Assess whether a risk model is calibrated for this population (f36eb3)

SITUATION A CMS preview report showing a star-rating drop put risk-adjustment model calibration plot in front of mortality-and-morbidity reviewer in a unit with a new early-warning model. This Healthcare / Alerts and Bundles decision is a risk model is calibrated from risk-adjustment model calibration plot, and the live options are Proceed under protocol, Pause the pathway, Escalate safety review.

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 risk-adjustment model calibration plot after a CMS preview report showing a star-rating drop.

HYPOTHESES TO TEST 1. Authorize Proceed under protocol now; risk-adjustment model calibration plot already has the discriminator after a CMS preview report showing a star-rating drop. 2. Keep Pause the pathway in force until risk-adjustment model calibration plot is completed after a CMS preview report showing a star-rating drop for mortality-and-morbidity reviewer. 3. Treat risk-adjustment model calibration plot as Escalate safety review because both readings appear after a CMS preview report showing a star-rating drop. 4. Refuse a Healthcare close: mortality-and-morbidity reviewer does not have the decision a risk model is calibrated turns on in risk-adjustment model calibration plot.

ANALYSIS REQUIRED 1. Assess patient-safety and HIPAA / minimum-necessary implications of a risk model is calibrated. 2. Quantify who is harmed if risk-adjustment model calibration plot is wrong. 3. Separate a documented exception from an OCR-relevant gap in a unit with a new early-warning model. 4. For this Healthcare Alerts and Bundles file, read risk-adjustment model calibration plot against a CMS preview report showing a star-rating drop and write the one fact that would move a risk model is calibrated for mortality-and-morbidity reviewer.

RECOMMENDATION Choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold on this Healthcare / Alerts and Bundles packet (risk-adjustment model calibration plot after a CMS preview report showing a star-rating drop). Lead with the Healthcare option risk-adjustment model calibration plot can support after a CMS preview report showing a star-rating drop, then the two facts that force it, then the Monday action for mortality-and-morbidity reviewer in a unit with a new early-warning model.

COMMAND RETURNS - Bottom-line Healthcare option on a risk model is calibrated, then the evidence in risk-adjustment model calibration plot, then the action for mortality-and-morbidity reviewer - Hypothesis scorecard against risk-adjustment model calibration plot: supported / rejected / untestable - Alerts and Bundles finding in risk-adjustment model calibration plot that a second reviewer can re-perform - Missing page in risk-adjustment model calibration plot after a CMS preview report showing a star-rating drop, if any