SAIC D SIDDOMS III Doc D 3 -ACSS-8100 DRAFT

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SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 VIRTUAL CLASSROOM (VC) INSTRUCTOR GUIDE For YEARLY AND MONTHLY WORKLOAD ASSIGNMENT MODULE (WAM) INITIALIZATION Submitted in Response to: D/SIDDOMS III Contract W 74 V 8 H-04 -D-0036 Delivery Order 0030 AHLTA/CHCS System Sustainment Support, Option Year 1 Non-Deliverable By: Science Applications International Corporation Health Solutions Business Unit 5203 Leesburg Pike, Suite 1300 Falls Church, VA 22041 Wendy Kammeyer, Training Manager (858) 826 -7170 1

ft ra SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 D Yearly and Monthly Initialization of WAM 2

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Agenda Ø Ø Ø Ø Introduction Lesson 1: Yearly Initialization Lesson 2: Monthly Initialization Summary References Questions Appendix • • • FY DWAM Initialization Check List Two Locations – One MEPRS Code WAM Exceptions Report 3

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Handouts 01 A 2 Clinics 1 MEPRS Code _ Word Doc 01 B 2 Clinics 1 MEPRS Code _ Power. Point 01 C Inactivating and Old Clinic 02 A Exceptions Report 02 B Understanding the Exceptions Report 03 Yearly Initialization 04 A Handy Reports with Examples 04 B Hospital Location File ADHOC 04 C Medical Center Division 04 D IMC_LMD_Department/Service Reports 05 A VC_AHLTA/CHCS_Course Descriptions 05 B How to Access CHCS Schedule on MHS Learn 05 C Quick Reference - VC Enrollment Previously Submitted Questions and Answers 4

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Course Objectives • Understanding the purpose and function of the menu options needed to complete the yearly WAM initialization. • Understanding the purpose and function of the menu options needed to complete the monthly WAM initialization. 5

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Introduction • Yearly Initialization – DWAM Menu – MEPRS System Menu – WAM Exceptions Report • Monthly Initialization – WAM Menu – WAM Exceptions Report 6

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 DOD Workload Assignment Module (DWAM) Menu Path: Secondary Menu > Type DWAM at any menu prompt Option DXCL DCRT DDSP DEDT DBAT DINA DINQ DPRN CCOM CEDT CINQ CPRN SDMT EMRT SMIA Data Set Exclusions by DMIS ID Enter/Edit Data Set IDs Create Data Set IDs Creation Status Data Set IDs Enter/Edit Data Set IDs Batch Inactivate Requesting FCC Data Set IDs Inactivate Unused Requesting FCC Data Set IDs Inquiry Data Set IDs Print CAC/JON - MEPRS File Compare CAC/JON Enter/Edit CAC/JON Inquiry CAC/JON Print Site Definable MEPRS Table Maintenance Edit MEPRS Replacement Table MEPRS Inactivate/Reactivate Security Key DOD DSI EXCLUSION DOD DSI CREATE DOD DSI EDIT DOD DSI INACT UNUSE RFCC DOD MEPRS SD DOD MEPRS REPLACEMENT DOD MEORS COORD INACT REACT Select DOD Workload Assignment Module Menu Option: 7

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Workload Assignment Module (WAM) Security Key: DGNAS USER Menu Path: CA > WAM Option 1 2 3 4 5 6 7 8 Edit Workload Report Workload Menu Display Exceptions Report Manage Workload Templates System Definition Parameters Create Monthly Workload ASCII File to EAS Create Monthly Workload ASCII File to STARS/FL Workload Generation Controller Security Key DGNAS MANAGER DGNAS WAM GENERATION 8

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 MEPRS System Menu Path: CA > DAA > MPR Option Security Key WFM MMT SDM INQ MTI MSI DMS DGP MTP SDP Workload Files Maintenance Menu [DOD MEPRS MAINTAIN F-T MENU] Master MEPRS Table Maintenance DOD MEPRS MASTER Site Definable MEPRS Table Maintenance DOD MEPRS SD Inquire to Workload Files Menu Inquire to Master MEPRS Table (3 digit codes) Inquire to Site Definable MEPRS Table Inquire to DMIS ID Codes Table Print DIVISIONS by GROUP ID Print Master MEPRS Table (3 Digit Codes) Print Site Definable MEPRS Table 9

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 DMIS ID Realignment Utility Menu Path: Secondary Menu > Type DMIS at any menu prompt Select Systems Manager Menu Option: DMIS ID Realignment Utility Menu PREP Pre-Realignment Analysis Reports Menu PDMI Print DMIS ID Analysis Report UDMI User's Default Division Report DMIS ID Realignment Corrections Menu LDMI Move Locations from One Division to Another MDMI MEPRS Discrepancy Report GDMI Group ID Change/MEPRS Correction POST Post-Realignment Conversions Menu RDMI Laboratory Results Reporting Conversion 10

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Useful Information • The WAM CORE file is very important to the WAM functionality – Contains business rules/guidelines for workload by branch of service for the Fiscal Year – File is uploaded annually in conjunction with MEPRS Codes file – CHCS builds Data Sets IDs (DSI) files based on WAM Core file guideline and the MEPRS Codes file – Software uses information to check MEPRS Codes file for active MEPRS codes/FCCs (Functional Cost Codes) by division and creates data as appropriate – One year of data is kept: New FY (i. e. 2010) and the previous FY (i. e. 2009) FY 2008 is deleted. 11

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Agenda Ø Ø Ø Ø Introduction Lesson 1: Yearly Initialization Lesson 2: Monthly Initialization Summary References Questions Appendix • FY DWAM Initialization Check List • Two Locations – One MEPRS Code • WAM Exceptions Report 12

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 FY DWAM Initialization Checklist Step Activity - Description Approximate Completion Date 1 Know your mission changes 21 Sept (4 wks prior) 2 Review your site-definable MEPRS Codes Table (especially any new codes for the new missions). 29 Sept (3 wks prior) 3 a CHCS Site Manager should load FY data updates onto CHCS. Note: If the local CHCS Site Manager does not complete this step by 25 October please contact your AMPO Analyst. 05 Oct (2 wks prior) 3 b Verify that the appropriate third-level MEPRS codes were inactivated with the Master MEPRS Update. Sites must manually inactivate the forth level if necessary. 05 Oct (2 wks prior) 4 Validate that your CHCS DMIS IS Structure for the new FY 12 Oct (1 wk prior) 5 Create the DSI Exclusion. Use the Data Set Exclusions by DMIS ID Enter/Edit (DXCL) option to exclude certain DMIS IDs as Requesting FCCs prior to creating the DSI file for the new FY. 20 Oct 6 Create the DSI file for the new FY 20 Oct 7 Check the WAM Exceptions Report – Category 14, CHCS DSI File Activity, for DSI file exceptions messages after the SDI Creation status is listed as COMPLETE. Resolve all WAM Exceptions 20 Oct 8 Perform DWAM cleanup. These actions include adding manual and Cost Pool DSI, and Cost Pools as Requesting FCCs. 20 Oct 13

