Assess whether documentation queries are driving coding or care (844dd1)

SITUATION Mortality-and-morbidity reviewer in a children's hospital rewriting a sepsis protocol has one working extract — transfer-delay file for time-sensitive diagnoses — after a unit that is an outlier after risk adjustment. If transfer-delay file for time-sensitive diagnoses cannot support documentation queries are driving, the only defensible Healthcare output is hold.

DECISION Mortality-and-morbidity reviewer in a children's hospital rewriting a sepsis protocol must choose Documentation queries are driving coding / Care using transfer-delay file for time-sensitive diagnoses after a unit that is an outlier after risk adjustment.

HYPOTHESES TO TEST 1. Mortality-and-morbidity reviewer can defend Documentation queries are driving coding from transfer-delay file for time-sensitive diagnoses after a unit that is an outlier after risk adjustment in a Healthcare challenge. 2. Mortality-and-morbidity reviewer cannot defend Documentation queries are driving coding from transfer-delay file for time-sensitive diagnoses; Care is what the extract actually supports after a unit that is an outlier after risk adjustment. 3. A unit that is an outlier after risk adjustment never reached the population in transfer-delay file for time-sensitive diagnoses — reopen intake, do not close documentation queries are driving. 4. Two facts in transfer-delay file for time-sensitive diagnoses after a unit that is an outlier after risk adjustment conflict for mortality-and-morbidity reviewer; hold this Models and Documentation file.

ANALYSIS REQUIRED 1. Quantify who is harmed if transfer-delay file for time-sensitive diagnoses is wrong. 2. Separate a documented exception from an OCR-relevant gap in a children's hospital rewriting a sepsis protocol. 3. Validate clinical-outcome evidence and protocol steps in transfer-delay file for time-sensitive diagnoses after a unit that is an outlier after risk adjustment. 4. For this Healthcare Models and Documentation file, read transfer-delay file for time-sensitive diagnoses against a unit that is an outlier after risk adjustment and write the one fact that would move documentation queries are driving for mortality-and-morbidity reviewer.

RECOMMENDATION Choose Documentation queries are driving coding / Care on this Healthcare / Models and Documentation packet (transfer-delay file for time-sensitive diagnoses after a unit that is an outlier after risk adjustment). 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.

COMMAND RETURNS - Bottom-line Healthcare option on documentation queries are driving, then the evidence in transfer-delay file for time-sensitive diagnoses, then the action for mortality-and-morbidity reviewer - Hypothesis scorecard against transfer-delay file for time-sensitive diagnoses: supported / rejected / untestable - Models and Documentation finding in transfer-delay file for time-sensitive diagnoses that a second reviewer can re-perform - Missing page in transfer-delay file for time-sensitive diagnoses after a unit that is an outlier after risk adjustment, if any