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DQ MEPRS Audit Readiness 2012 Navy Medicine Audit Readiness Training Symposium DQMCP Review List and The Commanders Data Quality Statement FOR OFFICIAL.

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Presentation on theme: "DQ MEPRS Audit Readiness 2012 Navy Medicine Audit Readiness Training Symposium DQMCP Review List and The Commanders Data Quality Statement FOR OFFICIAL."— Presentation transcript:

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

2 DQ MEPRS Audit Readiness 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 DQ MEPRS Audit Readiness Data Quality: The Beginning TRICARE Managed Activity implemented the Data Quality Management Control Program December 1 st, 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 – Government Accountability Office (GAO) Medicare Subvention Demonstration Report 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 DQ MEPRS Audit Readiness TimelinessAccuracyConsistencyCompleteness Data Quality Data Quality Attributes = Audit Readiness FOR OFFICIAL USE ONLY End of Day Coding Timeliness Transmissions End of Day Coding Timeliness Transmissions Coding Audits MEWACS Outliers Patient Merges Coding Audits MEWACS Outliers Patient Merges Training System Controls Trouble Tickets Leadership Responsibilities Training System Controls Trouble Tickets Leadership Responsibilities Visits to Appointments Inpatient Records to Dispositions Rounds to Bed Days Visits to Appointments Inpatient Records to Dispositions Rounds to Bed Days Review List CO Statement Audit Summaries Regional Reports Review List CO Statement Audit Summaries Regional Reports

5 DQ MEPRS Audit Readiness Review List Background Elements FOR OFFICIAL USE ONLY Active Leadership Involvement Data Quality Managers File/Table Builds and Database Management Timely Coding and End-Of-Day Processing Data Reconciliation and Audits Use of Data/Metrics by the MTFs Rapid Feedback Critical Success Factors

6 DQ MEPRS Audit Readiness Review List Section Overview FOR OFFICIAL USE ONLY Leadership commitment and support are critical to assure the appropriate environment for data quality A. Organizational Factors Controls in this category are designed to ensure data are entered into the application in an accurate, complete, and timely manner B. Data Input Data Output controls are used to ensure the accurate and timely distribution of outputs C. Data Output These controls should provide assurances that computers and the data they contain are properly protected against theft, loss, unauthorized access, and natural disaster D. Security Intended to ensure that systems meet user needs, are developed economically, are thoroughly documented and tested, and contain appropriate internal controls E. System Design, Development, Education and 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. F. Operational Personnel Readiness Metrics

7 DQ MEPRS Audit Readiness A. Organizational Factors FOR OFFICIAL USE ONLY

8 DQ MEPRS Audit Readiness B. Data Input FOR OFFICIAL USE ONLY

9 DQ MEPRS Audit Readiness B. Data Input FOR OFFICIAL USE ONLY

10 DQ MEPRS Audit Readiness B. Data Input FOR OFFICIAL USE ONLY

11 DQ MEPRS Audit Readiness C. Data Output FOR OFFICIAL USE ONLY

12 DQ MEPRS Audit Readiness C. Data Output FOR OFFICIAL USE ONLY

13 DQ MEPRS Audit Readiness C. Data Output FOR OFFICIAL USE ONLY

14 DQ MEPRS Audit Readiness C. Data Output FOR OFFICIAL USE ONLY

15 DQ MEPRS Audit Readiness C. Data Output FOR OFFICIAL USE ONLY

16 DQ MEPRS Audit Readiness C. Data Output FOR OFFICIAL USE ONLY

17 DQ MEPRS Audit Readiness D. Security FOR OFFICIAL USE ONLY

18 DQ MEPRS Audit Readiness E. System Design, Development, Education and Training FOR OFFICIAL USE ONLY

19 DQ MEPRS Audit Readiness E. System Design, Development, Education and Training FOR OFFICIAL USE ONLY

20 DQ MEPRS Audit Readiness E. System Design, Development, Education and Training FOR OFFICIAL USE ONLY

21 DQ MEPRS Audit Readiness F. Operational Personnel Readiness Metrics FOR OFFICIAL USE ONLY

22 DQ MEPRS Audit Readiness F. Operational Personnel Readiness Metrics FOR OFFICIAL USE ONLY

23 DQ MEPRS Audit Readiness F. Operational Personnel Readiness Metrics FOR OFFICIAL USE ONLY

24 DQ MEPRS Audit Readiness F. Operational Personnel Readiness Metrics FOR OFFICIAL USE ONLY

25 DQ MEPRS Audit Readiness Open Discussion Likes and dislikes Current PDF format discussion Wish list Recommendations Etc. FOR OFFICIAL USE ONLY


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