Data Quality Management Control (DQMC) Program

DQMC Program Review Listfor FY 2011

DQMC Program Review List Agenda

History of DQMC Program

Purpose of Review List

DQMC Review List Overview

New/changed Questions for FY10

Questions?

2Unclassified

DQMC Program History

• Memo dated November 2000 and signed by Acting Assistant Secretary of Defense Jarrett Clinton established DQMC Program for the MHS.

• The directing memo was sent to the three services Assistant Secretaries, with copies furnished the three services Surgeon Generals.

• Established the various components of the program, (DQ Manager, DQ Assurance Teams, Review List, CDR’s monthly DQ Statement, Internal/External Audits).

3Unclassified

DQMC Program History

• DQMC Program Objectives– To improve the overall quality of financial and

clinical workload data.– Command oversight to improve submission of

complete, accurate, and timely data.– Assure uniformity and standardization of

information across the MHS.

4Unclassified

Purpose DQMC Review List

Assists MTF Commander in establishing and maintaining an effective DQMC Program.

Completed Review List is reported monthly to Executive Committee and MTF Commander.

Review List kept on file for 5 years.

The Review List is an internal management control tool that contains the details behind the Monthly DQ Statement.

5Unclassified

DQMC Review List – Section Overview

A. Organizational Factors

•Leadership commitment and support are critical to assure the appropriate environment for data quality

B. Data Input

•Controls in this category are designed to ensure data are entered into the application in an accurate, complete, and timely manner

C. Data Output

•Data Output controls are used to ensure the accurate and timely distribution of outputs

D. Securit

y

•These controls should provide assurances that computers and the data they contain are properly protected against theft, loss, unauthorized access, and natural disaster

E. Syste

m Desig

n, Developme

nt and

Education and

Training

•Intended to ensure that systems meet user needs, are developed economically, are thoroughly documented and tested, and contain appropriate internal controls

New/Changed Questions on Review List for FY11

•Questions about training for DQ Managers and Data Quality Assurance Team Members, within their respective area of responsibility

Section A.7. •Question

on end-of-day processing. Changed wording from reporting month to data month.

Section B.5.

•Addressed outliers/variance in MEWACS and whether or not explanations have been provided in the comments section for flagged data anomalies.

Section C.1.c.

Unclassified 15

New/Changed Questions on Review List for FY11

•For DMHRS-I the goal of timecards submitted by suspense date changed to 100%

Section C.1.e.

•For DHMRS-I the goal of timecards approved by suspense date changed to 100%.

Section C.1.f.

•Added new question on the daily transmission of patient appointment files (DOWDR – Daily Outpatient Workload Detail Report)

Section C.3.e

Unclassified 15

New/Changed Questions on Review List for FY11

•Have added the word “adequate” to the question about “documentation of encounter selected to be audited available.”

Section C.6.a.

•Questions on the collection of DD Form 2569, Other Health Insurance, have been consolidated for Inpatients, Outpatients and APVs into one section.

Section C.8.

•Question on DD Form 2569 has changed from “30 on-hand records” to read “Non-Active Duty medical records”. This means the denominator for these questions will be a minimum of 30.

Section C.8

Unclassified 15

New/Changed Questions on Review List for FY11

•The compliance requirement has increased for the question on the number of outpatient encounters documented in AHLTA . Goal Increased from 80% to 95% .

Section E.4.i.

•Question on Standard Operating Procedures for system software and hardware maintenance. Detail has been added on who is responsible for reporting (e.g. host site only, centrally managed, all).

Section E.5.

•New question added to Review List only addresses Managed Care activities. “For the data month, how many patients, enrolled to the MTF, were referred to the network for care?”

Section E.8.

Unclassified 15

DQMC Program Review List

Questions?

11Unclassified