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Lesson 1: Yearly Initialization Step 1: Know Your Mission Changes Step 2: Review Your Site-Definable MEPRS Table (SDP) Step 3 a: Load FY Data Updates onto CHCS 3 b. Verify third-level MEPRS Codes Step 4: Review the DMIS ID Analysis Report (PDMI) Step 5: Create Data Set ID Exclusions/Inclusions (DXCL) Step 6: Create the Data Set ID File for the New FY (DCRT) Step 7: Resolve WAM DSI Exceptions (WAM > 3) Step 8: Perform DWAM Cleanup 14

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Step 1: Know Your Mission Changes • • Has your mission changed for the new FY? Are you adding new work centers (mission)? Are you losing work centers (mission)? Army sites should use the FY 11 MEPRS/FCC Changes Document as a reference 15

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Add a New Clinic Work Sheet • Clinic Name • MEPRS Code • Dept/Service • Division • Group ID • DMIS ID • Clinic Specialty Special Instructions Date task completed Forward to DBA 16

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Inactivating a Clinic Work Sheet • Clinic Name • MEPRS • Associated DSI Special Instructions Date task completed Forward to DBA 17

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Step 2: Review Site Definable MEPRS Table Menu Path: CA > DAA > MPR > INQ > SDP • The DBA and MEPRS Coordinator should review the site -definable (fourth level) MEPRS Codes together. • Look for potential inactivations and any new codes that need to be added based upon your analysis from Step 1. • Remember for the new FY, inactivate any fourth level codes on CHCS that cannot be inactivated during the third level Master MEPRS Update. (Refer to Step 3. ) 19

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review Site Definable MEPRS Table (cont. ) Menu Path: CA > DAA > MPR > INQ > SDP CA DE FM ME MM SM TM UM SQL Core Application Drivers Menu Device Editor Menu File. Man Menu Management Menu Manage Mail. Man Menu Site Manager Menu Task. Man Menu User Management Menu M/SQL Management Menu Select Systems Manager Menu Option: CA DAA PAD PAS MSA CLN DTS LAB PHR RAD WAM MCM Core Application Drivers Menu Data Administration Menu PAD System Menu PAS System Menu MSA System Menu Clinical System Menu Dietetics System Menu Laboratory System Menu Pharmacy System Menu Radiology System Menu Workload Assignment Module Menu Mass Casualty Menu Select Core Application Drivers Menu Option: DAA Data Administration Menu 20

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review Site Definable MEPRS Table (cont. ) Menu Path: CA > DAA > MPR > INQ > SDP CFT CPT MPR PMUM DWAM Common Files and Tables Management Menu CPT System Menu MEPRS System Menu Provider Merge/Unmerge Menu DOD Workload Assignment Module Menu Select Data Administration Menu Option: MPR WFM INQ Workload Files Maintenance Menu Inquire to Workload Files Menu Select MEPRS System Menu Option: INQ MTI MSI DMS DGP MTP SDP MEPRS System Menu Inquire to Workload Files Menu Inquire to Master MEPRS Table (3 digit codes) Inquire to Site Definable MEPRS Table Inquire to DMIS ID Codes Table Print DIVISIONS by GROUP ID Print Master MEPRS Table (3 Digit Codes) Print Site Definable MEPRS Table Select Inquire to Workload Files Menu Option: SDP Print Site Definable MEPRS Table 21

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review Site Definable MEPRS Table (cont. ) Menu Path: CA > DAA > MPR > INQ > SDP *** THIS REPORT USES A 132 COLUMN FORMAT *** Sort order for MEPRS Code will be by (M)EPRS Code, (D)ept/Service, (C)ategory, DM(I)S ID Code, or (S)ales Code: M (A)ll MEPRS Codes or (R)ange of MEPRS Codes: A// DEVICE: ; 132 22

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review Site Definable MEPRS Table (cont. ) Menu Path: CA > DAA > MPR > INQ > SDP 23

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Step 3 a: Load FY Data Updates onto CHCS • DBA, Site Manager, or System Specialist will load the latest DMIS ID update and the new FY WAM Core update on CHCS. • The WAM Core update contains the Master MEPRS Update and WAM Core Update. These updates are usually available around 01 October. • If the local CHCS DBA/Site Manager/System Specialist does not load the latest DMIS ID or the WAM core update before 25 October, please notify your AMPC Analyst. 25

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Step 3 b: Verify third-level MEPRS Codes Menu Path: Secondary Menu DOD MEPRS REALIGN • Verify that the appropriate third-level MEPRS codes were inactivated with the Master MEPRS Update. The Master MEPRS data update inactivates only the 3 rd level codes and provides an exception list. Sites must manually inactivate the forth level if necessary. 26

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 MEPRS Realignment Utility (cont. ) Accessing DOD MEPRS Realign Option DIV OLUM QPR RTM UDK MREA Switch divisions OLUM Menu Query Print Request Reprint Report Record Tracking Menu UDK Management Menu DOD MEPRS Realign Cancel/Modify Print Request Continue Display User Characteristics Edit User Characteristics Halt How Did I Get Here Mail. Man Menu Restart Session Time Select Core Application Drivers Menu Option: MREA 27

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 MEPRS Realignment Utility (cont. ) Enter OLD MEPRS CODE: BAAC/0124 INTERNAL MEDICINE CLINIC Enter REPLACEMENT MEPRS CODE: BAAA/0124 INTERNAL MEDICINE CLINIC Select associated Hospital Location: ? ? 1 INTERNAL CLINIC #1 NAVY INPATIENT DIVISION 2 INTERNAL CLINIC #2 NAVY INPATIENT DIVISION 3 INTERNAL CLINIC #3 NAVY INPATIENT DIVISION Select associated Hospital Location: 3 2 BAAC/0124 (or enter location name) Enter Effective Date for the Realignment (MONTH/YEAR): 01 May 2007// This option will substitute/replace the old MEPRS/DMIS pair with the new MEPRS/DMIS pair for the associated hospital location(s) that you have entered above. Based upon the effective date, CHCS will also update the following files with the new MEPRS/DMIS pair: Patient Appointment (pending and past appointments), Schedulable Entities (future schedules), and the Order (future, pending and pre-active orders). This utility also converts the Requesting MEPRS code in future, pending and pre-active orders if the Requesting location is the same as the Hospital location that has the MEPRS code modification. As a result of the substitution, the PAS historical workload from the date of the realignment back to the effective date entered for the realignment will be modified to reflect the new MEPRS/DMIS pair. Appointments and workload after the realignment will utilize the new MEPRS/DMIS pair for the associated clinics. You have selected to substitute the old MEPRS/DMIS pair BAAC/0124 for the new MEPRS/DMIS pair: BAAA/0124, for locations of: Internal Clinic #2 BAAC/0124, Internal Clinic #3 BAAC/0124, with an effective date of 01 May 2007. Do you wish to continue? No// Yes Requested Start Date/Time: T@1700// Do you wish to inactivate the old MEPRS code? No// (Note: This prompt only displays if the software can inactivate the old MEPRS code. ) 28

