Hello Stephen,

I found this:

http://www.cbahi.org/rm/files/Standards/MS/Teaching%20Tools/18%20MS%20Audit%20Tool%20Admission%20DRG%20Review.pdf

This is the organisation's website:

http://portal.cbahi.gov.sa/english/home

I also found this:

http://www.hcca-info.org/Portals/0/PDFs/Resources/library/Instructions%20for%20using%20audit%20tool.pdf

This is the website for 'The Health Care Compliance Association' but I could not find any more about the audit:

http://www.hcca-info.org/

I saw this but have not read the full text; it is 17 years old now and the author does not seem to be a ResearchGate member:

Dempsey, J. (2000). The appropriateness of admissions and the influences on a decision to admit. Journal of quality in clinical practice, 20(2‐3), 95-99.

https://www.researchgate.net/publication/12268894_The_appropriateness_of_admissions_and_the_influences_on_a_decision_to_admit

I don't know if these are of any interest.

Very best wishes,

Mary

Article The appropriateness of admissions and the influences on a de...

Thanks Mary.  I will follow up Stephen

Hi Stephen,

We have used Interqual.

Here is the ink to the site:

http://www.mckesson.com/health-plans/decision-management/decision-management-interqual/interqual-criteria/

Milliman also has care guidelines, here is the link:

https://www.mcg.com/care-guidelines/overview/

Kind Regards,

Paula