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Data Quality Management Control Program

Data Quality Management Control Program. Army – Mr. Angel Padilla. Regulatory Guidance Program Management Organizational Factors System Inputs, Processes, and Outputs CHCS ADM MEPRS/EAS TPOCS MEWACS. Patient Records Accountability Coding Audits Sampling Size and Techniques

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Data Quality Management Control Program

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  1. Data Quality Management Control Program Army – Mr. Angel Padilla

  2. Regulatory Guidance Program Management Organizational Factors System Inputs, Processes, and Outputs CHCS ADM MEPRS/EAS TPOCS MEWACS Patient Records Accountability Coding Audits Sampling Size and Techniques Inpatient Records Outpatient Records Workload Comparison System Security System Design, Development, Operations, and Education and Training Overview

  3. Regulatory GuidanceDODI 6040.40Military Health System Data Quality Management Control Procedures

  4. Regulatory GuidanceDODD 6040.41Medical Records Retention and Coding at Military Treatment Facilities

  5. Regulatory GuidanceDODD 6040.42Medical Encounter and Coding at Military Treatment Facilities

  6. Regulatory GuidanceDODD 6040.43Custody and Control of Outpatient Medical Records

  7. Program Management • Data Quality Manager • Data Quality Assurance Team • Intermediate Command DQ Manager • Service Data Quality Manager • DQMC Review List • Commanders Monthly Data Quality Statement (internet based)

  8. System Inputs, Processes, and Outputs • Composite Health Care System (CHCS) • Armed Forces Health Longitudinal Technology Application (AHLTA) • Ambulatory Data Module (ADM) • Medical Expense and Performance Reporting System (MEPRS) / Expense Assignment System (EAS) • Third Party Outpatient Collection System (TPOCS) • MEPRS Early Warning and Control System (MEWACS)

  9. Data InputMEPRS/EAS, ADM, CHCS, TPOCS • Written Procedures • Current Versions • Upgrades & Updates • Rejected Records • End of Day Processing • Percentage of Clinics • Percentage of Appointments • Timely Coding Completion

  10. Commander’sData Quality Statement • Q. 1. In the reporting month: • a) What percentage of clinics have complied with “End of Day” processing requirements, “Every clinic – Every day? (B.5.(a.)) • b) What percentage of appointments were closed in meeting your “End of Day” processing requirements, “Every appointment – Every day?” (B.5.(b))

  11. Commander’sData Quality Statement • Q. 2. In accordance with legal and medical coding practices, have all of the following occurred: • a) What percentage of Outpatient Encounters, other than APVs, have been coded within 3 business days of the encounter? (B.6.(a)) • b) What percentage of APVs have been coded within 15 days of the encounter? (B.6.(b))

  12. Commander’sData Quality Statement • Q. 2. In accordance with legal and medical coding practices, have all of the following occurred: • c) What percentage of Inpatient records have been coded within 30 days after discharge? (B.6.(c))

  13. Data OutputMEPRS/EAS, ADM, CHCS, TPOCS • EAS • Financial Reconciliation • Inpatient and Outpatient Workload Reconciliations • MEWACS Review • Timely Data Transmittal • Workload Comparison

  14. Commander’sData Quality Statement • Q. 3. In accordance with TMA policy, “Implementation of EAS/MEPRS Data Validation and Reconciliation,” dated 21 Dec 99 and “MEPRS Early Warning and Control System,” dated 28 May 02, along with the most current Service-Level Guidance: (C.1.) • a) Was monthly MEPRS/EAS financial reconciliation process completed, validated and approved prior to monthly MEPRS transmission?

  15. Commander’sData Quality Statement • Q. 3. In accordance with TMA policy, “Implementation of EAS/MEPRS Data Validation and Reconciliation,” dated 21 Dec 99 and “MEPRS Early Warning and Control System,” dated 28 May 02, along with the most current Service-Level Guidance: (C.1.) • b) Were monthly Inpatient and Outpatient workload reconciliation processes completed?

