Upload
kaitlyn-mills
View
215
Download
1
Tags:
Embed Size (px)
Citation preview
DQ MEPRS Audit Readiness
2012 Navy Medicine Audit Readiness Training Symposium
DQMCP Review List andThe Commanders Data Quality Statement
FOR OFFICIAL USE ONLY
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
FOR OFFICIAL USE ONLY
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
FOR OFFICIAL USE ONLY
DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness
Data Quality Attributes = Audit Readiness
FOR OFFICIAL USE ONLY
• 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
FOR OFFICIAL USE ONLY
Critical Success Critical Success FactorsFactors
DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessE. System Design, Development, Education and Training
FOR OFFICIAL USE ONLY
DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessE. System Design, Development, Education and Training
FOR OFFICIAL USE ONLY
DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessE. System Design, Development, Education and Training
FOR OFFICIAL USE ONLY
DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessF. Operational Personnel Readiness Metrics
FOR OFFICIAL USE ONLY
DQ MEPRS Audit ReadinessDQ MEPRS Audit ReadinessF. Operational Personnel Readiness Metrics
FOR OFFICIAL USE ONLY
DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness
F. Operational Personnel Readiness Metrics
FOR OFFICIAL USE ONLY
DQ MEPRS Audit ReadinessDQ MEPRS Audit Readiness
F. Operational Personnel Readiness Metrics
FOR OFFICIAL USE ONLY