Data Quality Management Control (DQMC) Program

1
Data Quality Management Control (DQMC) Program

• DQMC Review List
• and DQ Statement

2
Agenda

• History of DQMC Program
• Purpose of DQMC Review List and DQ Statement
• DQMC Review List Overview
• New Questions for FY09
• Questions

3
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).

4
DQMC Program History (cont)

• 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.

5
Purpose DQMC Review List and DQ Statement

• 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.
• DQ Statement is forwarded to Service leadership
  and on to TRICARE Management Activity (TMA) DQMC
  Program.

6
DQMC Review List 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.

7
DQMC Review List Overview (cont)

• 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.

8
DQMC Review List Overview (cont)

• 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.

9
New Questions on Review List for FY09

• Section C.5i on Review List addresses question 5e
  on the Monthly DQ Statement.
• Complete and current DD Form 2569, Other Health
  Insurance, for each non-active duty inpatient.
• Section C.5j addresses question 5f on the Monthly
  DQ Statement.
• For those DD Form 2569s identified in question
  5e, are verified to be correct in the Patient
  Insurance Information (PII) Module in CHCS.

10
New Questions on Review List for FY09

• Section E.4a on Review List addresses question 9a
  on the Monthly DQ Statement.
• Number of total SADR encounters that were
  documented using AHLTA.
• The compliance goal for FY09 is 80.
• It is understood that not all clinical modules
  are deployed in current version of AHLTA.

11
New Questions on Review List for FY09

• Section C.2a,b,c,d on Review List addresses
  question 10a on the Monthly DQ Statement.
• a-Number of duplicate records using CHCS
  software.
• b-Process to reduce number of duplicate records.
• c-Are clinics aware of duplicate
  appointments/encounters.
• d-Have clinics determined how to correct
  duplicate appointments/encounters and avoid
  errors in the future.

12
DQMC Review List and DQ Statement

• Questions?