MCG OVERVIEW. We help providers and payors drive effective care in their own work and through the conversations that connect them.

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1 MCG OVERVIEW We help providers and payors drive effective care in their own work and through the conversations that connect them.

2 PROVIDERS ACCOUNTABLE CARE PAYORS EVIDENCE-BASED GUIDELINES Care guidelines from MCG provide fast access to evidence-based best practices and care-planning tools across the continuum of care, supporting clinical decision-making and documentation and enabling efficient transitions between care settings. Eight of the 10 largest U.S. health plans and more than 1,200 hospitals use our evidence-based guidelines and software. Together, our Cite and Indicia products help drive effective care for 70% of commercially insured Americans, resulting in better outcomes and contained costs.

3 HELPING DRIVE EFFECTIVE CARE Each year, a wealth of new research presents an opportunity to make the care you provide even more effective. Our clinical editors regularly review the growing body of medical literature to develop up-to-date best practices for every step on the care path. The result is an evidence-based description of effective care the right care, efficiently delivered that helps you leverage your clinical experience and make decisions with confidence.

4 1990 Dr. Richard Doyle develops the care guidelines. The 1st edition is a spiral-bound, four-volume set Offered via compact disc or print, 116 hospitals use the nine-volume 8th edition of the guidelines The MCG staff grows to 210, including 44 medical doctors and registered nurses. With more than 25,000 unique references, the newly released 18th edition is distributed digitally and optimized for tablet computers such as the ipad. The care guidelines are now used by 8 out of the 10 largest U.S. health plans and 1,200 hospitals.

5 WHO WE ARE MCG has more than two decades of experience producing clinical guidelines. Our culture is rooted in core values that drive us to act with integrity, involve all partners in our mission, build products that matter, and inspire client confidence in decision-making. A diverse client base allows us to understand many perspectives. Our Team MCG is now part of the Hearst Health network. Headquartered in Seattle, with staff throughout the United States and in the United Kingdom, the MCG team comprises a remarkable depth and diversity of backgrounds, talents, and technical skills. Executive Team Our eight-member executive team has deep roots in healthcare, with more than 160 years combined experience in the industry. Our team includes two medical doctors, a registered nurse, a guest lecturer at numerous U.S. and international medical schools, and former members of executive leadership at several leading healthcare IT companies. Clinical Editors Supported by a team of data analysts, librarians, and medical copy editors, our 11 full-time clinical editors research, write, and annually update the guidelines. Altogether, our editorial staff represents more than 115 years of cumulative guideline development experience. In addition, the team coordinates peer reviews by panels that include approximately 100 additional clinicians. Education and Training Staff Our clinical educators all registered nurses and CompTIA certified technical trainers (CTT+) have helped tailor training plans (including modular on demand training, interactive Web seminars, and onsite sessions) to fit the needs of hundreds of clients. Alliance Partners Our Alliance Partners include some of the largest healthcare information technology vendors Epic, Cerner, MEDITECH, Allscripts, Midas and our products have certified interfaces with more than 35 applications. To see a full list of partners, please visit If you don t see the system you use listed there, just ask. We re always willing to consider new alliance partnerships based on client requests. Framing conversations with real evidence, evidence that s weighted the same way it would be by any professional organization, is really a tremendous advantage. ROBERT STERN, MD Medical Director, Utilization Management, Wheaton Franciscan Healthcare If we have a question about a doctor s decision, the ability to show them not only the care guideline but also the source material it s based on allows us to have a very productive conversation. LAURIE BERGMAN, RN Wenatchee Valley Medical Center

6 CLINICALLY VALIDATED GUIDELINES Our clinical editors analyze and classify more than 100,000 peer-reviewed papers and research studies each year. By applying rigorous evidence classification techniques, they select more than 25,000 unique references to formulate into the precise clinical guidance for which we are known. Nationally recognized quality measures from the Hospital Quality Alliance are also embedded in the guidelines. Ambulatory Care Ambulatory Care features evidence-based guidelines for the assessment, treatment, and management of conditions addressed primarily in ambulatory or outpatient settings. Inpatient & Surgical Care Inpatient & Surgical Care provides evidence-based criteria, goals, care pathways, and other decisionsupport tools, making it a valuable resource for proactive care management, case review, and patient assessments. General Recovery Care General Recovery Care complements Inpatient & Surgical Care to cover the entire spectrum of conditions and procedures requiring hospital admission, including complex cases. Home Care Home Care guidelines facilitate post-discharge care planning and support the clinical evaluation of patients who cannot make it to a provider appointment. Recovery Facility Care Recovery Facility Care helps providers coordinate plans to move patients to recovery facilities successfully and subsequently transition them to appropriate care settings. Behavioral Health Care Behavioral Health Care describes best practice care for the majority of mental health and substance-related disorders diagnoses, covering 15 diagnostic groups with graded evidence from published research. Chronic Care Chronic Care provides clinical content in a case and disease management framework, featuring care plans that guide daily workflows with practical patient care information for complex case management and 28 chronic conditions. Patient Information The preoperative information, inpatient care plans, and discharge instructions in Patient Information reflect the same evidence that informs the development of our guidelines. With the aid of MCG s guidelines and CareWebQI, we tackled readmissions, over-utilization of the ED, and length of stay by empowering and engaging patients and our organization. LEAH MONTOYA, Director of Clinical Resource Management, Advocate Good Shepherd Hospital

7 HIGH VALUE SOFTWARE DRIVING HIGH-VALUE CARE Evidence-based guidelines are most valuable when easily accessed by busy healthcare professionals to make decisions about the care of individual patients. Our easy-to-use Web-based and interactive software makes the current best evidence readily available, enabling you to document care management decisions; efficiently develop more comprehensive, consistent, and coordinated care plans; identify gaps in care; improve quality; and enhance operational efficiency. Whether you re a community hospital facing a RAC audit or a health plan trying to get a handle on readmissions, the right combination of guidelines and software is available to meet your needs. Cite MCG Cite helps payors partner with the provider community to achieve the shared goal of effective care. Built on a foundation of global, validated, and up-to-date best practices, Cite products support the delivery of care that optimizes patient outcomes while being costappropriate. Indicia Indicia gives providers access to up-todate clinical best practices to support their reimbursement, case management, and care management goals. From the company used by more than 1,200 hospitals, Indicia products help you drive effective care from the business office to the bedside.

8 For more information on the care guidelines, licensing, or training, please call us at or visit us at MCG 901 Fifth Avenue, Suite 2000 Seattle, WA ABOUT MCG Milliman Care Guidelines became MCG in December 2012 as part of the Hearst Corporation acquisition. Now part of the Hearst Health network, MCG independently develops and produces evidence-based clinical guidelines and software used by more than 2,200 clients, including 1,300 hospitals and eight of the ten largest U.S. health plans. Updated annually by an experienced team of clinicians, the care guidelines support the care management of a majority of Americans. For more information, visit MCG is part of the Hearst Health network, which also includes FDB (First Databank), Zynx Health and Homecare Homebase. The mission of the Hearst Health network is to help guide the most important care moments by delivering vital information into the hands of everyone who touches a person s health journey. Each year in the U.S., care guidance from the Hearst Health network reaches 76% of discharged patients, 133 million insured individuals, 30 million home health visits, 1.88 billion retail pharmacy prescriptions and 3.26 billion prescription claims. Extensions of the Hearst Health network include Hearst Health Ventures and the Hearst Health Innovation Lab.

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