Whether to escalate a case to peer review from length-of-stay outliers versus

SITUATION Mortality-and-morbidity reviewer is responsible for to escalate a case to peer review in a unit, using a new early-warning model with length-of-stay outliers versus DRG peers as the only working extract. A quality committee asking for a 90-day action plan is what reset the timeline for this Healthcare Alerts and Bundles file.

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 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 escalate a case to peer review turns on in length-of-stay outliers versus DRG peers.

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 escalate a case to peer review. 3. Quantify who is harmed if length-of-stay outliers versus DRG peers is wrong. 4. For this Healthcare Alerts and Bundles 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 escalate a case to peer review for mortality-and-morbidity reviewer.

RECOMMENDATION Choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold on this Healthcare / Alerts and Bundles 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 unit with a new early-warning model.

COMMAND RETURNS - Bottom-line Healthcare option on to escalate a case to peer review, 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 - Named option among Proceed under protocol, Pause the pathway, Escalate safety review and the fact that kills the others - Owner and next date for mortality-and-morbidity reviewer in a unit with a new early-warning model