Assess whether CMS reporting can be certified this quarter (fd8620)

Situation

Outcomes Review work in a rural hospital with long transfer times now turns on CMS reporting can be because nurses silencing the same BPA 70% of the time put quality-measure abstraction disagreements in play. Mortality-and-morbidity reviewer should say what quality-measure abstraction disagreements proves.

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 quality-measure abstraction disagreements after nurses silencing the same BPA 70% of the time.

Hypotheses to test

• Authorize Proceed under protocol now; quality-measure abstraction disagreements already has the discriminator after nurses silencing the same BPA 70% of the time.
• Keep Pause the pathway in force until quality-measure abstraction disagreements is completed after nurses silencing the same BPA 70% of the time for mortality-and-morbidity reviewer.
• Treat quality-measure abstraction disagreements as Escalate safety review because both readings appear after nurses silencing the same BPA 70% of the time.
• Refuse a Healthcare close: mortality-and-morbidity reviewer does not have the page CMS reporting can be turns on in quality-measure abstraction disagreements.

Analysis required

• Assess patient-safety and HIPAA / minimum-necessary implications of CMS reporting can be.
• Quantify who is harmed if quality-measure abstraction disagreements is wrong.
• Separate a documented exception from an OCR-relevant gap in a rural hospital with long transfer times.
• For this Healthcare Outcomes Review file, read quality-measure abstraction disagreements against nurses silencing the same BPA 70% of the time 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 / Outcomes Review packet (quality-measure abstraction disagreements after nurses silencing the same BPA 70% of the time). Lead with the Healthcare option quality-measure abstraction disagreements can support after nurses silencing the same BPA 70% of the time, then the two facts that force it, then the Monday action for mortality-and-morbidity reviewer in a rural hospital with long transfer times.