Assess whether documentation queries are driving coding or care (940385)

SITUATION Nurses silencing the same BPA 70% of the time put sepsis BPA alert-override log in front of sepsis-alert program lead in an academic medical center reviewing a mortality series. This Healthcare / Outcomes Review close is documentation queries are driving from sepsis BPA alert-override log, and the live options are Documentation queries are driving coding, Care.

DECISION Sepsis-alert program lead in an academic medical center reviewing a mortality series must choose Documentation queries are driving coding / Care using sepsis BPA alert-override log after nurses silencing the same BPA 70% of the time.

HYPOTHESES TO TEST 1. Authorize Documentation queries are driving coding now; sepsis BPA alert-override log already has the discriminator after nurses silencing the same BPA 70% of the time. 2. Keep Care in force until sepsis BPA alert-override log is completed after nurses silencing the same BPA 70% of the time for sepsis-alert program lead. 3. Treat sepsis BPA alert-override log as Documentation queries are driving coding because both readings appear after nurses silencing the same BPA 70% of the time. 4. Refuse a Healthcare close: sepsis-alert program lead does not have the decision documentation queries are driving turns on in sepsis BPA alert-override log.

ANALYSIS REQUIRED 1. Trace access logs and outputs to the rule sepsis-alert program lead must apply. 2. Assess patient-safety and HIPAA / minimum-necessary implications of documentation queries are driving. 3. Quantify who is harmed if sepsis BPA alert-override log is wrong. 4. For this Healthcare Outcomes Review file, read sepsis BPA alert-override log against nurses silencing the same BPA 70% of the time and write the one fact that would move documentation queries are driving for sepsis-alert program lead.

RECOMMENDATION Choose Documentation queries are driving coding / Care on this Healthcare / Outcomes Review packet (sepsis BPA alert-override log after nurses silencing the same BPA 70% of the time). The follow-on Outcomes Review 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 documentation queries are driving, then the evidence in sepsis BPA alert-override log, then the action for sepsis-alert program lead - Hypothesis scorecard against sepsis BPA alert-override log: supported / rejected / untestable - Named option among Documentation queries are driving coding, Care and the fact that kills the others - Owner and next date for sepsis-alert program lead in an academic medical center reviewing a mortality series