Assess whether CMS reporting can be certified this quarter (df003d)

Situation

After a quality committee asking for a 90-day action plan, risk-adjustment model calibration plot is what mortality-and-morbidity reviewer can touch in a children's hospital rewriting a sepsis protocol. Healthcare will live with Proceed under protocol versus Pause the pathway on this Models and Documentation file.

Decision

Mortality-and-morbidity reviewer in a children's hospital rewriting a sepsis protocol must choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold using risk-adjustment model calibration plot after a quality committee asking for a 90-day action plan.

Hypotheses to test

• Authorize Proceed under protocol now; risk-adjustment model calibration plot already has the discriminator after a quality committee asking for a 90-day action plan.
• Keep Pause the pathway in force until risk-adjustment model calibration plot is completed after a quality committee asking for a 90-day action plan for mortality-and-morbidity reviewer.
• Treat risk-adjustment model calibration plot as Escalate safety review because both readings appear after a quality committee asking for a 90-day action plan.
• Refuse a Healthcare close: mortality-and-morbidity reviewer does not have the page CMS reporting can be turns on in risk-adjustment model calibration plot.

Analysis required

• Trace access logs and outputs to the rule mortality-and-morbidity reviewer must apply.
• Assess patient-safety and HIPAA / minimum-necessary implications of CMS reporting can be.
• Quantify who is harmed if risk-adjustment model calibration plot is wrong.
• For this Healthcare Models and Documentation file, read risk-adjustment model calibration plot against a quality committee asking for a 90-day action plan and write the one fact that would move CMS reporting can be for mortality-and-morbidity reviewer.

Recommendation

Choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold on this Healthcare / Models and Documentation packet (risk-adjustment model calibration plot after a quality committee asking for a 90-day action plan). The follow-on Models and Documentation action is what mortality-and-morbidity reviewer does next: implement the option, assign an owner, and log the missing fact.