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LEADERSHIP IN DATA QUALITY AND MEPRS Mr. Joe Marshall Deputy Chief for Resource Management/Comptroller. Context: Discuss leadership opportunities for DQMC and MEPRS Managers
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LEADERSHIP IN DATA QUALITY AND MEPRSMr. Joe MarshallDeputy Chief for Resource Management/Comptroller
Context: Discuss leadership opportunities for DQMC and MEPRS Managers • Purpose: Provide leadership discussion and techniques to help prepare MEPRS and DQ Managers to handle situations within the business day • Outcome: Improved understanding and execution of responsibilities and reporting requirements FOR OFFICIAL USE ONLY
Leadership • Policy Compliance • Follow guidance and procedures in higher authority references • DODM 6010-13 MEPRS Manual • Navy Medicine MEPRS Processing Policy • Example: Reference policy requirements regarding activation/deactivation of work centers • Minimum monthly workload (10 admission/30 visits) • Assigned staff • Funding • Square footage • Teamwork • Use root cause analysis • Cooperation (Don’t make it personal) • Report to the Chain of Command • Everything is not always good • Professional Response/Reports • It’s about the programs (NOT Us vs. Them) FOR OFFICIAL USE ONLY
Cost vs. Benefits • Issue: MHS funding is derived from cost per care, +70% of the cost is attributed to labor. Cost per visit is inflated when timecard submissions are over-stated. • Cost: Validation of time and attendance labor reporting. • Benefit: Labor, workload and expenses recorded to the proper functional cost center ensures accurate cost. • Issue: Accurate Other Health Insurance data increases the ability to optimize reimbursement. • Cost: Updating and validation of Other Health Insurance information by clinic personnel. • Benefit: Maximize Third Party Collection revenues. FOR OFFICIAL USE ONLY
Best Practices • Implementation of PETR-A and R2DQ in MEPRS Processing has resulted in a 90% improvement of EAS transmissions and a tremendous decrease in overall Navy MEWACs outliers. • NHC Quantico DDFM 2569 Validation Process and E-OHI Discovery – Partnering with NMC Portsmouth • NH Bremerton: DDFM 2596 success = 53% of the FY12 Collection Goal FOR OFFICIAL USE ONLY
Questions? FOR OFFICIAL USE ONLY