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MCG Navigation
Inpatient & Surgical Care (ISC)
General Recovery Guidelines (GRG)
Recovery Facilities Guidelines (RFC)
Home Care Guidelines (HC)
100
This is link is found on the locked navigation bar. It takes you to what is considered the main page of the MCG care guidelines and is the place where you can find criteria and care management tools by diagnosis code, procedure code, abbreviations or other medical names or terms.
What is the "search" link.
100
These care guidelines describe hospitalization in terms of the reasonable best-case scenario for the diagnosis or procedure covered by the guideline. They provide a clinical map in which the patient progress as well as can be expected.
What are the “Optimal Recovery Guidelines (ORGs)”?
100
Use this general guideline only if there is no specific ORG available and the patient’s primary problem is related to an acute accident or significant injury in 2 or more body sites.
What is the Multiple Trauma GRG?
100
This care management tool addresses general as well as condition-specific or procedure specific needs of the patient to maintain their care after release from a recovery facility.
What is discharge planning?
100
This term defines patients who are normally unable to leave home because illness or injury restricts their ability to leave their place of residence without considerable and taxing effort.
What is homebound?
200
This resource presents the goal duration of hospital admissions according to the diagnosis or procedure being reviewed.
What is “Length of Stay (LOS) Table”?
200
This section lists specific criteria that indicate the need for a patient to be admitted.
What is the “Clinical Indications for Admission”?
200
This criteria is identified in stages and recommends measurable and observable markers of the patient’s clinical progress.
What are recovery milestones?
200
Use this tool to evaluate the best pathway of care for patients who might require care at either a skilled nursing facility (SNF) or an inpatient rehab facility (IRF).
What is the “General Recovery Facility Comparison Tool”?
200
Complete this sentence: The care guidelines are developed in accordance with relevant research and other principles of medicine.
What is evidence based?
300
This is the preferred method of searching the MCG care guidelines.
What is “search by diagnosis or procedure code”?
300
Use of this assessment will help identify patients at higher risk of a hospital stay beyond the goal length of stay (GLOS).
What is the “Extended Stay Risk Assessment”?
300
This section specifies treatments or diagnostic strategies that can be undertaken on an outpatient basis or in care settings other than the acute inpatient setting.
What are the Alternatives to Admission (or Procedure)?
300
This guideline should be used for patients who require complex management of pressure ulcers following an acute inpatient hospital stay.
What this the Skin and Wound Care GRG?
300
This tool addresses the management of patients in the home care setting. It’s content is used to review and approve care provided in the home setting and supports the delivery of home care.
What is the Treatment Plan?
400
If you click this link, you can view the Table of Contents for each product.
What is the “product link”?
400
These guidelines provide criteria to assist with determining if a patient requires and advanced level of care.
What is the “Intensive, Intermediate, and Telemetry Care” Guidelines?
400
This criteria is only found in the General Recovery Guidelines and are designed for medically complex patients who are anticipated to require an extended hospital stay of greater than 25 days.
What are the Long Term Acute Care Hospital (LTACH) Guidelines?
400
The facility, or unit within a facility, that meets the medical and rehabilitative needs of a patient.
What is level of care?
400
You would use this criteria for a patient who requires home IV antibiotics for treatment of cellulitis.
What is the Infectious Disease ORG?
500
This field appears at the top of the page and remains visible above whatever content is being displayed. Use this bar to include various products in your search, select a specific product link or perform a rapid broad search of the criteria.
What is the “quick search bar”?
500
This shared resource outlines issues that may need to be addressed by the clinician to provide comprehensive patient, family and caregiver education regarding discharge and post-discharge care needs.
What is “Patient Education for Clinicians”?
500
Use this criteria for patients who require end of life care to manage symptoms that cannot be controlled at an outpatient or ambulatory level of care.
What is the “Inpatient Palliative Care” Criteria?
500
This section in the Recovery Facility Care guidelines describes the accreditation standards and performance measures that are addressed in the guidelines.
What is the Quality Measures section?
500
According to the Centers for Medicare and Medicaid Services (CMS), this provides a service that is “so inherently complex that it can only be safely and effectively performed by, or under the supervision of, professional or technical personnel.
What is skilled care?