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 MEPRS Realignment Utility (cont. ) Enter OLD MEPRS CODE: BAAC/0124 INTERNAL MEDICINE CLINIC Enter REPLACEMENT MEPRS CODE: BAAA/0124 INTERNAL MEDICINE CLINIC Select associated Hospital Location: ? ? 1 INTERNAL CLINIC #1 NAVY INPATIENT DIVISION 2 INTERNAL CLINIC #2 NAVY INPATIENT DIVISION 3 INTERNAL CLINIC #3 NAVY INPATINET DIVISION Select associated Hospital Location: 3 2 BAAC/0124 (or enter location name) Enter Effective Date for the Realignment (MONTH/YEAR): 01 May 2007// This option will substitute/replace the old MEPRS/DMIS pair with the new MEPRS/DMIS pair for the associated hospitallocation(s) that you have entered above. Based upon the effective date, CHCS will also update the following files with the new MEPRS/DMIS pair: Patient Appointment (pending and past appointments), Schedulable Entities (future schedules), and the Order (future, pending and pre-active orders). This utility also converts the Requesting MEPRS code in future, pending and pre-active orders if the Requesting location is the same as the Hospital location that has the MEPRS code modification. As a result of the substitution, the PAS historical workload from the date of the realignment back to the effective date entered for the realignment will be modified to reflect the new MEPRS/DMIS pair. Appointments and workload after the realignment will utilize the new MEPRS/DMIS pair for the associated clinics. You have selected to substitute the old MEPRS/DMIS pair BAAC/0124 for the new MEPRS/DMIS pair: BAAA/0124, for locations of: Internal Clinic #2 BAAC/0124, Internal Clinic #3 BAAC/0124, with an effective date of 01 May 2007. Do you wish to continue? No// Yes Requested Start Date/Time: T@1700// Do you wish to inactivate the old MEPRS code? No// (Note: This prompt only displays if the software can inactivate the old MEPRS code. ) 29

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 MEPRS Realignment Utility (cont. ) Behind the Scenes • Hospital Locations – Any provider that has defined that location as a Primary Location or Clinic ID will now have the new MEPRS/DMIS pair for that location – If the location is a “clinic” location type and it is set up as the enrolling location for UIC Default PCMs, the new MEPRS/DMIS pair is now associated with that clinic • Other Files Updated by the MEPRS Realignment Utility – Patient Appointment (pending and past appointments based upon effective date) – Schedulable Entities (future schedules) – Order (future, pending, and pre-active orders) – Telephone Consults (excluding completed or deleted T-Cons) – Clinical User Preferences 30

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 MEPRS Realignment Utility (cont. ) New Exception Messages New Category 13, CHCS MEPRS Activity • (N) BAAC/0124 - substituted in Hospital Location filecompleted 05/05/07@1010 • (W) Affected location: Internal Medicine#2, • (W) Affected location: Internal Medicine#3 • (W) BAAC/0124 substituted in Hospital Location file by BAAA/0124 • (N) 0124 -BAAC/0124 inactivated- USER, SUZY-05/05/07@1010 • (N) Requested by USER, SUZY • (N) BAAC/0124 – substituted in Hospital Location file– started 05/05/07@1000 31

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 MEPRS Realignment Utility (cont. ) Sample Bulletin to Mail Group Subj: MEPRS CODE REALIGNMENT COMPLETE Thu, 17 May 2007 08: 23: 48 19 Lines From: POSTMASTER (Sender: LEGARE, JOANNE) in 'IN' basket. **NEW** MEPRS code BAAA/01234 replaced MEPRS code BAAC/0124 in the following hospital locations: INTERNAL MEDICINE CLINIC#2 INTERNAL MEDICINE CLINIC#3 NAVY INPATIENT DIVISION Realignment requested by USER, SUZY Historical appointment data was converted based on the effective date entered: 01 May 2007. If the effective date for the MEPRS Code Realignment is prior than the current month, please re-initialize the WAM templates, and if needed, retransmit to EAS-IV. 32

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Step 4: Review the DMIS ID Analysis Report Menu Path: CA > DMIS > PREP > PDMI • After the DMIS ID Codes update has been loaded in CHCS, the SAIC DBA and MEPRS Coordinator should review the DMIS ID Analysis Report. • The report lists the differences between your CHCS division structure and the official DMIS ID Codes file. Differences could include: – Group ID change – New Child DMIS – Orphans 34

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review the DMIS ID Analysis Report (cont. ) Inpatient Division • This section indicates that this DMIS ID is a hospital 35

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review the DMIS ID Analysis Report (cont. ) Inpatient Division NMC PORTSMOUTH VA 11 Jun 2010@1046 Page: 16 DMIS ID ANALYSIS REPORT GROUP ID: 0061 REGION: 17 ----------------------------------------DMIS Name Facil Comments ID Type ----------------------------------------CURRENT MED CENTER DIVISION STRUCTURE: 1237 1544 1545 1928 7437 1198 DIV FT MCCOY MARGETIS MED CLINC - FT KNOX MC-5 -FT. KNOX CLARK DIV CLINIC INACT HOSP INACTIVE DMIS ID INPATIENT DIVISION ************* POSSIBLE BREAKOUT SCENARIOS ************* DMIS IDs NOT REFLECTED IN CURRENT MED CENTER DIVISION STRUCTURE: 1198 1222 1483 350 TH EVACUATION HOSPITAL (TOE) 475 TH MASH (TOE) USADC CAMP ATTERBURY HOSP DENTAL POSSIBLE BREAKOUT 36

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review the DMIS ID Analysis Report (cont. ) Possible Breakout • 1. 2. 3. 4. 5. This section indicates that this DMIS ID is in the official DMIS ID Codes file, but was not found in the CHCS Medical Center Division file. While reviewing this section, answer the following questions: Is this an Orphan? Do I regularly receive workload information for this DMIS ID through FAX or email? If the workload data is not in CHCS, please notify your AMPO Analyst. Do users at these work centers also use another CHCS somewhere else? How will their workload get to EAS? Is the official DMIS ID Codes file wrong? 37

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review the DMIS ID Analysis Report (cont. ) Possible Breakout NMC PORTSMOUTH VA 11 Jun 2010@1046 Page: 16 DMIS ID ANALYSIS REPORT GROUP ID: 0061 REGION: 17 ----------------------------------------DMIS Name Facil Comments ID Type ----------------------------------------CURRENT MED CENTER DIVISION STRUCTURE: 1237 1544 1545 1928 7437 1198 DIV FT MCCOY MARGETIS MED CLINC - FT KNOX MC-5 -FT. KNOX CLARK DIV CLINIC INACT HOSP INACTIVE DMIS ID INPATIENT DIVISION ************* POSSIBLE BREAKOUT SCENARIOS ************* DMIS IDs NOT REFLECTED IN CURRENT MED CENTER DIVISION STRUCTURE: 1198 1222 1483 350 TH EVACUATION HOSPITAL (TOE) 475 TH MASH (TOE) USADC CAMP ATTERBURY HOSP DENTAL POSSIBLE BREAKOUT 38

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review the DMIS ID Analysis Report (cont. ) Incorrect DMIS ID/Group ID • This section indicates that the DMIS ID/Group ID/Division combination in CHCS does not match the official DMIS ID Codes file issued by TMA. Usually, this occurs because a DMIS ID was realigned at the start of the FY to be part of a different Group. • Important: This requires CORRECTIVE ACTION by the site. 39

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review the DMIS ID Analysis Report (cont. ) Incorrect DMIS ID/Group ID NMC PORTSMOUTH VA 11 Jun 2010@1046 Page: 9 DMIS ID ANALYSIS REPORT GROUP ID: 0035 REGION: 17 ----------------------------------------DMIS Name Facil Comments ID Type ----------------------------------------CURRENT MED CENTER DIVISION STRUCTURE: 0035 SAIC TEST DMIS 1 CLINIC INCORRECT DMIS/GROUP ID ************* POSSIBLE BREAKOUT SCENARIOS ************* DMIS IDs NOT REFLECTED IN CURRENT MED CENTER DIVISION STRUCTURE: None 40

