Assess whether to stop a model that increases alert volume without outcomes

SITUATION Length-of-stay outliers versus DRG peers arrived with three weekend deaths that look similar on first read for sepsis-alert program lead. That is a Healthcare Pediatric Protocols decision on to stop a model in a multi-hospital system comparing length of stay.

DECISION Sepsis-alert program lead in a multi-hospital system comparing length of stay must choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold using length-of-stay outliers versus DRG peers after three weekend deaths that look similar on first read.

HYPOTHESES TO TEST 1. Length-of-stay outliers versus DRG peers reads as Proceed under protocol once three weekend deaths that look similar on first read is maps to the same Healthcare population. 2. Length-of-stay outliers versus DRG peers is closer to Pause the pathway after three weekend deaths that look similar on first read; Proceed under protocol would over-claim this Pediatric Protocols extract. 3. Escalate safety review is still live in length-of-stay outliers versus DRG peers for sepsis-alert program lead in a multi-hospital system comparing length of stay. 4. Length-of-stay outliers versus DRG peers is missing the fact sepsis-alert program lead needs after three weekend deaths that look similar on first read; stop this Healthcare close.

ANALYSIS REQUIRED 1. Assess patient-safety and HIPAA / minimum-necessary implications of to stop a model. 2. Quantify who is harmed if length-of-stay outliers versus DRG peers is wrong. 3. Separate a documented exception from an OCR-relevant gap in a multi-hospital system comparing length of stay. 4. For this Healthcare Pediatric Protocols file, read length-of-stay outliers versus DRG peers against three weekend deaths that look similar on first read and write the one fact that would move to stop a model for sepsis-alert program lead.

RECOMMENDATION Choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold on this Healthcare / Pediatric Protocols packet (length-of-stay outliers versus DRG peers after three weekend deaths that look similar on first read). The follow-on Pediatric Protocols action is what sepsis-alert program lead does next: implement the option, assign an owner, and log the missing fact.

COMMAND RETURNS - Bottom-line Healthcare option on to stop a model, then the evidence in length-of-stay outliers versus DRG peers, then the action for sepsis-alert program lead - Hypothesis scorecard against length-of-stay outliers versus DRG peers: supported / rejected / untestable - Regulatory or exam hook Pediatric Protocols would cite - Pediatric Protocols finding in length-of-stay outliers versus DRG peers that a second reviewer can re-perform