Assess whether to escalate a case to peer review (9cfa0c)

SITUATION A Joint Commission tracer on sepsis put quality-measure abstraction disagreements in front of sepsis-alert program lead in an academic medical center reviewing a mortality series. This Healthcare / Outcomes Review close is to escalate a case to peer review from quality-measure abstraction disagreements, and the live options are Proceed under protocol, Pause the pathway, Escalate safety review.

DECISION Sepsis-alert program lead in an academic medical center reviewing a mortality series must choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold using quality-measure abstraction disagreements after a Joint Commission tracer on sepsis.

HYPOTHESES TO TEST 1. Quality-measure abstraction disagreements reads as Proceed under protocol once a Joint Commission tracer on sepsis is maps to the same Healthcare population. 2. Quality-measure abstraction disagreements is closer to Pause the pathway after a Joint Commission tracer on sepsis; Proceed under protocol would over-claim this Outcomes Review extract. 3. Escalate safety review is still live in quality-measure abstraction disagreements for sepsis-alert program lead in an academic medical center reviewing a mortality series. 4. Quality-measure abstraction disagreements is missing the fact sepsis-alert program lead needs after a Joint Commission tracer on sepsis; stop this Healthcare close.

ANALYSIS REQUIRED 1. Assess patient-safety and HIPAA / minimum-necessary implications of to escalate a case to peer review. 2. Quantify who is harmed if quality-measure abstraction disagreements is wrong. 3. Separate a documented exception from an OCR-relevant gap in an academic medical center reviewing a mortality series. 4. For this Healthcare Outcomes Review file, read quality-measure abstraction disagreements against a Joint Commission tracer on sepsis and write the one fact that would move to escalate a case to peer review for sepsis-alert program lead.

RECOMMENDATION Choose Proceed under protocol / Pause the pathway / Escalate safety review / Hold on this Healthcare / Outcomes Review packet (quality-measure abstraction disagreements after a Joint Commission tracer on sepsis). If quality-measure abstraction disagreements cannot force a Healthcare label under Outcomes Review, stop. If quality-measure abstraction disagreements after a Joint Commission tracer on sepsis cannot support Proceed under protocol versus Pause the pathway on this Healthcare Outcomes Review close, sepsis-alert program lead must state the unresolved clinical or safety evidence requirement explicitly.

COMMAND RETURNS - Bottom-line Healthcare option on to escalate a case to peer review, then the evidence in quality-measure abstraction disagreements, then the action for sepsis-alert program lead - Hypothesis scorecard against quality-measure abstraction disagreements: supported / rejected / untestable - What changes to escalate a case to peer review if a Joint Commission tracer on sepsis is later withdrawn - Named option among Proceed under protocol, Pause the pathway, Escalate safety review and the fact that kills the others