[Expert Solution]: HI230M2: Utilization Review Case Management…

HI230M2: Utilization Review Case Management ActivityPart I: Criteria Review the two types of criteria used at this hospital:IS Criteria: Intensity of Service Measures the level of intensity of treatment needed or resources used: How much care do they need?SI Criteria: Severity of Illness Measures how serious the patients illness or condition is: How sick are they?Policy: The following criteria indicate medical necessity and continued hospital stay: IV pain medications 3 or more times daily White blood count >15,000/cu.mm. Special neurological monitoring every 2 hours or more Oral temperature > or equal to 101 degrees Uncontrolled active bleeding at present time Sudden onset of unconsciousness Blood culture positive for pathogens Respiratory assistance required Surgery performed Acute onset of chest pain/pressure