DQ MEPRS Audit Readiness

2012 Navy Medicine Audit Readiness Training Symposium

DQMCP Review List andThe Commanders Data Quality Statement

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RE-T-3-C

DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness

Context, Purpose, Outcome

• Demonstrate the attributes of the DQMC Review List

• Educate audience on the attributes of the DQMC Review List and how it impacts the audit readiness

• Engage in discussion on DQMC Review List local uses and possible improvements

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DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness

Data Quality: The Beginning• TRICARE Managed Activity implemented the Data Quality

Management Control Program December 1st, 2000 (FY2001)• DoD Inspector General (DoD IG) identified material management control weakness

for MHS - Directed development of data quality assurance and management control program

• Two Specific Reports:

– DoD IG report concerning the FY98 Retirement Liability Estimate http://www.dodig.mil/audit/reports/fy99/99-127.pdf

– Government Accountability Office (GAO) Medicare Subvention Demonstration Report http://www.gao.gov/products/HEHS-99-39

• Assistant Secretary of Defense (Health Affairs) (ASD (HA)) concurred with the DoD IG material management control weakness findings

• ASD (HA) designated TMA Resource Management Steering Committee to oversee the development of TMA DQ Management Control Program

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DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness

Data Quality Attributes = Audit Readiness

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• End of Day• Coding

Timeliness• Transmission

s

• End of Day• Coding

Timeliness• Transmission

s

• Coding Audits• MEWACS

Outliers• Patient

Merges

• Coding Audits• MEWACS

Outliers• Patient

Merges

• Training• System

Controls• Trouble Tickets• Leadership

Responsibilities

• Training• System

Controls• Trouble Tickets• Leadership

Responsibilities

• Visits to Appointments

• Inpatient Records to Dispositions

• Rounds to Bed Days

• Visits to Appointments

• Inpatient Records to Dispositions

• Rounds to Bed Days

• Review List• CO

Statement• Audit

Summaries• Regional

Reports

• Review List• CO

Statement• Audit

Summaries• Regional

Reports

DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessReview List Background Elements

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Critical Success Critical Success FactorsFactors

DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessReview List Section Overview

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessA. Organizational Factors

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessB. Data Input

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DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness

B. Data Input

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DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness

B. Data Input

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DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness

C. Data Output

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessC. Data Output

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessC. Data Output

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessC. Data Output

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessC. Data Output

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DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness

C. Data Output

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessD. Security

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessE. System Design, Development, Education and Training

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessE. System Design, Development, Education and Training

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessE. System Design, Development, Education and Training

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessF. Operational Personnel Readiness Metrics

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DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessF. Operational Personnel Readiness Metrics

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DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness

F. Operational Personnel Readiness Metrics

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DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness

F. Operational Personnel Readiness Metrics

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DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness

Open Discussion

• Likes and dislikes• Current PDF format discussion• Wish list• Recommendations• Etc.• Etc.• Etc.

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