  16. Commander’sData Quality Statement • Q. 3. In accordance with TMA policy, “Implementation of EAS/MEPRS Data Validation and Reconciliation,” dated 21 Dec 99 and “MEPRS Early Warning and Control System,” dated 28 May 02, along with the most current Service-Level Guidance: (C.1.) • c) Were the data load status, outlier/variance, WWR-EAS IV, and allocations tabs in the current MEWACS document reviewed and explanations provided for flagged data anomalies?

  17. Commander’sData Quality Statement • Q. 4. Compliance with TMA or Service-Level guidance for timely submission of data (C.3.). • a) MEPRS/EAS (45 days)

  18. Data OutputMEPRS/EAS, ADM, CHCS, TPOCS • CHCS • Duplicate Records • Timely Data Transmittal • Standard Inpatient Data Record (SIDR) • Worldwide Workload Report • Inpatient Records • Accountability • Documentation • Coding • SIDRs completed (in a “D” status) • Workload Comparison

  19. Commander’sData Quality Statement • Q. 4. Compliance with TMA or Service-Level guidance for timely submission of data (C.3.). - b) SIDR/CHCS (5th and 20th calendar day of the month)

  20. Commander’sData Quality Statement • Q. 4. Compliance with TMA or Service-Level guidance for timely submission of data (C.3.). - c) WWR/CHCS (10th calendar day following month)

  21. Commander’sData Quality Statement • Q. 4. Compliance with TMA or Service-Level guidance for timely submission of data (C.3). • d) SADR/ADM (daily)

  22. Data Output • A minimum of 30 records/encounters should be pulled randomly from the entire population of MTF inpatient medical records for the audit data month. • A random audit of 30 records per MTF will provide a statistical confidence level of 90%, with a confidence interval/sampling error range of plus or minus 15%.

  23. Data OutputInpatient Coding • Coding • DRG Codes • Related Data Elements (C.5) • All Diagnoses • Any Procedures • Sex • Age • Discharge/Disposition • Percentage of SIDRs Completed (D-Status)

  24. Commander’sData Quality Statement • Q. 5. Outcome of monthly inpatient coding audit: (C.5.c.f.g,h) - a) Inpatient Records (DRG) # Records Reviewed:_________ % Correct _______

  25. Commander’sData Quality Statement • Q. 5. Outcome of monthly inpatient coding audit: (C.5.c.f.g,h) • - b) Inpatient Professional Services Rounds encounters E & M codes audited and deemed correct?

  26. Commander’sData Quality Statement • Q. 5. Outcome of monthly inpatient coding audit: (C.5.c.f.g,h) • - c) Inpatient Professional Services Rounds encounters ICD-9 codes audited and deemed correct?

  27. Commander’sData Quality Statement • Q. 5. Outcome of monthly inpatient coding audit: (C.5.c.f.g,h) • - d) Inpatient Professional Services Rounds encounters CPT codes audited and deemed correct?

  28. Data OutputMEPRS/EAS, ADM, CHCS, TPOCS • ADM • Timely Data Transmittal • Standard Ambulatory Data Record (SADR) • Error Logs • Workload Comparison

  29. Data OutputOutpatient Coding • Sample Size • Accountability • Percentage Located or Properly Checked Out • Checked-out Over 30-Days? • DD Form 2569 (Third Party Insurance Information)

  30. Commander’sData Quality Statement • Q.6. Outpatient Records. (c.6.a,b,c,d,e,f) • a) Is the documentation of the encounter selected to be audited available? Documentation includes documentation in medical record, loose (hard copy) documentation or an electronic record of the encounter in AHLTA?

  31. Data OutputOutpatient Coding • E&M Codes • ICD-9 Codes • CPT Codes

  32. Commander’sData Quality Statement • Q. 6. Outpatient Records. • b) What is the percentage of E & M codes deemed correct? (E & M code must comply with current DoD guidance.) (C.7.(b))

  33. Commander’sData Quality Statement • Q. 6. Outpatient Records. • c) What is the percentage of ICD-9 codes deemed correct? (C.6.(c))

  34. Commander’sData Quality Statement • Q. 6. Outpatient Records. • d) What was the percentage of CPT codes deemed correct? (CPT code must comply with current DoD guidance.) (C.7.(d))

  35. Commander’sData Quality Statement • Q. 6. Outpatient Records. • e) What percentage of completed & current (signed within the past 12 months) DD Form 2569s (TPC Insurance Info) are available for audit? (C.7.(e))

  36. Commander’sData Quality Statement • Q. 6. Outpatient Records. - f) What percentage of available, current and completed DD Form 2569s are verified to be correct in the Patient Insurance Information (PII) module in CHCS?

