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Data Analysis And Reports. Medical Case Management Program Angela Braithwood, RN, BSN Senior Quality Assurance Analyst Skyline Ultd. Accreditation. Nurse Accreditation Statement
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Data Analysis And Reports Medical Case Management Program Angela Braithwood, RN, BSN Senior Quality Assurance Analyst Skyline Ultd.
Accreditation Nurse Accreditation Statement PRIME Education, Inc. (PRIME®) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. PRIME® designates this activity for 6.0 contact hours. Case Manager Accreditation Statement The Commission for Case Manager Certification designates this educational activity for 6.0 contact hours for certified case managers. NASW AccreditationThis program is Approved by the National Association of Social Workers (Approval #886602863-2041) for 13 Social Work continuing education contact hours.
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Learning Objectives After experiencing this presentation, you will be able to: • Explain the rationale for collecting specific types of data • Explain the Contract Data Requirements • Explain the rationale of using specific electronic database systems
Alphabet Soup - (Common Acronyms) • MCM – Medical Case Management • CM – Case Manager or Case Management • ACC – Administrative Care Coordinator (new term for admin assistants) • ARNG – Army National Guard • CSG – Chief Surgeon’s Office • COR – Contracting Officer’s Representative • SM – Service Member • MRC – Medical Readiness Category • MMPS – Military Medical Processing System • SITREP – Situational Report • REFRAD – Release From Active Duty • MOS – Military Occupational Specialty • AOC – Area of Concentration • DSS – Deputy State Surgeon • HSS – Health Systems Specialist • IDES – Integrated Disability Evaluation System • PDES – Physical Disability Evaluation System • MMRB (Now MAR2) – MOS Medical Retention Board (Now Medical Administrative Retention Review) • MEB/PEB – Medical Evaluation Board/Physical Evaluation Board
Why Do We Collect All this Data? • Overall Army Goal: Reduction of MRC3B Population • ARNG (Secondary) Goal: Movement through the MMPS Process • Contract Goal: To prove ourselves relevant and effective • Measure the effectiveness of the work you do • Workload • Throughput
Contract Requirements SITREP Requirements: New referrals, active cases, closed cases Electronic Data System Entry Requirements: Must have access and knowledge of MND (now MHA), DENCLASS, HRR, AVS, MEDPROS, SPL, WTR (historical) * Added in 2011 - eCase
SITREPS What is included? • SM contacts • Monthly open/closed cases • % of REFRADS • Pre-Mobilization Records Prep • IDES Packets sent to HSS/forward
Electronic Database Systems • Medical Operational Data System (MODS) • Includes the following modules relevant to CM: • MHA, MEDPROS, MWDE, and eProfile • Medical Electronic Data (for) Care History And Readiness Tracking (MED-CHART) • Has the rest of the modules • eCase, AVS, DENCLASS, HRR • New Item - MRR • State-based Programs and Databases
What We Look At • In eCase - • Total number of users • Total number of Contract users • Total active/closed/inactive cases • Total active cases assigned • In SITREPS • Total SM’s “touched” • Total records “touched”
How We Interpret Data • Percentage of all eCase users that are contract • User/Case Ratio • SM/Issue Ratio • Daily contacts vs. eCases created • Whatever the COR/CSG needs!
Conclusion • Data collection is required from both a State and National perspective • Each data point is valued in some way • YOU can have a positive effect on medical readiness!