{"id":"https://openalex.org/W6991801796","doi":null,"title":"Improving Utilization of InterQual among Case Managers/Patient Care Coordinators at Santa Clara Medical Center","display_name":"Improving Utilization of InterQual among Case Managers/Patient Care Coordinators at Santa Clara Medical Center","publication_year":2024,"publication_date":"2024-08-04","ids":{"openalex":"https://openalex.org/W6991801796"},"language":"en","primary_location":{"id":"pmh:oai:repository.usfca.edu:capstone-3117","doi":null,"is_oa":false,"landing_page_url":"https://repository.usfca.edu/capstone/1756","pdf_url":null,"source":{"id":"https://openalex.org/S4377196440","display_name":"USF Scholarship Repository (University of San Francisco)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I76766440","host_organization_name":"University of San Francisco","host_organization_lineage":["https://openalex.org/I76766440"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Master's Projects and Capstones","raw_type":"text"},"volume":null,"type":"article","indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Viesca, Czar Binuya","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Viesca, Czar Binuya","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.47098911,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":true,"primary_topic":{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9106000065803528,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.9106000065803528,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.02370000071823597,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.010300000198185444,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/utilization-management","display_name":"utilization management","score":0.859000027179718},{"id":"https://openalex.org/keywords/case-managers","display_name":"case managers","score":0.7950000166893005},{"id":"https://openalex.org/keywords/employee-training","display_name":"employee training","score":0.7080000042915344},{"id":"https://openalex.org/keywords/performance-recognition","display_name":"performance recognition","score":0.9929999709129333},{"id":"https://openalex.org/keywords/resource-allocation","display_name":"resource allocation","score":0.7590000033378601},{"id":"https://openalex.org/keywords/regulatory-penalties","display_name":"regulatory penalties","score":0.5180000066757202},{"id":"https://openalex.org/keywords/patient-advocacy","display_name":"patient advocacy","score":0.4320000112056732},{"id":"https://openalex.org/keywords/nursing-ethics","display_name":"nursing ethics","score":0.47200000286102295}],"concepts":[{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6669999957084656},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6047000288963318},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.48899999260902405},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.45840001106262207},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4447000026702881},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.44119998812675476},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4334999918937683},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.42179998755455017},{"id":"https://openalex.org/C2779463800","wikidata":"https://www.wikidata.org/wiki/Q5062222","display_name":"Center (category theory)","level":2,"score":0.400299996137619},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.3752000033855438},{"id":"https://openalex.org/C3018838755","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Medical care","level":2,"score":0.3617999851703644},{"id":"https://openalex.org/C2781460075","wikidata":"https://www.wikidata.org/wiki/Q1399332","display_name":"Compliance (psychology)","level":2,"score":0.33169999718666077},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.3197000026702881},{"id":"https://openalex.org/C2777211547","wikidata":"https://www.wikidata.org/wiki/Q17141490","display_name":"Training (meteorology)","level":2,"score":0.3140000104904175},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.30730000138282776},{"id":"https://openalex.org/C3017409249","wikidata":"https://www.wikidata.org/wiki/Q23582796","display_name":"Resource use","level":2,"score":0.2953999936580658},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2849999964237213},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.2639999985694885},{"id":"https://openalex.org/C51067260","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Professional development","level":2,"score":0.2500999867916107}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:repository.usfca.edu:capstone-3117","doi":null,"is_oa":false,"landing_page_url":"https://repository.usfca.edu/capstone/1756","pdf_url":null,"source":{"id":"https://openalex.org/S4377196440","display_name":"USF Scholarship Repository (University of San Francisco)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I76766440","host_organization_name":"University of San Francisco","host_organization_lineage":["https://openalex.org/I76766440"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Master's Projects and Capstones","raw_type":"text"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.6560580730438232,"display_name":"No poverty","id":"https://metadata.un.org/sdg/1"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Problem:":[0],"The":[1,36,54,76,166],"utilization":[2],"management":[3],"department":[4],"at":[5,16,147],"Santa":[6,45],"Clara":[7,46],"Medical":[8,47],"Center":[9],"had":[10],"low":[11],"compliance":[12],"with":[13,44],"InterQual":[14,41,102,119,127,134,139,170],"criteria,":[15,135],"35%.":[17],"This":[18],"resulted":[19],"in":[20,104,118,173,203],"inconsistent":[21],"care":[22,32,106,178],"decisions,":[23],"poor":[24],"resource":[25],"allocation,":[26],"and":[27,33,61,72,87,96,136,162,176,189,206],"regulatory":[28],"penalties,":[29],"affecting":[30],"patient":[31,70,105],"performance.":[34],"Context:":[35],"project":[37,77,167],"aimed":[38,92],"to":[39,93,149,200],"enhance":[40],"utilization,":[42,120,171],"aligning":[43],"Center's":[48],"goals":[49],"of":[50,101,123,131,157],"evidence-based,":[51],"patient-centered":[52],"care.":[53],"initiative":[55],"was":[56,110],"guided":[57],"by":[58,151],"Jesuit":[59],"values":[60],"ANA":[62],"ethical":[63],"standards,":[64],"focusing":[65],"on":[66,138],"service,":[67],"justice,":[68],"excellence,":[69],"advocacy,":[71],"professional":[73],"responsibility.":[74],"Interventions:":[75],"implemented":[78],"three":[79],"main":[80],"interventions:":[81],"comprehensive":[82],"training":[83,159],"programs,":[84,160],"regular":[85,187],"audits,":[86,161,188],"performance":[88,163,190],"recognition.":[89,164,191],"These":[90],"interventions":[91,199],"address":[94],"gaps":[95],"ensure":[97],"the":[98,115,121,129,155,158],"effective":[99],"use":[100],"criteria":[103],"decisions.":[107,179],"Measures:":[108],"Effectiveness":[109],"measured":[111],"using":[112,133],"several":[113],"metrics:":[114],"percentage":[116],"increase":[117],"number":[122,130],"case":[124],"managers":[125],"completing":[126],"training,":[128,186],"cases":[132],"feedback":[137],"usability.":[140],"Results:":[141],"Compliance":[142],"rates":[143],"increased":[144],"from":[145],"35%":[146],"baseline":[148],"81%":[150],"Week":[152],"8,":[153],"demonstrating":[154],"effectiveness":[156],"Conclusions:":[165],"significantly":[168],"improved":[169],"resulting":[172],"more":[174],"consistent":[175],"evidence-based":[177],"Sustaining":[180],"these":[181,198],"improvements":[182],"will":[183],"involve":[184],"ongoing":[185],"There":[192],"is":[193],"a":[194],"high":[195],"potential":[196],"for":[197],"be":[201],"applied":[202],"other":[204],"departments":[205],"institutions.":[207]},"counts_by_year":[],"updated_date":"2026-08-08T01:25:22.217667","created_date":"2025-10-10T00:00:00"}
