Air Force TMA DQ Course Break-Out Session - PowerPoint PPT Presentation

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Air Force TMA DQ Course Break-Out Session

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  1. Air Force TMA DQ Course Break-Out Session AFMOA/SGAR September 2011

  2. Air Force TMA DQ Course Break-Out Session Overview Organization MTF Engagement & Available Resources Why is DQ Important? HSI Requirements DQ Assurance Team CHCS Provider File Other DQ Efforts DQ Review List/Statement Completion

  3. Organization

  4. Organization

  5. AFMOA Strategic Alignment Experience of Care Population Health Readiness Per Capita Cost

  6. AFMOA/SGAR

  7. Integrated Approach • MEPRS • Personnel • Workload • Financial Data Quality Data Quality • Patient • & • Provider • Coding • SIDR/SADR • MSDRG/RWP • RVU/CPT • UBO • Other Health Insurance • Eligibility • Demographics Data Quality Data Quality

  8. DQ Roles and Responsibilities

  9. MTF Engagement & available resources

  10. MTF DQ Engagement

  11. Vector Check • Vector Check - “Think of Vector Check as your DQ Toolkit” • Share Point application; primary website for the AFMOA DQ • Must have a Kx (AFMS Knowledge Exchange)https://kx.afms.milmembership before you can access Vector Check • Once you have obtained a Kx membership, and are still unable to access Vector Check, contact AFMOA POC • Include your name, e-mail, and DSN • Turnaround time is 24-48 hours • Visit the AMFOA DQ site at: • https://vc.afms.mil/afmoa/sga/sgar/sgardq/default.aspx

  12. Vector Check Documents

  13. Vector Check Documents Continued

  14. Vector Check RM Master Roster • Vector Check RM Master Roster Updates • https://vc.afms.mil/AFMOA/SGA/SGAR/default.aspx • Update the following positions: • MDG Commander • MDG Deputy Commander • MDSS Commander • Administrator • RMO • RMO NCOIC • DQ Manager • DQ Alternate • Recommend that Budget Analyst, MEPRS, and UBO staff update their primary and alternate information

  15. Defense Connect Online Find meeting here Meetings found will be shown here. • To become a registered user visit: https://www.dco.dod.mil

  16. Defense Connect Online You can chat here. If we are in the middle of training thru DCO we will be unable to respond during that time.

  17. DQ Telecon Attendance

  18. DQ Team Users Guide (TUG)

  19. DQ TUG Format 8d. Number of EAS (Expense Assignment System) dispositions divided by the number of WWR (Worldwide Workload Report) dispositions?

  20. DQ TUG Format

  21. Workload Guidelines Sample • Supplements AF Coding Guidelines • - Published by AF Coding Experts • MHS Coding Guidelines, inpatient and outpatient, dated 1 January 2011 • http://www.tricare.mil/ocfo/bea/ubu/coding_guidelines.cfm

  22. Best Practices • Please submit any potential best practices for possible inclusion

  23. Why is DQ Important?

  24. Why is Data Quality Important? To accurately reflect the work performed in your MTF

  25. DQ System Architecture Interface Errors Clinical Data Mart Air Force TRICARE Ops Center CCQAS Worldwide Workload Report Service Repository (BDQAS) WWR (Count Visits) DoD/VA FHIE/BHIE SHARE MHS Data Repository MDR Coding Compliance Editor SADR CAPER (Encounters) CCE PDTS Standard Ambulatory Data Record Pop Health Portal Pharmacy Data Transaction System ADM SADR 1/SADR 2 EAS IV Extract MHS Mart M2 Essentris EAS Repository TPOCS Billable Encounters WAM Count Visits & Raw Services EAS IV “Eligible” Encounters CPT Codes Units of Service

  26. How is your data used?

  27. Actual Impact

  28. DQ Success Factors

  29. Hsi Requirements

  30. HSI Requirements

  31. HSI Requirements

  32. DQ Assurance Team

  33. DQ Assurance Team

  34. DQ Assurance Team

  35. DQ Assurance TeamInitiatives - Interest Items (cont)

  36. CHCS Provider File

  37. CHCS Provider File Report Cards

  38. Provider File Report Card

  39. Provider Details Report

  40. Potential Revenue Impact

  41. CHCS Provider File Errors and Error Criteria (example)

  42. CHCS Provider File Errors and Error Criteria (example)

  43. Outside Provider Entry Checklist

  44. Provider File Progress Metrics

  45. Provider File Progress Chart Introduction Tab

  46. Provider File Progress Metrics Example

  47. Other DQ Efforts

  48. Patient Registration DQ Team

  49. DQ Review List/Statement completion