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MCG Integration with Integrated Care Management
The integration with Milliman Care Guidelines (MCG) enables care managers to access assessments based on clinical guidelines from MCG and create care plans for patients. MCG’s industry standard guidelines help users make informed decisions on patient care, resulting in improved outcomes such as reduced length of stay and higher independent quality ratings.
Required Editions
Available in: Lightning Experience Available in: Enterprise and Unlimited Editions with Health Cloud |
In Integrated Care Management, users can access MCG assessments from the Assessment component. When you enable MCG Care Guidelines, the Assessment component displays a slightly different interface from the standard component for Discovery Framework-based internal assessments. You can access internal assessments, external assessments, and suggested assessments from the component. You also get more options to quickly search and filter the assessments you’re looking for.
Some MCG assessments have clinical annotations, citations, and references linked next to the questions. Care managers can easily check the clinical source or reference for a question while administering the assessment. Having crucial information handy helps care managers save time and ensure credibility of the assessment.
The QM tag in some MCG assessment questions indicates that the question is important for quality metric reporting and shouldn’t be skipped.
Similar to internal, Discovery Framework-based assessments, users can create care plans from completed MCG assessments using the OmniScript care plan creation workflow. MCG recommends problems, goals, and interventions based on the responses to the assessment. These care plan elements have the MCG icon next to them to indicate that they’re MCG recommendations. Users can add more problems, goals, and interventions from the care plan interface, but they aren’t tagged with the MCG icon.
There are different intervention types that come from MCG, such as SEND intervention that users can download as a PDF and send to patients.
The Data Model
Integrated Care Management uses new and existing objects in Health Cloud to model data that comes from the MCG system.
After you administer an MCG assessment, the assessment’s metadata is stored in the External Assessment Definition object in Health Cloud. The external assessment itself is stored in the Assessment object, similar to internal assessments. The assessment question is represented using the Assessment Question object and the selected response is stored in the Assessment Question Response object.
When you create care plans from MCG assessments, use the FHIR R4-aligned Care Task and Care Task Details objects to represent subinterventions. Problems recommended by MCG are mapped to Health Condition, while barriers are mapped to Care Barrier.
Here’s a list of the objects used to model MCG data in Health Cloud and the level of access your users need.
| Object | Purpose | Required Access |
|---|---|---|
| External Assessment Definition | Represents the metadata of the MCG assessment |
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| Assessment | Represents the MCG assessment |
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| Assessment Question | Represents a question in the MCG assessment |
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| Assessment Question Response | The selected response of a question |
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| Suggested Assessment Definition | An optional, secondary assessment suggested from the responses to a primary MCG assessment |
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| Suggested Assessment Reason | Represents the reasons an assessment was suggested |
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| Care Task | A healthcare-related task, specifically sub-tasks for MCG-based care plans |
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| Care Task Detail | Represents extra details on a healthcare-related task |
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| Health Condition | Represents a care plan’s problem recommended by MCG |
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| Care Barrier | Represents a care plan’s social determinant of health recommended by MCG |
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- Compare MCG Assessments with Internal Assessments
MCG assessments evaluate patients and create care plans following industry standard guidelines published by MCG. Internal assessments - Discovery Framework-based assessments configured in Salesforce - recommend care plan components using a response recommendations decision table. While both assessment types create care plans based on patient responses, they vary in functionality. - Set Up Your Org for MCG Assessments and Care Guidelines
To access MCG assessments and care guidelines in Integrated Care Management, enable MCG Care Guidelines, configure remote site settings, create a named credential, and create a permission set. Finally, connect Health Cloud with the MCG system by creating an integration definition. - Add MCG-Related Components to Record Pages
To enable care managers to administer MCG assessments and create care plans from completed assessments, place the Assessment component and care plan interface on record pages. To track the history of an MCG assessment, place the Assessment history component on the assessment record page. - Set Up Prefills for MCG Assessments
Set up prefills for MCG assessments by turning on Prefill MCG Assessment Questions in Setup. Then, configure the disclosure for prefilled assessments and specify the look-back period. With assessment prefills enabled, Integrated Care Management automatically prefills a patient's newly launched MCG assessment based on the the most recent and relevant responses from previously submitted responses for the same assessment. - Set Up Suggested Assessment Responses for MCG Assessments
To help care managers access smart suggestions to MCG assessment questions, enable Suggested Responses for MCG Assessments and confugure the data sources for the suggestions. - Enable Autosave for MCG Assessments
Enable autosave for MCG assessments so that care managers can administer assessments without worrying about data loss. As care managers enter assessment responses, the assessment is automatically saved every few seconds. - Configure MCG Assessments for Experience Cloud Site
To enable community users to complete MCG assessments on Experience Cloud sites,add the External User Assessments component to your site, configure the external assessment integration defintion for MCG assessments, and assign the required permissions.