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review the DMIS ID Analysis Report (cont. ) Inactive DMIS ID • This section indicates that the official DMIS ID Codes file lists this DMIS ID as Inactive. • If you believe the official file is wrong, notify your AMPO Analyst immediately. • If the official file is correct, you need to inactivate this division on CHCS. The work centers in this division have either become part of the operations of another division/DMIS ID or are ceasing operation. • Important: This requires CORRECTIVE ACTION by the site. Ultimately, your CHCS division structure and the official DMIS ID Codes file must match. 41

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Review the DMIS ID Analysis Report (cont. ) Inactive DMIS ID NMC PORTSMOUTH VA 11 Jun 2010@1046 Page: 16 DMIS ID ANALYSIS REPORT GROUP ID: 0061 REGION: 17 ----------------------------------------DMIS Name Facil Comments ID Type ----------------------------------------CURRENT MED CENTER DIVISION STRUCTURE: 1237 1544 1545 1928 7437 1198 DIV FT MCCOY MARGETIS MED CLINC - FT KNOX MC-5 -FT. KNOX CLARK DIV CLINIC INACT HOSP INACTIVE DMIS ID INPATIENT DIVISION ************* POSSIBLE BREAKOUT SCENARIOS ************* DMIS IDs NOT REFLECTED IN CURRENT MED CENTER DIVISION STRUCTURE: 1198 1222 1483 350 TH EVACUATION HOSPITAL (TOE) 475 TH MASH (TOE) USADC CAMP ATTERBURY HOSP DENTAL POSSIBLE BREAKOUT 42

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Step 5: Create Data Set ID Exclusions/Inclusions DOD Workload Assignment Module (DWAM) Menu Path: Secondary Menu > Type DWAM at any menu prompt Option DXCL DCRT DDSP DEDT DBAT DINA DINQ DPRN CCOM CEDT CINQ CPRN SDMT EMRT SMIA Data Set Exclusions by DMIS ID Enter/Edit Data Set IDs Create Data Set IDs Creation Status Data Set IDs Enter/Edit Data Set IDs Batch Inactivate Requesting FCC Data Set IDs Inactivate Unused Requesting FCC Data Set IDs Inquiry Data Set IDs Print CAC/JON - MEPRS File Compare CAC/JON Enter/Edit CAC/JON Inquiry CAC/JON Print Site Definable MEPRS Table Maintenance Edit MEPRS Replacement Table MEPRS Inactivate/Reactivate Security Key DOD DSI EXCLUSION DOD DSI CREATE DOD DSI EDIT DOD DSI INACT UNUSE RFCC DOD MEPRS SD DOD MEPRS REPLACEMENT DOD MEORS COORD INACT REACT Select DOD Workload Assignment Module Menu Option: 44

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create Data Set ID Exclusions/Inclusions (cont. ) User Action Impact to DSI File Does not use DXCL option Every possible R-FCC prior to creating the Data Set permutation is created for ID file each applicable Data Set ID in the DSI file based on: • WAM Core file • MEPRS Code file • DXCL business rules Excludes DMIS IDs as RMEPRS codes associated FCC for selected P-FCC with the excluded DMIS IDs prior to creating the Data Set are NOT used to create RID file FCC for the selected P-FCC. The Data Set ID is smaller. 45

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create Data Set ID Exclusions/Inclusions (cont. ) Select DOD Workload Assignment Module Menu Option: DXCL Exclusions by DMIS ID Enter/Edit Data Set Do you want to exclude Requesting FCC for a Data Set ID for FY 01 for the [G]roup, [D]ivision, or [Q]uit? Q//D Select PERFORMING DMIS ID: 0037 The Data Set ID file has already been created for FY 01. Do you want to edit the Exclusion file? NO// YES 46

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create Data Set ID Exclusions/Inclusions (cont. ) DIVISION: DIV A - TRAINING HOSPITAL DMIS: 0037 GROUP ID: 0037 ENTER/EDIT DSI EXCLUSION UIC: W 2 DHAA PERFORMING FCC/DMIS: *DAAA/0037 DBAO/0037 DBAP/0037 DBAQ/0037 DBAR/0037 DBAS/0037 DBAT/0037 DBAU/0037 DBAV/0037 DBAW/0037 DBAX/0037 DBAY/0037 DBBA/0037 + DCAA/0037 do. Wn Up performing f. CC Go to Previous Page. Quit 47

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create Data Set ID Exclusions/Inclusions (cont. ) DIVISION: DIV A - TRAINING HOSPITAL DMIS: 0037 GROUP ID: 0037 ENTER/EDIT DSI EXCLUSION UIC: W 2 DHAA PERFORMING FCC: DAAA/0037 POSSIBLE REQUESTING DMIS ID(S) TO EXCLUDE: 0255 0256 0391 do. Wn Up Exclude DMIS ID(s) Quit Scroll to next screen of Requesting DMIS Codes 48

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create Data Set ID Exclusions/Inclusions (cont. ) DIVISION: DIV A - TRAINING HOSPITAL DMIS: 0037 GROUP ID: 0037 ENTER/EDIT DSI EXCLUSION UIC: W 2 DHAA PERFORMING FCC: DAAA/0037 POSSIBLE REQUESTING DMIS ID(S) TO EXCLUDE: 0255 0256 0391 (excluded) do. Wn Up Exclude DMIS ID(s) Exclude DMIS ID Include DMIS ID(s) File Quit 49

Exception Report SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 WAM > 3 Select Select Exceptions Report START DATE: 01 Jun 2001// T (21 Jun 2001) Exceptions Report END DATE: 21 Jun 2001// T (21 Jun 2001) DIVISION NAME: DIV A - TRAINING HOSPITAL// DIV A - TRAINING HOSPITAL (D)ivision, (G)roup, or (Q)uit: D// CATEGORY to report (A)ll, (M)any, (O)ne or (Q)uit: M// O Select CATEGORY to report: 14 CHCS DSI File Activity Select SEVERITY to report (A)ll, (M)any, (O)ne or (Q)uit: M// A DEVICE: DIV A - TRAINING HOSPITAL 21 Jun 2001@1824 Page 1 * * * EXCEPTIONS REPORT * * * From: 21 Jun 2001 To: 21 Jun 2001 ----------------------------------------CHCS DSI File Activity (N) DMIS 0255 - DAAA/0037 - exclusion Edit by TRAINING, MANAGER (N) DMIS 0255 excluded-DAAA/0037 -FY 01 DSI data updated-06/21/01@1440 50

