DQ MEPRS Audit Readiness

New for FY13 Discussion on DQMC and MEPRS Changes

2012 Navy Medicine Audit Readiness Training Symposium

RE-W-3-A

DQ MEPRS Audit Readiness

Context: Provide FY13 Process and Policy Changes for MEPRS and DQMC Programs.

Purpose: Prepare MEPRS and DQ Managers on actions required to comply with the changes and the relationship to audit readiness.

Outcome: Communicate actions and milestones for FY13 database initialization and reporting requirements.

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DQ MEPRS Audit Readiness

MEPRS/DQMC: Love it, Hate it, Change it!

• Let’s Talk…– What do you like?– What do hate?– What do you need?

• MEPRS Issue Paper any time• FY13 Request for Changes via EKM

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April May June

DQ MEPRS Audit Readiness

Currently on the Navy Medicine List

DD FM 2569…what are we really trying to collect?

Coding Accuracy…what’s better audits or data surveillance?

WWR what’s it good for?Navy Specific Topics…POMI…we fixed it

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June July August

DQ MEPRS Audit ReadinessMEPRS Functional Cost Code Deactivations FCC Deleted Report in (w/FY13 Description)

AAG (Hematology) AAK (Hematology/Oncology)

ABH (Pediatric Surgery) Wherever service is provided

AGX (Cost Pool) N/A – BUMED approval req’d to activate

BAH (Hematology Clinic) BAM (Hematology/Oncology Clinic)

BAZ7 (Internal Medicine MHP APV) BAZ5 (Internal Medicine MHP APV)

BBH (Proctology Clinic) Wherever service is provided

BBJ (Pediatric Surgery Clinic) Wherever service is provided

BDZ7 (Pediatrics MHP APV) BDZ5 (Pediatrics MHP APV)

BFZ (Psych Care Not Elsewhere Clasfd) N/A – BUMED approval req’d to activate

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DQ MEPRS Audit ReadinessMEPRS Functional Cost Code DeactivationsFCC Deleted Report in (w/FY13 Description)

BGZ7 (Family Practice MHP APV) BGZ5 (Family Practice MHP APV)

EBB2 (Pastoral Care) EBB (Special Staff) JONS will not change

EBB3 (Patient Safety) EBB (Special Staff) JONS will not change

EBZ (Other Cmnd ,Mgmt, Admin NEC) N/A – BUMED approval req’d to activate

FAZ (Special Hlth Pgms NEC) Report Breast Care Education where occurs

FAZD (Multiservice Marketing Office) FCG (Support to Non-MEPRS Rep Act)

FBZ (Public Health Not Elsewhere Clsfd) N/A – BUMED approval req’d to activate

FBZD (Vaccine Health Center) FCG (Support to Non-MEPRS Rep Act)

FDZ (Dependent Student Travel) FDI (In-place Consecutive Overseas Tour Leave/Student Dependent Travel)

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DQ MEPRS Audit Readiness

MEPRS SAG to PE TableFY 13 implementation separate OCONUS SAGs

- Old: SAG M9 mapped to both 87700 & 87900- New: SAG M9 for CONUS to 87700 and SAG A9 for OCONUS to 87900- Most OCONUS SAGs will be different in FY 13- MEPRS/EAS SAG to PE Table has significant changes for FY 13

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DQ MEPRS Audit Readiness

FY 13 SEECsFY 12 TMA realignment of SEECs to the OMB A-11 Object

Classes- Extensive re-mapping of SUEEs to SEECs- New FY 13 Changes include:

- Foreign national labor in SEECs 11.30 (FNDH), 11.80 (FNIH Spain) and 11.8F (FNIH Japan)

- a few tentative changes to military labor SUEE to SEECs

- will be posted as soon as final approval is obtained

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DQ MEPRS Audit ReadinessCriteria for a Work Center

Staff, space, expenses and minimum workload requirements expected to be fully compliant in FY 13.

Exceptions will be specifically defined based on overarching reporting requirement

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DQ MEPRS Audit ReadinessMedical Home Port and Immunizations Reporting in FY 13

The Public Health Directorate provides immunization program oversight, regardless of place of vaccine administration.

Specific guidance forthcoming, implements central immunizations within the Public Health Directorate but adheres to the Patient Centered Medical Home/Medical Home Port Policy.

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DQ MEPRS Audit Readiness

Marine Centered Medical Home Marine Centered Medical Home (MCMH)

MTFs provide space, supplies and support Providers are borrowed Navy providers assigned

to the Marine Corps Report as MCMH team(s) within the MTF

BGZP MCMH Team 1 BGZQ MCMH Team 2 BGZR MCMH Team 3

Proposed structure to be provided to BUMED for approval

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DQ MEPRS Audit Readiness

Navy Comprehensive Pain Management Program NCPMP Pilot program to provide coordinated

pain management care, oversight provided by M3/5

Functional integration is recommended – NCPMP is co-located with MHP but operates separately

MEPRS code is BBLM Ensure contracts have correct funds cite on the

requisitions to get the cost to the correct DMIS ID/work center

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DQ MEPRS Audit Readiness

New Suffix for Medical Records Auditors/Coders

Medical Records Auditors/Coders will be reported in suffix M beginning in FY 13

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DQ MEPRS Audit ReadinessMEPRS – FCC4 Restructure

All Branch Clinic FCC4 codes will start with “A”. All Commands use “B” through “L”, w/approval. All systems must be re-aligned appropriately. Benefits:

Accommodates financial system requirementsImproves data comparability across activities.Dramatically increases availability of codes for unique/special programs (“M” through “Z”)

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DQ MEPRS Audit Readiness

DMHRSi Time Card Calculations Shift in metrics, from monthly to pay periods

associated with month. Benefits: Metric more closely aligned to current

policy. Drives improved behavior in time card

management. Improves timely and accurate reporting

of manpower data.

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DQ MEPRS Audit Readiness

Continue to Leverage Current Products

The Data Quality Share Point Site

PETRA/R2DQ

The FCC Validation Process

The MEWACS Tracker

The MEPRS Dashboard

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DQ MEPRS Audit Readiness

Points of Contact Colleen Rees, Colleen.Rees@med.navy.mil, 202-762-3538

Randy Van Nostrand, Randy.VanNostrand.ctr@med.navy.mil, 703-773-7312 ext. 602

Kate Burchess, Kathryn.Burchess.ctr@med.navy.mil, 703-773-7312 ext 104

Bonnie Rehbein, Bonnie.Rehbein.ctr@med.navy.mil, 703-773-7312 ext. 603

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DQ MEPRS Audit Readiness

Questions

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