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The practice of medicine in the hospital setting involves real-time decision-making by treating physicians, in concert with hospital support staff. However, other administrative, financial and regulatory compliance functions involve retrospective decision-making processes.

Because patient care is provided in real-time, any software application purporting to assist physicians and hospitals in managing patients must operate in real-time. Currently, there is a distinct lack of real-time "concurrent review" applications on the market. For example, the currently available review applications are designed for retrospective decision-making processes, and calculate hospital stay recommendations based on diagnostic codes, codes which are frequently not accurate or can not be determined at the time of hospitalization.

Beginning in the 1970's, the ever-increasing costs of healthcare and expansion of public financing stimulated the growth of organizations and agencies responsible for processing money and regulating patient safety. All currently available concurrent review software applications have been developed to meet the needs of these organizations and agencies, not the needs of the real-time decision-makers who function within the hospital setting.

The financial industry, including Medicare, Medicaid, Commercial Insurers, HMOs, PPOs, Self-insured employer benefit plans, TEWAs/MEWAs, and Third Party Administrators, developed software applications necessary to meet their collection and payment processing needs. The use of a 'patient diagnosis' algorithm became their norm; an algorithm which does not effectively translate to real-time decision-making.

Public regulatory agencies and accrediting organizations, responsible for monitoring patient safety in hospitals, assumed an increased role which now includes quality-of-care monitoring. These agencies and organizations, which also function exclusively as retrospective review decision-makers, adopted the diagnosis-based applications developed for the financial industry as their tools for monitoring the safety and quality of care provided to patients.

The MSR MAP product monitors the "real time" status of hospital inpatients. It also supports the needs for data integration with financial and regulatory compliance organizations by providing tools that:

1) make objective recommendations about the appropriateness of admission, continued hospital stays and discharge; and

2) assist physicians in providing appropriate quality care to patients, and documenting compliance without having to pull and review medical records; and

3) assist hospitals in conducting resource utilization studies, to improve operating efficiency.