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

SITUATION Bundle-compliance exceptions by hour of day arrived with a unit that is an outlier after risk adjustment for mortality-and-morbidity reviewer. That is a Healthcare Alerts and Bundles decision on to stop a model in a unit with a new early-warning model.

DECISION Mortality-and-morbidity reviewer in a unit with a new early-warning model must choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold using bundle-compliance exceptions by hour of day after a unit that is an outlier after risk adjustment.

HYPOTHESES TO TEST 1. Authorize Proceed under protocol now; bundle-compliance exceptions by hour of day already has the discriminator after a unit that is an outlier after risk adjustment. 2. Keep Pause the pathway in force until bundle-compliance exceptions by hour of day is completed after a unit that is an outlier after risk adjustment for mortality-and-morbidity reviewer. 3. Treat bundle-compliance exceptions by hour of day as Escalate safety review because both readings appear after a unit that is an outlier after risk adjustment. 4. Refuse a Healthcare close: mortality-and-morbidity reviewer does not have the decision to stop a model turns on in bundle-compliance exceptions by hour of day.

ANALYSIS REQUIRED 1. Trace access logs and outputs to the rule mortality-and-morbidity reviewer must apply. 2. Assess patient-safety and HIPAA / minimum-necessary implications of to stop a model. 3. Quantify who is harmed if bundle-compliance exceptions by hour of day is wrong. 4. For this Healthcare Alerts and Bundles file, read bundle-compliance exceptions by hour of day against a unit that is an outlier after risk adjustment and write the one fact that would move to stop a model for mortality-and-morbidity reviewer.

RECOMMENDATION Choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold on this Healthcare / Alerts and Bundles packet (bundle-compliance exceptions by hour of day after a unit that is an outlier after risk adjustment). The follow-on Alerts and Bundles 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 to stop a model, then the evidence in bundle-compliance exceptions by hour of day, then the action for mortality-and-morbidity reviewer - Hypothesis scorecard against bundle-compliance exceptions by hour of day: supported / rejected / untestable - Alerts and Bundles finding in bundle-compliance exceptions by hour of day that a second reviewer can re-perform - Missing page in bundle-compliance exceptions by hour of day after a unit that is an outlier after risk adjustment, if any