complete.

A national Trust Employer Welfare Association (TEWA) used the MSR Inpatient MAP to audit appealed denial of coverage determinations previously made using InterQual/McKesson. The audit of 123 admissions, 507 days, identified the same number of denied days. However, case specific days differed slightly. In addition, the TEWA found that reviewer’s inter-rater reliability was close to 100% when using the MSR Inpatient MAP.

MSR RESOURCE MAP

What is the MSR Resource MAP? It is a resource assessment instrument completed by a surveyor, on site. It is specifically designed for the daily monitoring of the resources used by the hospital or facility to treat patients. The hospital or facility management uses the MSR Resource MAP to better maximize the efficient allocation of staff and other resources.

Who should use the MSR Resource MAP? Hospitals and organized provider groups who operate facilities will benefit from using the MSR Resource MAP to support clinically sound, cost effective decisions about the appropriate allocation of resources.

Why use the MSR Resource MAP? Hospitals or provider groups who operate facilities should appropriately allocate staff and other resources to insure that the patient’s are diagnosed and treated promptly and safely. The appropriate allocation of staff and resources can improve return and reduce morbidity which can be dangerous to the patient’s health and even result in preventable death.

How does the reviewer use the MSR Resource MAP? The surveyor places a check mark by all the symptoms, services and specific client options listed in the MSR Resource MAP applicable to the patient each day during hospitalization. The management downloads the daily information for analysis. The management subsequently reallocates staff and other resources to insure more efficient and appropriate use of personnel and services.