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Step 6: Create the Data Set ID File for New FY DOD Workload Assignment Module (DWAM) Menu Path: Secondary Menu > Type DWAM at any menu prompt Option DXCL DCRT DDSP DEDT DBAT DINA DINQ DPRN CCOM CEDT CINQ CPRN SDMT EMRT SMIA Data Set Exclusions by DMIS ID Enter/Edit Data Set IDs Create Data Set IDs Creation Status Data Set IDs Enter/Edit Data Set IDs Batch Inactivate Requesting FCC Data Set IDs Inactivate Unused Requesting FCC Data Set IDs Inquiry Data Set IDs Print CAC/JON - MEPRS File Compare CAC/JON Enter/Edit CAC/JON Inquiry CAC/JON Print Site Definable MEPRS Table Maintenance Edit MEPRS Replacement Table MEPRS Inactivate/Reactivate Security Key DOD DSI EXCLUSION DOD DSI CREATE DOD DSI EDIT DOD DSI INACT UNUSE RFCC DOD MEPRS SD DOD MEPRS REPLACEMENT DOD MEORS COORD INACT REACT Select DOD Workload Assignment Module Menu Option: 52

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create the Data Set ID File for New FY (cont. ) Select DOD Workload Assignment Module Menu Option: DCRT Data Set IDs Create Do you want to create the Data Set ID for FY 01 for the [G]roup, [D]ivision, or [Q]uit? Q// G Do you want to create the Data Set ID file for FY 01? NO// Y (YES) The Data Set ID file has already been created for FY 01 do you want to re-create the file? NO// Y (YES) The Data Set ID Create option is now tasked. When completed, you should create the following for all appropriate divisions via the DWAM menu: 1) Cost Pool Data Set IDs (DSI) 2) Cost Pool Codes as Requesting FCC to all appropriate Data Set IDs (DSI) 3) Manual Data Set IDs (DSI) Verify status via the option 'Data Set Creation Status'. Press to continue 53

Exception Report SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 WAM > 3 Select Select Exceptions Report START DATE: 01 Jun 2001// T (21 Jun 2001) Exceptions Report END DATE: 21 Jun 2001// T (21 Jun 2001) DIVISION NAME: DIV A - TRAINING HOSPITAL// DIV A - TRAINING HOSPITAL (D)ivision, (G)roup, or (Q)uit: G// CATEGORY to report (A)ll, (M)any, (O)ne or (Q)uit: M// O Select CATEGORY to report: 14 CHCS DSI File Activity Select SEVERITY to report (A)ll, (M)any, (O)ne or (Q)uit: M// A DEVICE: DIV A - TRAINING HOSPITAL 21 Jun 2001@0712 Page 1 * * * EXCEPTIONS REPORT * * * From: 21 Jun 2001 To: 21 Jun 2001 ----------------------------------------CHCS DSI File Activity (N) (N) (N) Group 0037 - completed DSI file creation for FY 01 at 06/21/01@0655 Requested by TRAINING, MANAGER Group 0037 - started DSI creation for FY 01 at 06/21/01@0654 DMIS 0255 - DAAA/0037 - exclusion Edit by TRAINING, MANAGER DMIS 0255 excluded-DAAA/0037 -FY 01 DSI data updated-06/21/01@0647 54

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Step 7: Resolve WAM DSI Exceptions (cont. ) • Review the WAM Exceptions Report, Category 14 (CHCS DSI File Activity), for DSI file exception messages after the DSI Creation status is listed as COMPLETE. • Resolve all WAM DSI exceptions. The exception messages and the corrective actions to resolve them are provided in Handout 02 A Exceptions Report. 56

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Category 14, CHCS DSI File Activity • CHCS automatically updates the DSI Detail file for the FY when changes are made in the CHCS MEPRS Codes Table. For every change in the MEPRS Codes Table, messages are written to Category 13 (showing the change to the MEPRS Codes Table) and to Category 14 (showing corresponding automatic changes to the DSI Detail file). 57

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Category 14, CHCS DSI File Activity (cont. ) • DMIS 0380 excluded-DAA–DAAA/0124–FY 03 Data Set data updated– 2/18/02@ DMIS 0380 for DAA – DAAA/0124 – Exclusion Edits by Lance, Steve • Meaning: These informational messages are generated when a DMIS ID is excluded from a DSI for a Performing FCC through the Data Set Exclusions by DMIS ID Enter/Edit (DXCL) option. The messages include the date/time and the user making the edits. If the edit is made after the DSI file has been created, CHCS automatically updates the DSI file. • Corrective Action: No action is required. 58

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Category 14, CHCS DSI File Activity (cont. ) • DMIS 0381 re-included-DBA–DBAA/0124–FY 03 Data Set data– 12/18/02@1130 DMIS 0381 for DAA – DAAA/0124 – Exclusion Edits by Andrew, Stu • Meaning: These informational messages are generated when a DMIS ID is re-included to a DSI for a selected Performing FFC through the Data Set Exclusions by DMIS ID Enter/Edit (DXCL) option. The messages include the date/time and the user making the edits. If the edit is made after the DSI file has been created, CHCS automatically updates the DSI file. • Corrective Action: No action is required. 59

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Category 14, CHCS DSI File Activity (cont. ) • (N) New FCC DCAT/0124 Added - Completed FY 03 DSI file updated-8/22/03@0848 (N) DMIS 0381 – DSI data not created; Division is inactive • Meaning: This informational message is generated during creation of the DSI file. In the example, DMIS 0381 cannot have DSI data created because the division is inactive in the Medical Center Division file. • Corrective Action: If this is correct and the division should be inactive, turn off WAM for this division. If you feel that the division should be active, contact your DBA. 60

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Category 14, CHCS DSI File Activity (cont. ) • (E) DMIS 0381 – Div. DSI data not created; MEPRS Parent is blank for DMIS ID • Meaning: This error message is generated when trying to create the DSI file. In the example, DMIS 0381 cannot have DSI data created because the DMIS ID for the division does not have a value in the ‘EAS (MEPRS) Parent’ field in the DMIS ID Codes file. • Corrective Action: If this is correct, turn off WAM for this division. If you feel that the division should have an MEPRS Parent value, log a HELP ticket. The DMIS ID Codes file may be wrong. 61

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Category 14, CHCS DSI File Activity (cont. ) • (E) DMIS 0381 – Div. DSI data not created; MEPRS Parent not equal to Group ID • Meaning: This error message is generated when trying to create the DSI file. In the example, DMIS 0381 cannot have DSI data created because a mismatch exists between the ‘MEPRS Parent’ field and the ‘DMIS Parent (Group ID)’ field in the DMIS ID codes for that DMIS. • Corrective Action: If this is correct, turn off WAM for this division. If you feel that the division should have an MEPRS Parent value, log a HELP ticket. The DMIS ID Codes file may be wrong. 62

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Category 14, CHCS DSI File Activity (cont. ) • (E) WAM functionality not turned on for Group 0124 • Meaning: This error message is generated when trying to create the DSI file and WAM is turned off for the Group/Parent division. The DSI data must be generated first for the Group division, before any data can be created for the child divisions. • Corrective Action: Turn on WAM for the Group and then try again to create the DSI file. 63

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Category 14, CHCS DSI File Activity (cont. ) • (E) WAM functionality not turned on for DMIS 0381 • Meaning: This message is generated during DSI creation. In the example, the child division with a DMIS of 0381 has WAM turned off. Therefore, no DSI data can be generated for this division. • Corrective Action: If this is correct, do nothing. If this is not correct, turn on WAM for the division. 64

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Category 14, CHCS DSI File Activity (cont. ) • (E) Group 0124 – DSI file not created; New FY WAM Core file not installed • Meaning: This message is generated when the WAM Core file for the new FY has not been installed on CHCS, preventing the DSI file for the new FY from being generated. • Corrective Action: Check with the site manager or system/software specialist about the update. Request that the update be installed. 65

