MEPRS Update: Active Feedback and Continuous Process Improvement TRICARE Conference 26 January 2005 Washington, DC Track 6, #068 Herb Escobar SRA International, Inc.
• The Medical Expense & Performance Reporting System (MEPRS) is the standard cost accounting system for the Military Health System (MHS), containing Tri-Service financial, personnel, and workload data from reporting medical and dental treatment facilities worldwide. • Typical applications include: • Health Affairs / Services Performance Contract “HA Instrument Panel” • Prospective Payment System (PPS) metrics and reconciliation • Accrual Fund and TRICARE for Life (TFL) rates, reconciliation and evaluation • UBO billing rates (ASAs, APVs, Tent-Care, MAC, Inter-Agency, Anesthesia, etc) • Six Sigma MTF performance metrics (S 2 M 3) • MILCON / Capital Project justification • Patient-level SIDR and SADR costs on M 2 • MTF care Valuation and Efficiency metrics • Optimization and Continuous Process Improvement implementation and evaluation • Next-Generation TRICARE contracts benefit development and evaluation • Service Business Case Analyses and MTF “make vs. buy” assessments • PB&E budgeting and execution analyses • Do. D/VA and internal/external partnership program reporting and evaluation • HPA&E evaluation and analyses initiatives
Active Feedback and Continuous Process Improvement Stepdown Expenses • Ancillary • Support MEPRS Data Surveillance and Management Metrics Data-Based MEPRS Education MEPRS Information Sharing Improved MEPRS Data Quality MEPRS Policy and Business Rules Oversight
MEPRS Data Surveillance and Management Metrics • MEPRS Early Warning and Control System (MEWACS) provides monthly MEPRS data quality feedback, systematically highlighting potential MTF data anomalies • Human Systems Interface (HSI) provides expert assistance to the field, serving as the link between MEPRS education and data quality surveillance initiatives. • • • The Six Sigma MEPRS Management Metrics (S 2 M 3) workbook is an interactive tool containing seven key MEPRS-based performance metrics S 2 M 3 is a blend of Direct Care and civilian industry benchmark metrics Updated Semi-annually on the FY
MEPRS Training, Education and Information Sharing • Tri-Service MEPRS Application and Data Improvement (MADI) worldwide workshops • National MEPRS Conference attended by hundreds of Tri-Service MEPRS and RM personnel • MEPRS. INFOrmer is the new MEPRS quarterly newsletter launched in 2003 • Updates MEPRS stakeholders on policy issues, data quality activities, and best practices for MEPRS process improvement • MEPRS Conference Exhibit provides thousands of MHS personnel the opportunity to interact with centrally available MEPRS tools and metrics, and learn about resources available through the MEPRS Information Portal
MEPRS Information Web Portal: http: //www. MEPRS. info
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