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Navy Performance Based Budget (PBB) Update

Navy Performance Based Budget (PBB) Update. December 2007. BUMED (M8) . PBB History / Timeline. Mar/Apr 07: initial structure developed at HQ (M8, M3, and Clinical SMEs). May 07: to DSG Approval and Christened “Performance Based Budget” Added Public Health metric.

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Navy Performance Based Budget (PBB) Update

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  1. Navy Performance Based Budget(PBB)Update December 2007 BUMED (M8)

  2. PBB History / Timeline • Mar/Apr 07: initial structure developed at HQ (M8, M3, and Clinical SMEs). • May 07: to DSG • Approval and Christened “Performance Based Budget” • Added Public Health metric. • IMR Metric - Removed Indeterminate and Not Medically Fit measure • Jun 07: CEB Review and SG Brief • Jul 07: RCBM Approval & Regional Comptrollers • Aug 07: Briefed at Resource Management Symposium • Oct 07: Briefed at Workload Summit • IMR: modified to use Indeterminate category at Regional CoS request • Nov 07: Briefed at Business Planning Course • Dec 07: Corporate reports distributed to Regions (CoS and Comptrollers). • Modification to EBHC Scale being worked (standardize with Peer Group Reviews) • Additional Regional CoS / Commander socialization

  3. PBB Methodology & Changes Public Health From PPS Reconciliation EBHC IMR BedCap Deployment Changes Under Review: • Public Health Metric: Reviewing Regional inputs for changing measure of public health or removing it in lieu of another metric. • Also under review: Submissions being reviewed include • Public Health Change: PFA (BCA/PRT), Immunizations, Smoking Cessation, Obesity – M3 submission • GME/Research – NMW submission • Pharmacy – M81/Pharmacy submission • Access to Care (No Show, LWOBS, Clinic Cancel) – NMW submission • Patient Satisfaction – Regional Business Planners submission • Coding Compliance – DQMC Submission 30% other Navy Performance Based Budget Staffing Mitigation + = PPS + 10% + 5% + 5% + 5% + As of Oct PPS Recon NCA $3.1M NMW ($9.2M) NME ($15.5M) Scale Changes under review per M3 input Changed from % Not Medically Ready to % Indeterminate Changes Under Review Changed from FTE Available based to MEPRS GDA Based No Changes Note: PBB calculates each individual quality metric at the Parent Level. Adjustments are based upon the “Planned” O&M budgetacross All BAGS and each metric may adjust up/down a maximum percentage based from the planned budget.

  4. Metrics Utilized • Evidence Based Health Care (EBHC) • As Stated in Business Planning Guidance: Asthma, Diabetes A1c level, Diabetes A1c test, Diabetes LDL, Breast Screening. (Colorectal & Cervical Cancer shadowed only at this point). • Individual Medical Readiness (IMR) • BSO 18 Personnel Only. Focused on Percent “Indeterminate”. • Inpatient Bed Fill Rate • Based on “Active” Beds (excluding OR,ER,Basinet beds) fill rate as compared to MTF bed capacity. • Public Health Execution Rate • Execution Rate to Plan based upon PE 0807705. PBB Applied to CONUS Facilities Only

  5. PPS & PPB Status PPS & PBB Summary PBB Individual Metric Summary

  6. NCA Regional Report

  7. NME Regional Report

  8. NMW Regional Report

  9. Web Site https://NMO.med.navy.mil/PBB

  10. Backup Slides

  11. Dashboard

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