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Step 8: Perform WAM Cleanup • The MEPRS Coordinator, Data Quality Manager, and DBA are involved in the DWAM cleanup activities. • Start to edit your DSI file immediately after it has been created and all exceptions have been resolved. • Before making any edits, it is important to understand the Data Set ID File Business Rules and the Role of the WAM Core File. 67

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Data Set ID File Business Rules • CHCS limits the Requesting FCC to a division’s own DMIS ID for inclusion in standard data sets when creating the DSI file for a division. • Standard data sets do not have a Performing FCC specified in the WAM Core file. • If the current data is between 26 September and 30 September (a. k. a. blackout dates), the existing business rule still applies. During these dates, you can only create for the new FY and not the current FY. Recommend waiting until 01 October. • The Data Set Ids Create (DCRT) option is used to create system-generated DSIs (e. g. , DAA, DBA, etc. ) as indicated in the WAM Core file. 68

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Data Set ID File Business Rules (cont. ) • The activation date is the beginning of the current FY (e. g. , 01 October 2010), and the inactivation date is the end of the current FY (e. g. , 30 September 2010). • The DSI file should be created only once per FY. If recreated during the FY, the resulting DSI file is based on current exclusions in the WAM Data Set Exclusions file, the WAM Core file, and the MEPRS file. Any prior manual edits through the following options are lost. – Data Set IDs Enter/Edit (DEDT) – Data Set IDs Batch Inactivate Requesting FCC (DBAT) – Data Set IDs Inactivate Unused Requesting FCC (DINA) 69

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Data Set ID File Business Rules (cont. ) • • • To use this option, the DSI file must be created for the division in which the user is currently logged into. The user must manually create DSI for Cost Pools (e. g. , A*X) and non-system-generated DSIs (e. g. , EHA). If the user is logged into the Group division, all Performing FCC/DMIS combinations for the group DSI display. If the user is logged into a child division, only the Performing FCC/DMIS combinations that match the DSI display. The default inactivation date is TODAY+1. The default reactivation date is the beginning (e. g. , 01 October) and ending (e. g. , 30 September) of the FY. 70

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Role of the WAM Core File • The WAM Core file is very important to WAM functionality. It contains the business rules and guidelines for workload by branch of service for a FY. • The WAM Core file generally lists the permissible Requesting FCC patterns as the first level of the FCC. For example, the Requesting FCC patterns for DSI “DAA” (PHR) are “A”, “B”, “C”, “D”, and “F”. This means that any MEPRS code/FCC that starts with “A”, “B”, “C”, “D”, or “F” on the site-definable MEPRS Codes table is created as a Requesting FCC for that DSI (e. g. , DBAA, DCAA, etc). After the DSI file has been created, MEPRS Coordinators are strongly encouraged to individually inactivate Requesting FCCs that are not actually used. 71

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 WAM Tips • Use the Data Set IDs Enter/Edit (DEDT) option to perform the following: – Inactivate/reactivate individual Requesting FCCs within a DSI as required. – Create inpatient Cost Pool DSIs (e. g. , A*X). – Create manual DSIs (e. g. , DDE, DGD). – Add Cost Pool codes as Requesting DSIs within other DSIs. • • For manual DSIs only, the DEDT option automatically generates the Requesting FCCs based upon the WAM Core file and the MEPRS file. The user must manually add the Requesting FCCs for Cost Pool DSIs. For system-generated DSI codes, the DEDT option automatically generates the Performing and Requesting FCCs. If a system-generated DSI code is allowed to have a Cost Pool Requesting FCC code added, the user must add it manually. 72

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Step 8: Perform WAM Cleanup Data Set IDs Enter/Edit (DEDT) Menu Path: Secondary Menu > Type DWAM at any menu prompt Option DXCL DCRT DDSP DEDT DBAT DINA DINQ DPRN CCOM CEDT CINQ CPRN SDMT EMRT SMIA Data Set Exclusions by DMIS ID Enter/Edit Data Set IDs Create Data Set IDs Creation Status Data Set IDs Enter/Edit Data Set IDs Batch Inactivate Requesting FCC Data Set IDs Inactivate Unused Requesting FCC Data Set IDs Inquiry Data Set IDs Print CAC/JON - MEPRS File Compare CAC/JON Enter/Edit CAC/JON Inquiry CAC/JON Print Site Definable MEPRS Table Maintenance Edit MEPRS Replacement Table MEPRS Inactivate/Reactivate Security Key DOD DSI EXCLUSION DOD DSI CREATE DOD DSI EDIT DOD DSI INACT UNUSE RFCC DOD MEPRS SD DOD MEPRS REPLACEMENT DOD MEORS COORD INACT REACT Select DOD Workload Assignment Module Menu Option: 73

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DEDT: Data Set IDs Enter/Edit DIVISION: DIV A - TRAINING HOSPITAL ENTER/EDIT DSI DATA 21 Jun 2001 0610 Select FISCAL YEAR: 2001 DIVISION: DIV A - TRAINING HOSPITAL 21 Jun 2001 0612 ENTER/EDIT DSI DATA *** Current Entries for FISCAL YEAR: 2001 *** DSI: DAA DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES Select PERFORMING DMIS ID: 0037 74

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DEDT: Add Requesting FCC Cost Codes DIVISION: DIV A - TRAINING HOSPITAL ENTER/EDIT DSI DATA Data Set ID: DAA DMIS ID: 0037 Group ID: 0037 DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES DSI Status: ACTIVE Activation: 01 Oct 2000 UIC: W 2 DHAA Inactivation: 30 Sep 2001 PERFORMING FCC: DAAA REQUESTING FCC/DMIS Status Activation Inactivation ________________________________________ AAAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAB/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAC/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAD/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAKA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ABAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ACAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ADBA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 + AEAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 do. Wn Up Add Quit Add Requesting FCC codes 76

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DEDT: Add Requesting FCC Cost Codes ------------------------------------------Select Requesting FCC: ? ? Choose from: AAXA 0037 ABXA 0037 ACXA 0037 BAXA 0037 MEDICAL WARD COST POOL SURGICAL WARD COST POOL OB/GYN WARD COST POOL OUTPATIENT Select Requesting FCC: ACXA 0037 Add this FCC? YES// (Yes) Select another Requesting FCC: OB/GYN WARD COST POOL -----------------------------------------+ AEAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 do. Wn Up Add Quit Add Requesting FCC codes 77

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DEDT: File and Quit DIVISION: DIV A - TRAINING HOSPITAL ENTER/EDIT DSI DATA Data Set ID: DAA DMIS ID: 0037 Group ID: 0037 DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES DSI Status: ACTIVE Activation: 01 Oct 2000 UIC: W 2 DHAA Inactivation: 30 Sep 2001 PERFORMING FCC: DAAA REQUESTING FCC/DMIS Status Activation Inactivation ________________________________________ + DIAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 DIAC/0256 ACTIVE 01 Oct 2000 30 Sep 2001 DIAD/0391 ACTIVE 01 Oct 2000 30 Sep 2001 FBIA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 FBNA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 FCCA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 FCDC/0256 ACTIVE 01 Oct 2000 30 Sep 2001 FCDD/0391 ACTIVE 01 Oct 2000 30 Sep 2001 ACXA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 do. Wn Up Add File Quit File changes 78

