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The practice of medicine in the hospital setting involves real-time point of care decision-making by one or more treating physicians, in concert with hospital support staff (including nurses, therapists and others). However, other hospital functions, including administrative, financial and regulatory compliance functions, are retrospective decision-making processes. This has created an inherent conflict which the MSR MAP (Monitor to Assess Progress) was developed to address.

Because patient care is provided in real-time, it is preferred that any software application purporting to assist physicians and hospitals in managing patients operate in real-time. Currently, there are no other real-time “concurrent review” applications on the market.

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

The financial industry includes, but is not limited to, Medicare, Medicaid, Commercial Insurers, HMOs, PPOs, Self-insured employer benefit plans, TEWAs/MEWAs, and Third Party Administrators. They developed tools to gather data to meet their financial review and payment needs. The use of a ‘patient diagnoses’ algorithm became their norm; an algorithm which does not effectively translate to real-time hospital decision-making.

Regulatory 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 as retrospective review decision-makers, adopted the diagnosis-based applications developed by the financial industry as their tools for monitoring the safety and quality of care provided to patients.

Because the current tools (such as InterQual/McKesson and Milliman) actually function as retrospective review tools, they do not meet the hospital or medical staff needs associated with the real-time practice of medicine. Unfortunately, their use causes needless tension between the reviewer and the attending physicians by relying on diagnostic codes – codes which are frequently not accurate and cannot be determined at the time of hospitalization. Also, the MSR MAP is the only real-time tool available to monitor and insure that diagnostic and/or treatment interventions recommended by national practice guidelines (and often sought by Payers and Hospitalist reviewers) are actually delivered.

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

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

3) assist facilities in conducting resource allocation studies, to improve operating     efficiency.

In addition, the MSR MAP “Quality” module is an efficient, “real time” reminder and data collection instrument for office based physicians, other office based providers, and hospitals to demonstrate compliance with practice guidelines or quality improvement program requirements established by their own organization, payers, state or federal licensing agencies or accreditation organizations.

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.