1. Data Quality Management Control (DQMC) Program DQMC Program Review List for FY 2012

2. DQMC Program Review List Agenda DQMC Program Background Review List Purpose Review List Overview New/changed Questions for FY12 Questions? 2Unclassified

3. DQMC Program Background 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, CDR’s monthly DQ Statement, Internal/External Audits). 3Unclassified

4. DQMC Program Background 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. 4Unclassified

5. Vector Check Documents DoDI 6040.40 DoDI 6040.40 – Enclosure 1: Review List Dated 2 Sep 2011 – Enclosure 2: Statement Dated 2 Sep 2011 Subset of Review List Signed by MTF Commander Submitted to higher HQ Your MTF’s results are posted word-for word on TMA’s website: http://www.tricare.mil/ocfo/mcfs/dqmcp/metrics_reports.cfm 5

6. 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. 6Unclassified

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

8. New/Changed Questions on Review List for FY12 Provided clarification on which data quality month is being documented as being briefed and submitted on Review List. Section A.2/4. Changed frequency from 2 to 3 year for DQMC manager to attend TMA DQ Course. Section A.7. Added questions related to the use of the CHCS monthly Statistical Report and the use of “Admin Close” for EOD processing. Section B.5. Unclassified15

9. New/Changed Questions on Review List for FY12 Added CCE question to determine utilization. Section B.7. Added question to report if the Workload Generation Controller was used to generate the WWR and WAM files. Section C.1.b. Provided clarification on what is being measured – duplicate registration records. Also added question on the number of AHLTA merge TT that were submitted. Section C.2. Unclassified15

10. New/Changed Questions on Review List for FY12 Changed SADR to CAPER (change made throughout entire Review List). Also, changed wording on CAPER transmission timeliness metric for clarification. Section C.3.d. Modified to state that the Service HQ provides the specific coding audit sample to be audited. Also added requirement that the denominator for coding audit results includes codes identified by auditor. Finally, raw numbers reported forward. Section C.5/6/7. Modified to include Service HQ in determination of random DD Form 2569 sample to be audited. Section C.8. Unclassified15

11. New/Changed Questions on Review List for FY12 Changed metric to compare CAPER workload to KEPT Appointments (vice WWR). Section C.9.a. Changed metric to compare MEPRS (EAS) visits to Count Kept Appointments (vice WWR). Section C.9.c. All questions now allowed to be reported over 100%. In addition, comment required for metric over 105% (for questions a through d) and 110% (question e). Section C.9. Unclassified15

12. New/Changed Questions on Review List for FY12 Removed metric that compared AHLTA SADR to Total SADR encounters. Section E.4.i. Changed criteria for reporting TTs from older than 14 days to open at the time of report for current and previous months. Section E.7. Rewrote Managed Care question to change from a statistical question to a management control question. Section E.8. Unclassified15

13. DQMC Program Review List Summary DQMC Program Background Review List Purpose Review List Overview New/changed Questions for FY12 Questions? 13Unclassified

14. DQMC Program Review List Questions? 14Unclassified