DMHRSi 2010 To Input DMHRSI Codes
DMHRSi – BLUF If DMHRSi is not completed accurately and on time:
Your hard work will not be appreciated Your service could lose funding and resources
Direct patient care should correlate to RVU’sgenerated
Learn the system to use it to your advantage Do it yourself so you know it’s done right Don’t let “crazy 8’s” happen to you!
RVU’s generated/ # hours seeing patients = Efficiency
DMHRSi – basic purposeMeasure hours worked by individuals and work areas Differentiate hours worked by providers in direct patient care versus other tasks
Compare to RVU’s generated to estimate provider and work area efficiency
Reported to DoD and used to estimate current and future resource needs and funding
DMHRSi – getting started Keep track of your time spent each day on a calendar Log into system
Go to MAMC homepage Look under administration tab Click on link and save to favorites
Build a template – go to training site Input your codes every 2 weeks Due the week after each pay period ends Contacts:
Direct Patient CareTime rendering care to patients in your clinic/service
Primarily face‐to‐face time Can include time spent doing documentation and coordination of care as part of the visits
Supported by E&M code so roughly matches RVU’s Coded under clinic specific code (e.g. BABA_0125.20) Exceptions:MEB’s, TDRL’s: FEDC_0125 Support to other MTF: FCDA_0125
Indirect Patient CareAdditional time spent rendering patient care that is not face to face
Extra time spent due to reduced efficiency (e.g. AHLTA is down)
System problems that slow you down T‐cons Additional time spent doing documentation Coded under clinic specific code (e.g.BABA_0125.21)
Other Patient CarePatient care‐related work that does not generate RVU’s
May use indirect care code, but keep in mind…. Indirect patient care code hours count towards your available FTE and so…. May adversely impact clinic efficiency if overused
Consider using non‐clinical admin code for your service for some non‐direct patient care work where there are no RVU’s generated
Most important ‐ Be consistent in your service how you use indirect code versus other codes
Meetings
Your clinic/service: Service specific (e.g.EBFA_0125) Department: Dept specific (e.g.EBDA_0125) Hospital Committees (EBOD, RM, P&T) FCGA_0125.02 CME: EBFA_0125.11 JCAHO: EBBJ_0125Meetings not otherwise defined‐‐use department non‐clinical admin code
GME EBEA_0125.02Ward Attending – give all patient care hours to GME unless generating RVU’s for your service
Clinic Attending Patients booked under you that you saw with the resident: Split time between patient care and GME
Patients booked under resident: Give all hours to GME
Lectures/conferencesMentor sessions
Training Hospital (CBRNE, BMAR, HIPPA, etc): FALB_0125Military: GBAA_0125.01/02/03/04 Physical Fitness Training: GFAA_0125MASCAL Exercise: GGA8_0125.02
AbsentCivilian Annual leave: 02.01 Sick leave: 02.02 Comp time taken: 02.03 LWOP: 02.04
Military Leave Regular: 01.01 Leave Sick: 01.02 Training Holiday: 01.04
TDY for meetings‐‐code based on meeting purpose Backfill: FCDA_0125 Deployment: GDAF_0125.01
Filling out your DMRSi For DMRSi purpose you only need to record 8 hours per day or 80 hours per pay period of codes.
There is no need to code extra time being on call or doing non‐patient care work, staffing residents, etc beyond the 8 hours per day. Exception is civilian staff being paid for extra hours since DMRSi must match time card
Keep your template simple. Fill out direct patient care hours first and then add in the rest the best you can.