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The MSR MAP has three components.
INPATIENT MAP - determines appropriateness of continued inpatient stay
QUALITY MAP - records QIP or client-specific study data
RESOURCE MAP - determines effective allocation of staff and resources

• Single user tool that uploads data into an enterprise-wide information system of unlimited users.
• Affordable cost of use - Priced per licensed bed, per member or eligible employee, or per user.
• Microsoft Windows application featuring user-intuitive data entry.

The MSR Inpatient MAP has been developed with involvement from appropriate providers with current knowledge relevant to the criteria under review and is based on current clinical principals and processes. The physician specialists included Cardiologists, Family Practitioners, General Surgeons, Hospitalists, Infectious Disease Specialists, Intensivists, Internists, Nephrologists, Obstetricians/Gynecologists, Ophthalmologists, Orthopedic Surgeons, Pediatricians, Psychiatrists, Psychologists, Pulmonologists and Urologists.

What is the MSR Inpatient MAP? It is a concurrent review instrument, the original version created in 1988, completed by a nurse or physician reviewer, on site or telephonic. It is specifically designed 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 a discharge or continued inpatient or observation stay recommendation.

Who should use the MSR Inpatient MAP? Managed care organizations, hospitals, insurers, review organizations and organized provider groups 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? A patient should be admitted to an acute care hospital only when necessary and remain hospitalized only as long as needed to receive services. Hospitalization or prolonged observation has an associated morbidity which can be dangerous to the patient's health and even result in preventable death.

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 discharge or continued stay recommendation is indicated on the MSR Inpatient MAP screen. A field is included in the instrument to note unique situations requiring continued stay whenever discharge is recommended.

How is the MSR Inpatient MAP constructed? By crediting different values to the patient's symptoms, and to specific hospital services, this proprietary instrument determines when there is good justification to recommend discharge or continued stay.

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 in 2003 and 2004. 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), in 2005, used the MSR Inpatient MAP to audit appealed denial of coverage determinations previously made using InterQual/McKessen. The audit of 123 admissions, 507 days, identified the same number of denied days. However, case specific days differed. In addition, the TEWA found that reviewer's interrater reliability was close to 100% when using the MSR Inpatient MAP.

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 discharge recommendation is less likely to be appealed by patients, physicians or, when the determination is made by an insurance company, hospitals.

What is the MSR Quality MAP? It is a data collection instrument completed by a surveyor at the time of admission of a study patient. It is specifically designed to accurately record data for quality improvement studies required by accreditation or certification organizations or for hospital specific management quality or efficiency improvement projects.

Who should use the MSR Quality MAP? Hospitals and organized provider groups who conduct Quality Improvement Projects (QIP) required by state or federal licensing or certifying agencies or by accrediting organizations such as the Joint Commission on Accreditation of Health Care Organizations. The MSR Quality MAP is also an efficient data collection instrument used by hospitals and organized provider groups conducting internally generated quality or efficiency improvement studies.

Why use the MSR Quality MAP? Hospitals and provider groups benefit from using an efficient, cost effective data collection instrument when completing quality improvement studies required by management or by state or federal licensing agencies or accreditation organizations. 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 study coordinator programs the MSR Quality MAP entering the data elements to be collected. The surveyor places a check mark by all the data elements listed in the MSR Quality MAP study applicable to the patient each day during hospitalization, at discharge and if appropriate, at follow up. The data is downloaded to a data base for analysis.

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 services.

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, program predefined and client specific service 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.