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

SITUATION After a quality committee asking for a 90-day action plan, length-of-stay outliers versus DRG peers is what mortality-and-morbidity reviewer can touch in a rural hospital with long transfer times. Healthcare will live with Proceed under protocol versus Pause the pathway on this Outcomes Review file.

DECISION Mortality-and-morbidity reviewer in a rural hospital with long transfer times must choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold using length-of-stay outliers versus DRG peers after a quality committee asking for a 90-day action plan.

HYPOTHESES TO TEST 1. Authorize Proceed under protocol now; length-of-stay outliers versus DRG peers already has the discriminator after a quality committee asking for a 90-day action plan. 2. Keep Pause the pathway in force until length-of-stay outliers versus DRG peers is completed after a quality committee asking for a 90-day action plan for mortality-and-morbidity reviewer. 3. Treat length-of-stay outliers versus DRG peers as Escalate safety review because both readings appear after a quality committee asking for a 90-day action plan. 4. Refuse a Healthcare close: mortality-and-morbidity reviewer does not have the decision to stop a model turns on in length-of-stay outliers versus DRG peers.

ANALYSIS REQUIRED 1. Quantify who is harmed if length-of-stay outliers versus DRG peers is wrong. 2. Separate a documented exception from an OCR-relevant gap in a rural hospital with long transfer times. 3. Validate clinical-outcome evidence and protocol steps in length-of-stay outliers versus DRG peers after a quality committee asking for a 90-day action plan. 4. For this Healthcare Outcomes Review file, read length-of-stay outliers versus DRG peers against a quality committee asking for a 90-day action plan 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 / Outcomes Review packet (length-of-stay outliers versus DRG peers after a quality committee asking for a 90-day action plan). Lead with the Healthcare option length-of-stay outliers versus DRG peers can support after a quality committee asking for a 90-day action plan, then the two facts that force it, then the Monday action for mortality-and-morbidity reviewer in a rural hospital with long transfer times.

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 mortality-and-morbidity reviewer - Hypothesis scorecard against length-of-stay outliers versus DRG peers: supported / rejected / untestable - Owner and next date for mortality-and-morbidity reviewer in a rural hospital with long transfer times - What changes to stop a model if a quality committee asking for a 90-day action plan is later withdrawn