DQ MEPRS Audit Readiness 2012 Navy Medicine Audit Readiness Training Symposium DQMCP Review List and The Commanders Data Quality Statement FOR OFFICIAL.

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

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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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