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Title: Data Quality Guidance, Army Session : W-6-1630. Agenda. Data Quality Management Control Program (DQMCP) DQMCP Metrics Tools to Assist in Data Quality Missed Opportunities 5. Questions. Data Quality Management Control Program (DQMCP). Program was established in 2002

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Title: Data Quality Guidance, ArmySession: W-6-1630


Agenda
Agenda

  • Data Quality Management Control Program (DQMCP)

  • DQMCP Metrics

  • Tools to Assist in Data Quality

  • Missed Opportunities

  • 5. Questions


Data quality management control program dqmcp
Data Quality Management Control Program (DQMCP)

Program was established in 2002

Program addresses material control weaknesses

Mandated Department of Defense tri-service program

Tri-service agreed upon measurement standards

Identify best business practices and business processes

The DQMCP does not just look at data systems and workload


Outpatient encounters within 3 business days
Outpatient Encounters Within 3 Business Days

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Apvs within 15 business days
APVs Within 15 Business Days

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Inpatient records within 30 days of discharge
Inpatient Records Within 30 Days of Discharge

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Inpatient professional services rounds e m
Inpatient Professional Services Rounds, E&M

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Inpatient professional services rounds cpt
Inpatient Professional Services Rounds, CPT

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Outpatient encounters e m
Outpatient Encounters, E&M

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Outpatient encounters icd 9
Outpatient Encounters, ICD-9

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Outpatient encounters cpt
Outpatient Encounters, CPT

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Ambulatory patient visits icd 9
Ambulatory Patient Visits, ICD-9

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Ambulatory procedure visits cpt
Ambulatory Procedure Visits, CPT

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Other health insurance inpatients
Other Health Insurance, Inpatients

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Other health insurance outpatients
Other Health Insurance, Outpatients

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Other health insurance apvs
Other Health Insurance, APVs

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Loose documents to be filed non active duty
Loose Documents to Be Filed, Non-Active Duty

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011


Loose documents to be filed active duty
Loose Documents to Be Filed, Active Duty

Source of data: MTFs DQ Statements

Prepared by: PASBA

Report Date: Jan 2011



Established patient 99211 99215 e m code utilization metric emcu
Established Patient (99211-99215) E&M Code Utilization Metric (EMCU)

For NOV2010 As Of 18JAN2011


Established patient 99211 99215 e m code utilization metric emcu1
Established Patient (99211-99215) E&M Code Utilization Metric (EMCU)

For NOV2010 As Of 18JAN2011


Potential loss ohi collections beneficiaries seen in radiology only
Potential Loss: OHI Collections Metric (EMCU) Beneficiaries Seen in Radiology Only

Total Encounters

Source of Data: M2

Prepared by: PASBA

Data Month: DEC 10

Percentages seen in Radiology Only for the month of DEC 10. Not seen in any other “B” clinics in prior 12 months.


Potential loss ohi collections beneficiaries seen in lab only
Potential Loss: OHI Collections Metric (EMCU) Beneficiaries Seen in Lab Only

Total Encounters

Source of Data: M2

Prepared by: PASBA

Data Month: DEC 10

Percentages seen in Lab Only for the month of DEC 10. Not seen in any other “B” clinics in prior 12 months.


Potential loss ohi collections beneficiaries seen in pharmacy only
Potential Loss: OHI Collections Metric (EMCU) Beneficiaries Seen in Pharmacy Only

Total Encounters

Source of Data: M2

Prepared by: PASBA

Data Month: DEC 10

Percentages seen in Pharmacy Only for the month of DEC 10. Not seen in any other “B” clinics in prior 12 months.


Npi all regions
NPI – All Regions Metric (EMCU)


Pasba pocs
PASBA POCs Metric (EMCU)

Names have been redacted

Director

Data Quality

Coding

Data Analysis

PASBA Website – https://pasba3.amedd.army.mil/login/login.fcc


Questions
Questions? Metric (EMCU)


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