DQ MEPRS Audit Readiness

MEWACS Analysis

RE-T-3-E

2012 Navy Medicine Audit Readiness Training Symposium

DQ MEPRS Audit Readiness

• Context: MEWACS is an effective resource for making sure we stay on track.

• Purpose: To understand the available tools and how to effectively address identified anomalies.

• Outcome: Improved processes and better MEPRS data.

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DQ MEPRS Audit Readiness

The Basics• What is MEWACS?

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DQ MEPRS Audit Readiness

MEPRS Early Warning and Control System

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DQ MEPRS Audit Readiness

The Basics• What is MEWACS?• How are anomalies flagged?

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DQ MEPRS Audit ReadinessHow are Anomalies Flagged

• Three Standard Deviations from Previous 12 Months

• Did it Happen?

• Five Percent (or greater) Delta Between Systems

• Is it Present?

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DQ MEPRS Audit ReadinessThe Basics

• What is MEWACS?

• How are anomalies flagged?

• Why do we care about MEWACS?

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DQ MEPRS Audit Readiness

Why Do We Care about MEWACS?

• Helps identify potential issues not identified in the FY12 PETRA/R2DQ Process.

• It is a reportable monthly DQMC metric requirement.

• It is a focus area in the TMA MEPRS Management Improvement Group (MMIG).

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DQ MEPRS Audit ReadinessThe Reporting Requirement• MEWACS must be reviewed by EVERY MTF/DTF,

EVERY Month• EVERY Open Outlier must be addressed

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DQ MEPRS Audit Readiness

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The MEWACS Tracker – Open/Closed

DQ MEPRS Audit Readiness

Flag Review – Summary Outliers

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DQ MEPRS Audit Readiness

Flag Review – Data Load Status

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DQ MEPRS Audit Readiness

Flag Review – Workload (Dispositions, Visits & OBD)

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DQ MEPRS Audit Readiness

Flag Review – Workload (Dental Weighted Procedures)

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DQ MEPRS Audit Readiness

Flag Review – FTE

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DQ MEPRS Audit Readiness

Flag Review – Total Expenses

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DQ MEPRS Audit Readiness

Flag Review – WWR/EASIV Outliers

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DQ MEPRS Audit Readiness

Flag Review – Allocation Test

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DQ MEPRS Audit Readiness

Flag Review – Workload Expense Check

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DQ MEPRS Audit Readiness

Reporting RequirementsMEWACS outliers must be addressed on the DQ Review

List until closed:

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DQ MEPRS Audit ReadinessThe Prize – Validated Outliers

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DQ MEPRS Audit Readiness

Points of Contact– Colleen Rees, Colleen.Rees@med.navy.mil, 202-762-3538

– Randy Van Nostrand, Randy.VanNostrand.ctr@med.navy.mil, 703-773-7312 ext. 602

– Kate Burchess, Kathryn.Burchess.ctr@med.navy.mil, 703-773-7312 ext 104

– Bonnie Rehbein, Bonnie.Rehbein.ctr@med.navy.mil, 703-773-7312 ext. 603

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DQ MEPRS Audit Readiness

Questions

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