Data Quality Management Control (DQMC) Program

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Data Quality Management Control (DQMC) Program

• DQMC Program Review List
• For FY10

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DQMC Program Review List Agenda

• History of DQMC Program
• Purpose of Review List
• DQMC Review List Overview
• New/changed Questions for FY10
• Questions?

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DQMC Program History

• Memo dated November 2000 and signed by Acting
  Assistant Secretary of Defense Jarrett Clinton
  established DQMC Program for the MHS.
• The directing memo was sent to the three services
  Assistant Secretaries, with copies furnished the
  three services Surgeon Generals.
• Established the various components of the
  program, (DQ Manager, DQ Assurance Teams, Review
  List, CDRs monthly DQ Statement,
  Internal/External Audits).

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DQMC Program History

• DQMC Program Objectives
• To improve the overall quality of financial and
  clinical workload data.
• Command oversight to improve submission of
  complete, accurate, and timely data.
• Assure uniformity and standardization of
  information across the MHS.

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Purpose DQMC Review List

• Assists MTF Commander in establishing and
  maintaining an effective DQMC Program.
• Completed Review List is reported monthly to
  Executive Committee and MTF Commander.
• Review List kept on file for 5 years.
• The Review List is an internal management control
  tool that contains the details behind the Monthly
  DQ Statement.

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DQMC Review List Section Overview

• Organizational Factors - Leadership commitment
  and support are critical to assure the
  appropriate environment for data quality.
• Data Input - Controls in this category are
  designed to ensure data are entered into the
  application in an accurate, complete, and timely
  manner.

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DQMC Review List Section Overview

• Data Output - Data Output controls are used to
  ensure the accurate and timely distribution of
  outputs.
• Security - These controls should provide
  assurances that computers and the data they
  contain are properly protected against theft,
  loss, unauthorized access, and natural disaster.

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DQMC Review List Section Overview

• System Design, Development, Operations, and
  Education/Training - Controls in this category
  are intended to ensure that systems meet user
  needs, are developed economically, are thoroughly
  documented and tested, and contain appropriate
  internal controls.

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New/Changed Questions on Review List for FY10

• Section B.1. - Addresses whether or not MTFs have
  written procedures for the processing of data.
  Also, added Essentris to systems list.
• Section B.2. - Addresses current software
  version in use at MTFs. Added Essentris to
  systems list and categorized DMHRS-I MEPRS/EAS
  as N/A.
• Section B.3. - Addresses system updates and
  associated software loading activities. Now
  identifies software availability date to the MTF
  and subsequent MTF software load date.

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New/Changed Questions on Review List for FY10

• Section B.4. - Changed wording from rejected
  records to rejected data and also added
  Essentris as a system to be monitored.
• Section B.5. - Removed question about closing
  every clinic every day. This was question 1a on
  the DQ Statement, which has been removed.
• Section C.1.c. - Addresses the review of MEWACS
  website. Removed the words current version.
• Section C.1.4 - Three questions added to this
  section.

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New/Changed Questions on Review List for FY10

• C.1.4. (Cont)
• C.1.4.d - For DMHRSi have the DoD Batch and
  Timecard Status Report and HR Data Issues
  affecting EAS reports been run and the results
  presented to the Commanding Officer for review?
• C.1.4.e - For DMHRSi what is the percentage of
  submitted timecards by the suspense date? This is
  question 3c of the DQ Statement. (Formula, Number
  of timecards submitted on time / total number of
  timecards for an MTF).
• C.1.4.f - For DMHRSi what is the percentage of
  timecards approved by the suspense date? This is
  question 3d of the DQ Statement. (Formula,
  Number of timecards approved on time/ total
  number of timecards for an MTF).
• Questions contained in C.1.4.e. f. above have
  been added to DQ Statement, questions 3c d
  (will not be colored coded for FY10).

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New/Changed Questions on Review List for FY10

• Section C.2. - Addresses the use of CHCS software
  used to identity potential duplicate patients.
  Have changed wording of reporting month to
  data month.
• Section C.2.a. - Changed wording to reflect that
  this question is only for those MTFs that are
  CHCS/AHLTA host sites. This is question 10a of
  the DQ Statement.
• Section C.2.e. - This is an added question which
  requires the CHCS/AHLTA host site to list the
  DMIS IDs of the MTFs they are reporting on.

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New/Changed Questions on Review List for FY10

• Section C.5.c. - Addresses percentage of DRG
  codes that were correct. A calculation formula
  has been added (number of correct MS-DRGs /total
  number of MS-DRGs).
• Section C.8.a. - Addresses workload comparisons.
  The new calculation formula is, (Number of SADR
  encounters(count encounters only) /number of WWR
  visits). When doing the calculation for this
  metric if the result is greater than 100, then
  the percentage greater than 100 will be
  subtracted from 100 (i.e. 103 compliance would
  actually be 97 compliance). This is question 8a
  of the DQ Statement.

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New/Changed Questions on Review List for FY10

• Section E.1. - Addresses whether or not system
  POCs have been appointed in writing for various
  operating systems. Added Essentris to list of
  systems.
• Section E.2. - Addresses whether or not personnel
  responsible for entry of data have been trained
  and educated on system. Added Essentris to list
  of systems.
• Section E.3. - Addresses using the System Change
  Request process. Added Essentris to list of
  systems.
• Section E.4. - Addresses using the System
  Incident Report process. Added Essentris to list
  of systems.

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New/Changed Questions on Review List for FY10

• Section E.5. - Addresses written maintenance
  standard operating procedures. Added Essentris
  to systems list and categorized DMHRS-I
  MEPRS/EAS as N/A (centrally managed).
• Section E.6. - Addresses contingency plans to
  restore operations. Added Essentris to list of
  systems.
• Section E.7. - Addresses unresolved trouble
  tickets. Added Essentris to list of systems.

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DQMC Program Review List

• Questions?