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.
FOR OFFICIAL USE ONLY 2
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
FOR OFFICIAL USE ONLY 3
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
FOR OFFICIAL USE ONLY 4
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
FOR OFFICIAL USE ONLY 5
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)
FOR OFFICIAL USE ONLY 6
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
FOR OFFICIAL USE ONLY 7
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
FOR OFFICIAL USE ONLY 8
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
FOR OFFICIAL USE ONLY 9
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.
FOR OFFICIAL USE ONLY 10
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
FOR OFFICIAL USE ONLY
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
FOR OFFICIAL USE ONLY
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
FOR OFFICIAL USE ONLY
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”)
FOR OFFICIAL USE ONLY 14
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.
FOR OFFICIAL USE ONLY 15
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
FOR OFFICIAL USE ONLY 16
DQ MEPRS Audit Readiness
Points of Contact Colleen Rees, [email protected], 202-762-3538
Randy Van Nostrand, [email protected], 703-773-7312 ext. 602
Kate Burchess, [email protected], 703-773-7312 ext 104
Bonnie Rehbein, [email protected], 703-773-7312 ext. 603
FOR OFFICIAL USE ONLY 17
DQ MEPRS Audit Readiness
Questions
FOR OFFICIAL USE ONLY18