  37. Commander’sData Quality Statement • Question 7 Ambulatory Procedure Visits (C.7.a,c,d,e,f) • Questions 7.a,c,d,e,f are the same as Questions 6.a,c,d,e,f

  38. Commander’sData Quality Statement • Q. 8. Comparison of reported workload data (C.9). • a) # SADR Encounters / # WWR visits • b) # SIDR Dispositions / # WWR Dispositions • c) # EAS Visits / # WWR Visits • d) # EAS Dispositions / # WWR Dispositions • e) # IPSR SADR encounters (FCC=A***)/# Sum WWR (Total Bed Days + Total Dispositions) Note: FY07 Goal is 80%

  39. Data OutputWorkload Comparison • SADR Encounters / WWR Visits • Should Have More Encounters Than Visits • Encounters – Omit Appt. Status of “No-Shows,” “Canceled,” and Disposition Code “Left Without Being Seen” • Encounters – Include Appt. Status “TelCon” • Only SADR Records Marked with an Appt. Status of “C” (complete) Are To Be Included

  40. Data OutputWorkload Comparison • SIDR Dispositions / WWR Dispositions • Must Match • Only SIDRs With a Disposition of Status of “D” Are To Be Included • SIDRs – Exclude Carded for Record Only (CRO) and Absent Sick Records

  41. Data OutputWorkload Comparison • EAS Visits / WWR Visits • Must Match • Include MEPRS Functional Cost Code B** (Outpatient) and FBN (Hearing Conservation) • Include APVs

  42. Data OutputWorkload Comparison • EAS Dispositions / WWR Dispositions • Must Match • Only SIDRs with a Disposition Status of “D” are to be included

  43. Data OutputWorkload Comparison • IPSR encounters (FCC=A***)/# Sum WWR (Total Bed Days + Total Dispositions) Note: FY07 Goal is 80% • Insure WWR calculation includes live births (section 01) and Bassinet Days (section 00).

  44. Commander’sData Quality Statement • Q.9. - System Design, Development, Operations and Education/Training (E.4.c). - # AHLTA SADR encounters/# of Total SADR encounters Note: FY07 not scored. For management use and tracking purposes only. (* It is understood that not all clinical modules are deployed in the current version of AHLTA.)

  45. Commander’sData Quality Statement • Q. 10. – I am aware of data quality issues identified by the DQMC Review List and when needed, have taken action to improve the data from my facility.

  46. Security • Responsibilities for computer security formally assigned? • Is there a Security/Privacy Program in place to address Security threats (internal/external) and HIPAA Compliance • Password Protection? • Access to systems? • Confidentiality of data? • Level of Access to MEPRS/EASi, CHCS, AHLTA, ADM, TPOCS, CCE, DMHRSi

  47. System Design, Operations, and Education/Training • System Administrator Appointed In Writing for Each System • Training and Education Procedures and Documentation • System Change Request Process • System Incident Report • Routine Maintenance • Points of Contact for Equipment Failure Issues • Contingency Plans

  48. Data Quality Section, PASBA • Mr. Joseph (Tim) Bacon (Chief DQ Section, PASBA / Army DQ Mgr) • Telephone: (210) 295-8725 DSN: 421 • Ms. Deborah Lundberg (NARMC) • (210) 295-8923 DSN: 421 • Mr. Angel Padilla (18th MEDCOM/PRMC/WRMC) • (210) 295-8842 DSN: 421 • Mr. Joe Alley (ERMC/SERMC) • (210) 221-0467 DSN: 421 • Ms. Vicki Vestal (GPRMC) • (210) 295-8931 DSN: 421

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