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DEDT: Inactivate Requesting FCC Codes DIVISION: DIV A - TRAINING HOSPITAL ENTER/EDIT DSI DATA Data Set ID: DAA DMIS ID: 0037 Group ID: 0037 DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES DSI Status: ACTIVE Activation: 01 Oct 2000 UIC: W 2 DHAA Inactivation: 30 Sep 2001 PERFORMING FCC: DAAA REQUESTING FCC/DMIS Status Activation Inactivation ---------------------------------------AAAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAB/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAC/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAD/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAKA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ABAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ACAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 *ACXA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ADAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 + ADBA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 do. Wn Up Inactivate Quit Inactivate selected Requesting FCC codes 80

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DEDT: Inactivate Requesting FCC Codes DIVISION: DIV A - TRAINING HOSPITAL ENTER/EDIT DSI DATA Data Set ID: DAA DMIS ID: 0037 Group ID: 0037 DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES DSI Status: ACTIVE Activation: 01 Oct 2000 UIC: W 2 DHAA Inactivation: 30 Sep 2001 PERFORMING FCC: DAAA REQUESTING FCC/DMIS Status Activation Inactivation ________________________________________ AAAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAB/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAC/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAD/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAKA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ABAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ACAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 *ACXA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ADAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 + ADBA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 Select Inactivation Date: 22 Jun 2001// 81

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DEDT: File and Quit DIVISION: DIV A - TRAINING HOSPITAL ENTER/EDIT DSI DATA Data Set ID: DAA DMIS ID: 0037 Group ID: 0037 DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES DSI Status: ACTIVE Activation: 01 Oct 2000 UIC: W 2 DHAA Inactivation: 30 Sep 2001 PERFORMING FCC: DAAA REQUESTING FCC/DMIS Status Activation Inactivation ________________________________________ AAAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAB/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAC/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAD/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAKA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ABAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ACXA/0037 ACTIVE 01 Oct 2000 22 Jun 2001 ADAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 + ADBA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 do. Wn Up Inactivate File Quit Inactivate selected Requesting FCC codes 82

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DEDT: Reactivate Inactivated Requesting FCC Codes DIVISION: DIV A - TRAINING HOSPITAL ENTER/EDIT DSI DATA Data Set ID: DAA DMIS ID: 0037 Group ID: 0037 DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES DSI Status: ACTIVE Activation: 01 Oct 2000 UIC: W 2 DHAA Inactivation: 30 Sep 2001 PERFORMING FCC/DMIS Status Activation Inactivation ---------------------------------------*DAAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 d. W Up a. Dd. R i. Nact. R r. Eact. R Quit Reactivate Requesting FCC codes for the selected Performing FCC 83

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DEDT: Reactivate Inactivated Requesting FCC Codes DIVISION: DIV A - TRAINING HOSPITAL ENTER/EDIT DSI DATA Data Set ID: DAA DMIS ID: 0037 Group ID: 0037 DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES DSI Status: ACTIVE Activation: 01 Oct 2000 UIC: W 2 DHAA Inactivation: 30 Sep 2001 PERFORMING FCC: DAAA REQUESTING FCC/DMIS Status Activation Inactivation ---------------------------------------No requesting FCC Codes are available. do. Wn Up Reactivate Quit Scroll to next screen of Requesting FCC Codes 84

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Exception Report WAM > 3 Select Select Exceptions Report START DATE: 01 Jun 2001// T (21 Jun 2001) Exceptions Report END DATE: 21 Jun 2001// T (21 Jun 2001) DIVISION NAME: DIV A - TRAINING HOSPITAL// DIV A - TRAINING HOSPITAL (D)ivision, (G)roup, or (Q)uit: G// CATEGORY to report (A)ll, (M)any, (O)ne or (Q)uit: M// O Select CATEGORY to report: 6 DSI Processing in DWAM Select SEVERITY to report (A)ll, (M)any, (O)ne or (Q)uit: M// A DEVICE: DIV A - TRAINING HOSPITAL 21 Jun 2001@0751 Page 1 * * * EXCEPTIONS REPORT * * * From: 01 Jun 2001 To: 21 Jun 2001 ----------------------------------------DSI Processing in DWAM (N) (N) (N) DSI New DSI DSI DAA - 0037 Code -Req. DGE - 0037 - ACXA/0037 Req. FCC inactivated for FY 01 - 21 Jun 2001@0635 FCC ACXA/0037 added -DSI DAA -DMIS 0037 -Perf. FCC DAAA/0037 - FCCA Req. FCC inactivated for FY 01 - 21 Jun 2001@1444 - BGAE Req. FCC inactivated for FY 01 - 21 Jun 2001@1444 - BDAA Req. FCC inactivated for FY 01 - 21 Jun 2001@1444 85

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DBAT: Data Set IDs Batch Inactivate Requesting FCC • Use the Data Set IDs Batch Inactivate Requesting FCC (DBAT) option to batch inactivate/reactivate Requesting FCC within one DSI. 86

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DBAT: Data Set IDs Batch Inactivate Requesting FCC Menu Path: Secondary Menu > Type DWAM at any menu prompt Option DXCL DCRT DDSP DEDT DBAT DINA DINQ DPRN CCOM CEDT CINQ CPRN SDMT EMRT SMIA • Data Set Exclusions by DMIS ID Enter/Edit Data Set IDs Create Data Set IDs Creation Status Data Set IDs Enter/Edit Data Set IDs Batch Inactivate Requesting FCC Data Set IDs Inactivate Unused Requesting FCC Data Set IDs Inquiry Data Set IDs Print CAC/JON - MEPRS File Compare CAC/JON Enter/Edit CAC/JON Inquiry CAC/JON Print Site Definable MEPRS Table Maintenance Edit MEPRS Replacement Table MEPRS Inactivate/Reactivate Security Key DOD DSI EXCLUSION DOD DSI CREATE DOD DSI EDIT DOD DSI INACT UNUSE RFCC DOD MEPRS SD DOD MEPRS REPLACEMENT DOD MEORS COORD INACT REACT Select DOD Workload Assignment Module Menu Option: 87

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DBAT: Data Set IDs Batch Inactivate Requesting FCC DIVISION: DIV A - TRAINING HOSPITAL BATCH INACTIVATE/REACTIVATE DSI DATA 21 Jun 2001 0725 Select FISCAL YEAR: 2001 DIVISION: DIV A - TRAINING HOSPITAL 21 Jun 2001 0726 BATCH INACTIVATE/REACTIVATE DSI DATA *** Current Entries for FISCAL YEAR: 2001 *** Select DSI: DAA DIVISION: DIV A - TRAINING HOSPITAL 21 Jun 2001 0727 BATCH INACTIVATE/REACTIVATE DSI DATA *** Current Entries for FISCAL YEAR: 2001 *** DSI: DAA DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES Select PERFORMING DMIS ID: 0037 88

