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2012 Navy Medicine Audit Readiness Training Symposium

2012 Navy Medicine Audit Readiness Training Symposium

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2012 Navy Medicine Audit Readiness Training Symposium

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  1. 2012 Navy Medicine Audit Readiness Training Symposium DQMCP Review List andThe Commanders Data Quality Statement RE-T-3-C FOR OFFICIAL USE ONLY

  2. Context, Purpose, Outcome • Demonstrate the attributes of the DQMC Review List • Educate audience on the attributes of the DQMC Review List and how it impacts the audit readiness • Engage in discussion on DQMC Review List local uses and possible improvements FOR OFFICIAL USE ONLY

  3. Data Quality: The Beginning • TRICARE Managed Activity implemented the Data Quality Management Control Program December 1st, 2000 (FY2001) • DoD Inspector General (DoD IG) identified material management control weakness for MHS - Directed development of data quality assurance and management control program • Two Specific Reports: • DoD IG report concerning the FY98 Retirement Liability Estimate http://www.dodig.mil/audit/reports/fy99/99-127.pdf • Government Accountability Office (GAO) Medicare Subvention Demonstration Report http://www.gao.gov/products/HEHS-99-39 • Assistant Secretary of Defense (Health Affairs) (ASD (HA)) concurred with the DoD IG material management control weakness findings • ASD (HA) designated TMA Resource Management Steering Committee to oversee the development of TMA DQ Management Control Program FOR OFFICIAL USE ONLY

  4. Data Quality Attributes = Audit Readiness • End of Day • Coding Timeliness • Transmissions • Coding Audits • MEWACS Outliers • Patient Merges • Training • System Controls • Trouble Tickets • Leadership Responsibilities • Visits to Appointments • Inpatient Records to Dispositions • Rounds to Bed Days • Review List • CO Statement • Audit Summaries • Regional Reports FOR OFFICIAL USE ONLY

  5. Review List Background Elements Critical Success Factors FOR OFFICIAL USE ONLY

  6. Review List Section Overview FOR OFFICIAL USE ONLY

  7. A. Organizational Factors FOR OFFICIAL USE ONLY

  8. B. Data Input FOR OFFICIAL USE ONLY

  9. B. Data Input FOR OFFICIAL USE ONLY

  10. B. Data Input FOR OFFICIAL USE ONLY

  11. C. Data Output FOR OFFICIAL USE ONLY

  12. C. Data Output FOR OFFICIAL USE ONLY

  13. C. Data Output FOR OFFICIAL USE ONLY

  14. C. Data Output FOR OFFICIAL USE ONLY

  15. C. Data Output FOR OFFICIAL USE ONLY

  16. C. Data Output FOR OFFICIAL USE ONLY

  17. D. Security FOR OFFICIAL USE ONLY

  18. E. System Design, Development, Education and Training FOR OFFICIAL USE ONLY

  19. E. System Design, Development, Education and Training FOR OFFICIAL USE ONLY

  20. E. System Design, Development, Education and Training FOR OFFICIAL USE ONLY

  21. F. Operational Personnel Readiness Metrics FOR OFFICIAL USE ONLY

  22. F. Operational Personnel Readiness Metrics FOR OFFICIAL USE ONLY

  23. F. Operational Personnel Readiness Metrics FOR OFFICIAL USE ONLY

  24. F. Operational Personnel Readiness Metrics FOR OFFICIAL USE ONLY

  25. Open Discussion • Likes and dislikes • Current PDF format discussion • Wish list • Recommendations • Etc. • Etc. • Etc. FOR OFFICIAL USE ONLY