1. Elements of MEPRS Data: A Review of the EAS IV Repository
Tri-Service MEPRS Conference
Lansdowne, VA
30 August 2007
Herb Escobar Axiom Resource Management

2. EAS IV Repository Universe
Contains 25 Classes – logical groupings of specific data elements or “Objects”
Queries are constructed by selecting Objects from valid Class combinations
This presentation will focus on key data Classes and relevant caveats and cautions

3. EAS IV Repository Universe
Compatible Class Combinations
X’s in the matrix indicate compatible classes – your queries can contain objects from compatible classes only
Y’s identify principal classes – you must select objects from the principal class first, followed by other compatible classes

4. Class 05: Common Expense Elements
Can be used only with Classes 06, 07, 09, 10
DoD – standardized financial information
F - Financial
M - Manual P - Personnel
SEEC-based – remnant from Enrollment Based Capitation (EBC) – either 0%, 100%, or 20%)
D - Direct R - Reimbursable S - Resource Sharing (before FY05)

5. Class 06: Expense Detail
Principal Class, compatible with 01, 03, 04, 05, and 11
Codes only (MTF-specific 4th-level FCC descriptions are in Class 11)
DoD-standard 3rd-level FCC descriptions are available in Class 03
Total Expenses can be computed by adding:
Direct Expense Net Month
Purified Expense
Expense Contributed
Stepdown Expense from D accounts
Stepdown Expense from E accounts

6. Application Example 1

7. Application Example 1
Produce a report listing the Fiscal Year 2007 Medical/Dental Supplies expenses for NNMC Bethesda (DMIS ID 0067) by fiscal month.

8. Example 1: Approach
(From Class 01)
Remember, objects from Class 06 must be selected first

9. Example 1: Results
Note: Data extracted 1 August 2007

10. Class 08: Common Expense Allocation Keys
Compatible only with Classes 09 & 10
Identifies the type of expense
1 – Direct
2 – Cost Pool
3 – Support Services
4 – Support Services via Cost Pool
5 – Ancillary
6 – Ancillary via Cost Pool
7 – Expense Contributed
Provides personnel skill type detail (“N” indicates Non-Personnel Expense)
Specific allocation expense contributions. For example, Rx expenses by inpatient FCC, or from a reporting DMIS ID
To account for all Ancillary or Support Expenses allocated, you must include expenses “via Cost Pools”

11. Class 09: Expense Allocated
Principal Class compatible with 01, 03, 04, 05, 08, & 11
Type of expense is determined by Objects from compatible Classes. (For example, selecting “Expense Indicator” from Class 08 returns expenses by specific Expense Indicator)

12. Application Example 2

13. Application Example 2
Produce a report detailing the FY 2006 monthly pharmacy expenses in support of Ambulatory Internal Medicine at NNMC Bethesda (DMISID 0067)

14. Example 2: Approach
Remember, objects from Class 09 must be selected first

15. Example 2: Results
Note: Data extracted 1 August 2007

16. Class 07: Personnel Detail
Principal Class, compatible with 01, 03, 04, 05, and 11
MTF detail and FCC descriptions can be selected from compatible Classes
Available FTEs and Salary data by FCC are not purified (FTEs and salary expense remain in cost pools)
Total Available (post purification) FTEs can be computed by adding:
Available FTE
Purified Available FTE

17. Class 10: Personnel Allocated
Principal Class compatible with 01, 03, 04, 05, 08, & 11
Similar to Class 07 – Personnel Detail
Use with Class 11 for MTF and 4th-level FCC detail
Post-Purification (Allocated) FTEs – no FTEs remain in Cost Pools
FTEs here equal Class 07 Assigned and Available PLUS Purified FTEs

18. Class 07, 10 Difference Class 07 -- note FTEs remain in Cost Pools!
Class 10 – note FTEs are purified from Cost Pools!

19. Class 12: Service Unit Cost
Contains unit costs by expense component by service units
Identifies specific measure to cost. For example, Admissions, Dispositions, etc. (“Professional Fees” include Clinician and Direct Care Professional salaries)
Count of specific Service Unit measures. For example, total dispositions.
Unit costs by expense component
Total Service Unit Cost (sum of separate expense components)
Must include at least FY, FM, Parent DMIS ID, and 4th Level FCC for valid Service Unit Costs

20. Class 12 Cautions! But there is still more trouble…..
Exercise 5a: Does NOT include 4th Level FCC – INCORRECT!!
Exercise 5b: Includes 4th Level FCC – CORRECT!!
But there is still more trouble…..

21. Beware of Class 12 “Descriptions”
Incorrect values displayed when descriptions are included!

22. Beware of Class 12 “Descriptions”
Correct values displayed w/o descriptions!

23. Class 12: Service Unit Cost
BOTTOM LINE: DO NOT USE
Description elements. Including these
dimensions in queries will yield inflated
expenses.
If one of starred elements missing, your costs won’t be accurate. If include SEEC, they’ll be broken out that way

24. Class 20: FCC Expense Summary
Principal Class compatible with 01, 03, 04, & 11
Includes aggregated expense components after purification of cost pools
Total Expense is the sum of all cost components detailed – but is
Incorrect!

25. Class 21: FCC Summary Principal Class compatible with 01, 03, 04, & 11
Includes summary workload, FTE, and expense data by FCC. Enables easy linking of workload, personnel, and expenses.
Ancillary FCCs only
Non-Purified FTEs
Direct Expense
Purified Expense
Stepdown Expense Contributed
Stepdown from D
Stepdown from E
Salary expenses are pre-purification +
Admin Clerical Salary
Clinician Salary
DC Professional Salary
DC Para-Professional Salary
Registered Nurse Salary
Total Expense +
Personnel Direct Expense

26. Application Example 3

27. Application Example 3
Compare FY 2006 Direct Care Professional Salary expenses across inpatient 3rd Level Functional Cost Codes at Malcolm Grow MC (DMISID 0066).
From Class 20
From Class 21
From Class 08 & 09

28. Example 3a: Approach (Class 20)
All objects extracted from Class 20

29. Example 3a: Results (Class 20)
Note that salary expenses remain in cost pools. However, these have already been allocated across other work centers during purification
Total Direct Care Professional Salary is overstated:
Note: Data extracted 2 August 2007

30. Example 3b: Approach (Class 21)
All objects extracted from Class 21

31. Example 3b: Results (Class 21)
Note that salary expenses remain in cost pools. However, these have NOT been allocated across other work centers
Total Direct Care Professional Salary is correct:
Note: Data extracted 2 August 2007

32. Example 3c: Approach (Class 08 & 09)
Remember, objects from Class 09 must be selected first

33. Example 3c: Results (Class 08 & 09)
Note that salary expenses do not remain in cost pools. They have been allocated across other work centers.
Total Direct Care Professional Salary is correct:
Note: Data extracted 2 August 2007

34. Review
Always refer to the Class Compatibility Matrix before creating new queries
Be aware of current EAS IV Repository data issues – examine results closely
New EAS IV Repository coming in FY08; data issues may to increase with transition

35. Elements of MEPRS Data: A Review of the EAS IV Repository
Questions / Comments?
Herb Escobar Axiom Resource Management