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Briefing: Data Quality for the Army Patient Administration Systems and Biostatistics Activity (PASBA)

Briefing: Data Quality for the Army Patient Administration Systems and Biostatistics Activity (PASBA). Date: 24 March 2010 Time: 1400–1450. Objectives. Introduction Data Quality Attributes Why Care About Data Quality How Data is Used and Who Uses PAD Issues

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Briefing: Data Quality for the Army Patient Administration Systems and Biostatistics Activity (PASBA)

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  1. Briefing:Data Quality for the Army Patient Administration Systems and Biostatistics Activity (PASBA) Date: 24 March 2010 Time:1400–1450

  2. Objectives • Introduction • Data Quality Attributes • Why Care About Data Quality • How Data is Used and Who Uses • PAD Issues • Data Quality Management Control Program Measures • Data Quality Metrics • Conclusion

  3. DataQuality Timeliness Accuracy Completeness Consistency DQMC Program Data Quality Concepts Juggling between all – tying them together

  4. Attributes of Data Quality Correctness or Validity Reliability Completeness Legibility Currency Timeliness Meaning Accessibility

  5. Why Care About Data Quality? Customer satisfaction Continuity of care Inability to provide feedback to clinicians on their practice patterns and efficiency Inability to identify systemic problems High and unnecessary cost Provide the legal defense for patients, providers and the MHS Impacts on future benefits and/or continued VA care Leadership decision making Support training and education

  6. Data Quality and Workload Accountability Productivity Money Access to Care No Documentation No Codes No Visit Credit • Less records coded equals decreased visit credit • Decreased patient visits indicates less providers • needed and less support staff for providers

  7. Data Utilization Provides data for planning, managing, and evaluating the AMEDD medical care system Medical and epidemiological research Data retrieval in response to inquiries from senior leadership Management reports and special retrievals for MTF/RMC/MEDCOM/CENTCOM/JTF Use the data

  8. Who is Looking at your Data? Utilization Management , Budget Decrements (Production Based Adjustment Model) TSG Monthly Workload reporting MTF /DCA Report Card Daily Review of All Deployment Data – CENTCOM and JTF TMA DoD

  9. Common PAD Related Errors • Incorrect SSNs • Incorrect names • Incorrect register numbers • Demographics not matching on all documents in record • Record jackets not matching documents inside • The above areas are especially difficult to resolve for deployed activities, as there are less demographic verification processes

  10. DQMC Program Compliance Standards • Metric Standards (colors) are as follows: • Green – 95-100 • Yellow – 80-94 • Red – 0-79 • Except for 8e and 9, which is Green for 80 and above • 3c, 3d, and 10a do not yet have a standard – uncolored • Metric colors • Generally move from red status to green status over the fiscal year, indicates data quality matures over the year • Sometimes “RED” is good, revealing a system wide problem • Sometimes there is no coloring to indicate a new question or one for which a goal is not established

  11. End of Day, Every Appointment Every Day

  12. Outpatient Encounters with 3 Business Days

  13. Outpatient Encounters with 3 Business Days

  14. Outpatient Encounters with 3 Business Days

  15. APV Within 15 Calendar Days

  16. Inpatient Within 30 Days of Discharge

  17. Inpatient Rounds (IPSR) With Correct E&M

  18. Inpatient Rounds (IPSR) With Correct ICD-9

  19. Inpatient Rounds (IPSR) With Correct CPT

  20. Inpatient Records with DD Form 2569

  21. Outpatient Record With Correct E&M

  22. Outpatient Record With Correct ICD-9

  23. Outpatient Record With Correct CPT

  24. Outpatient Record With DD Form 2569

  25. APV With Correct ICD-9

  26. APV With Correct CPT

  27. APV With DD Form 2569

  28. Outpatient Encounters Documented in AHLTA

  29. Questions?

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