Unmatched Rigor & Integrity

The InterQual® development cycle combines systematic, critical assessment of the medical literature by our highly trained clinical development team—comprised of physicians, registered nurses and allied health professionals—with peer review from our InterQual Clinical Panel of over 750 national experts.

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Authoritative Peer Review

The InterQual Clinical Review Panel provides extensive peer review of the InterQual content. Each content update or addition undergoes review by multiple experts from across the country, as well as an additional round of validation review by independent physicians from each relevant discipline. The panel includes practitioners from numerous disciplines, including physicians, nurse specialists, psychologists, chiropractors, social workers, physical therapists and occupational therapists, many of whom are members of respected national and international medical societies, such as the Society of Hospital Medicine, American College of Obstetrics and Gynecology, American College of Cardiology and American College of Pediatricians. These national experts work with our content specialists to review trends in clinical care, aid in exploring new medical advances and technologies, and validate the medical evidence. They are recognized thought leaders who have experience in community and academic settings and who cover all major specialties across the continuum of care.

All InterQual Clinical Review Panel members are:
  • Board certified in the specialties they review
  • Licensed, credentialed or both in their areas of practice
  • Actively practicing
  • Screened for conflicts of interest

InterQual Sources

Our InterQual content developers use an expansive and credible set of sources as they seek out well-designed studies that establish or refute the effectiveness of interventions. They include:

  • Online databases such as PubMed, the Library of Congress, the Cochrane Library and other trustworthy sites containing articles and bibliographic repositories
  • Specialty society guidelines, such as the American Academy of Family Physicians, American Colleges of Cardiology and Radiology, British Medical Society, American Psychiatric Association and the American Heart Association
  • Accreditation organization guidelines, such as the Joint Commission, URAC and NCQA
  • National guidelines, such as the Centers for Medicare & Medicaid Services, the Substance Abuse and Mental Health Services Administration, the National Institutes of Health and the National Institute for Clinical Evidence

Quality Indicators

Since 2004, we have attached Quality Indicators, standardized quality measures from the Hospital Quality Alliance - a public-private collaboration on hospital measurement and reporting. These Quality Indicators are attached to appropriate lines of criteria with convenient icons so users can readily access this additional information.

The Hospital Quality Alliance includes the American Hospital Association, the Federation of American Hospitals and the Association of American Medical Colleges. It is supported by the Agency for Healthcare Research Quality, the Centers for Medicare & Medicaid Services, the National Quality Forum, the Joint Commission, the American Medical Association, the Consumer-Purchaser Disclosure Project, the AFL-CIO, AARP and the U.S. Chamber of Commerce.