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Navigating the Databases:VSSC/ARC/DSS/NEPEC/Intranet
Mark F. Ward, PhD
VA Psychology Leadership Conference
May 21, 2011
VA
Mastering the Maze of Data Alphabet Soup
OQP
SATP
VSSC
MO
SE
PCTEPRP
CPT
Recovery
ARC
EWL
TIDES
DSS
NEXUS
SSN
PRP
5CRVU
PCT
RVU
FacWork
VERA LRC
KLF
TBI
Managing With Data
• You Have only Two Choices– Data Savvy - Master of Your Data
• The closer you are to your data, or your data person, the better you will be able to answer the tough Q’s
• The Data Devil is Always in the Details - Criteria• What’s included, what’s not
– Data Ducker - Or your Data’s Slave• When the tough Q’s come, you are toast
• Choose Wisely– Then Proceed with Caution
Cautious Use of Data
• What you see is often not exactly what you think you see• The less often you access a given data site, the more
confusing/misleading it will be• Assumptions about the data – Be Careful• Validate before you Conclude
– Crosscheck with known sources• Start by looking at data reflecting something you already
know and understand to see how the data compare to your knowledge
• Year to Year usually Safe• Cross Facility Comparisons often Very Dangerous
– Exception NEPEC-Still be cautious
Keys to Cost Management
• Careful DSS Mapping of Each Provider to their Programs/Sites of Service by percent of time
• Careful Clinic Stopcode setup
• Periodic review of costs from all angles
• Judicious use of “Admin time”– My time managing my programs is NOT Admin
• Careful monitoring of Indirect Costs
Primary Stop Code2ndary Stop Code
CPT CodeDiagnosisMapped Provider & RVU
Direct Costs + Indirect Costs = Encounter Cost
CPTDx
Provider
CPTDx
Provider
Provider TypePrimary Stop CodeCredit Stop CodeMatrix for CostTimeRVU
ARC Resources
• Allocation Resource Center –VERA lives here• http://vaww.arc.med.va.gov/
• Education – Tutorials (VERA 2011 Model)– Mental Health
• Resource Management – Staff, Beds, Costs– MH FTE Briefing Book – MH Staff by VISN Over Time
» Core…All VISN…V20
• Administrative – 14 Day Summary & Patient Level– 2010…Sep…Cum…Admin Parent….648
– Links to many useful websites (at bottom)
VHA Support Service Center -VSSCPerformance Measure Resources– http://klfmenu.med.va.gov/
• Tip- Search Mental
• MH Uniform Services Survey
• Tip- Search Missed Opp
• Tip- Search TBI
– Spreadsheet and Links
– Monthly User Calls 3rd Thursday 3pm EST• VANTS 63073
DSS Resources• http://klfmenu.med.va.gov/
– DSS Portal• Reports Home – Search Index of Reports
– Cost and Workload of Selected DSS Stop/Credit
– Clinical – Pt. Centric
Mental Health Specific Reports
Mental Health Pts with and without Primary Care
Select All, or be selective
Drill down to SSN’S
Northeast Program Evaluation Center
• http://vaww.nepec.mentalhealth.va.gov/index.htm
• Nat’l MH Programming Performance Monitor– 2010 Draft National Report Card
• 4 Domains Ranked by VISN (p 10)– 70 Monitors (p 72)
• Outpatient (p172)
• Economics Table 6-8 (p210)
Local Data Validation Tool
• Ambulatory Care Report Project (ACRP) –in VISTA• Nearly Real Time- As up to date as your data• Runs fast• Can be global (Clinic or Stopcode)• Can be focused (Provider for a given xxx time)
– Can list each patient fitting your criteria• Use to compare to database numbers when in
doubt• Find a skilled ACRPer, and have them teach you
– There are unseen traps
Get Cozy with your Data !!
VHA Resources
• http://vaww1.va.gov– Locations
• All Medical Centers and CBOC’s– Vet Centers
• http://vaww.mentalhealth.va.gov/
• [email protected]• 503-220-8262 x 54242 (I’d rather talk than type!)