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DBAT: Inactivate Requesting FCC Codes DIVISION: DIV A - TRAINING HOSPITAL BATCH INACTIVATE/REACTIVATE DSI DATA *** Current Entries *** DSI: DAA DMIS ID: 0037 GROUP ID: 0037 UIC: W 2 DHAA DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES Perf. FCC: DAAA 21 Jun 20010734 REQUESTING FCC/DMIS STATUS ACTIVATION INACTIVATION ---------------------------------------*AAAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 *AAAB/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAC/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAD/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAKA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ABAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ACAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ADBA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AEAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AFAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 + BAA 5/0037 ACTIVE 01 Oct 2000 30 Sep 2001 do. Wn Up Inactivate Quit Inactivate selected Requesting FCC codes 90

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DBAT: Inactivate Requesting FCC Codes DIVISION: DIV A - TRAINING HOSPITAL BATCH INACTIVATE/REACTIVATE DSI DATA *** Current Entries *** DSI: DAA DMIS ID: 0037 GROUP ID: 0037 UIC: W 2 DHAA DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES Perf. FCC: DAAA 21 Jun 20010734 REQUESTING FCC/DMIS STATUS ACTIVATION INACTIVATION ---------------------------------------AAAA/0037 ACTIVE 01 Oct 2000 22 Jun 2001 AAAB/0037 ACTIVE 01 Oct 2000 22 Jun 2001 AAAC/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAAD/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AAKA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ABAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ACAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 ADBA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AEAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 AFAA/0037 ACTIVE 01 Oct 2000 30 Sep 2001 + BAA 5/0037 ACTIVE 01 Oct 2000 30 Sep 2001 do. Wn Up Inactivate File Quit File changes 92

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DBAT: Reactivate Requesting FCC Codes DIVISION: DIV A - TRAINING HOSPITAL BATCH INACTIVATE/REACTIVATE DSI DATA *** Current Entries *** DSI: DAA DMIS ID: 0037 GROUP ID: 0037 UIC: W 2 DHAA DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES 21 Jun 2001 1028 PERFORMING FCC/DMIS ----------------------------------------*DAAA/0037 do. Wn Up Inactivate Reactivate Quit Reactivate Requesting FCC codes for the selected Performing FCC 93

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Perform WAM Cleanup (cont. ) DBAT: Reactivate Requesting FCC Codes DIVISION: DIV A - TRAINING HOSPITAL BATCH INACTIVATE/REACTIVATE DSI DATA *** Current Entries *** DSI: DAA DMIS ID: 0037 GROUP ID: 0037 UIC: W 2 DHAA DSI Description: PHARMACY: RAW & WEIGHTED PROCEDURES Perf. FCC: DAAA 21 Jun 20011030 REQUESTING FCC/DMIS STATUS ACTIVATION INACTIVATION ---------------------------------------No requesting FCC Codes are available. Why are there no requesting FCC Codes for selection? do. Wn Up Reactivate Quit and return to Performing FCC. 94

Exception Report SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 WAM > 3 Select Select Exceptions Report START DATE: 01 Jun 2001// T (21 Jun 2001) Exceptions Report END DATE: 21 Jun 2001// T (21 Jun 2001) DIVISION NAME: DIV A - TRAINING HOSPITAL// DIV A - TRAINING HOSPITAL (D)ivision, (G)roup, or (Q)uit: G// CATEGORY to report (A)ll, (M)any, (O)ne or (Q)uit: M// O Select CATEGORY to report: 6 DSI Processing in DWAM Select SEVERITY to report (A)ll, (M)any, (O)ne or (Q)uit: M// A DEVICE: DIV A - TRAINING HOSPITAL 21 Jun 2001@1059 Page 1 * * * EXCEPTIONS REPORT * * * From: 21 Jun 2001 To: 21 Jun 2001 ----------------------------------------DSI Processing in DWAM (N) DSI DAA - 0037 - AAAB/0037 Req. FCC inactivated for FY 01 - 21 Jun 2001@0737 (N) DSI DAA - 0037 - AAAA/0037 Req. FCC inactivated for FY 01 - 21 Jun 2001@0737 95

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Agenda Ø Ø Ø Ø Introduction Lesson 1: Yearly Initialization Lesson 2: Monthly Initialization Miscellaneous Questions Summary References Questions Appendix • FY DWAM Initialization Check List • Two Locations – One MEPRS Code • WAM Exceptions Report 96

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Lesson 2: Monthly Initialization • • Manage Workload Templates System Definition Parameters Create Monthly Workload ASCII file to EAS Workload Generation Controller 97

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Lesson 2 Objectives • Understanding monthly initialization • Reviewing the WAM System Parameters • Creating the Monthly Workload ASCII file and sending it to EAS • Understanding what is in the Workload Generation Controller 98

AM W itia In liz ed 7 th au S to ys m te at m ica lly in 14 itia th liz au es to Sy m s at te ica m lly in 14 itia au th liz to Sy es m s at te ica m lly in 14 itia liz au th es to Sy m s at te ica m lly in itia liz es 3 1 - SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Automatic Initialization 1 -2 -3…. . 7. . . 14. . 21. . . 28…. …. . End +1 99

AM W itia In liz ed 7 th au S to ys m te at m ica lly in 10 itia th liz In es itia W liz AM es Co or di na 17 to au th r to Sy m s at te ica m lly in 24 itia au th liz to Sy es m s at te ica m lly in En itia liz da d o es au y S f m to ys on m te th at m pl ica us lly 1 in itia liz es 3 1 - SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Initialization 1 -2 -3…. . 7. . . 10. . 17. . . 24…. …. . End +1 100

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Monthly Initialization 1 2 3 Edit Workload Report Workload Menu Display Exceptions Report 4 5 6 7 8 Manage Workload Templates System Definition Parameters Create Monthly Workload ASCII File to EAS Create Monthly Workload ASCII File to STARS/FL Workload Generation Controller Select Workload Assignment Module Menu Option: 4 101

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Manage Workload Template Current Month WAM > 4 Select Workload Assignment Module Menu Option: 4 Manage Workload Templates Select (I)nitialize, (A)pprove, (B)atch Approve, or (Q)uit: Q// I Select DIVISION NAME: DIV A – TRAINING HOSPITAL Select Workload MONTH/YEAR: JUN 2001// Requested start time: NOW// (21 Jun 2001@102934) Task # 1149 to initialize templates has begun. Press to continue 102

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Exceptions Report WAM > 3 Select Select Exceptions Report START DATE: 01 Jun 2001// T (21 Jun 2001) Exceptions Report END DATE: 21 Jun 2001// T (21 Jun 2001) DIVISION NAME: DIV A - TRAINING HOSPITAL// DIV A - TRAINING HOSPITAL (D)ivision, (G)roup, or (Q)uit: D// CATEGORY to report (A)ll, (M)any, (O)ne or (Q)uit: M// O Select CATEGORY to report: 10 Template Status Select SEVERITY to report (A)ll, (M)any, (O)ne or (Q)uit: M// A DEVICE: DIV A - TRAINING HOSPITAL 21 Jun 2001@1033 Page 6 * * * EXCEPTIONS REPORT * * * From: 21 Jun 2001 To: 21 Jun 2001 ----------------------------------------Template Status (N) Data generation for division 0037 month 06/01 - ended 06/21/01@1030 (N) Requested by TRAINING, MANAGER (N) Data generation for division 0037 month 06/01 - started 06/21/01@1029 103

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Manage Workload Template Prior Month WAM > 4 1 2 3 4 5 6 7 8 Edit Workload Report Workload Menu Display Exceptions Report Manage Workload Templates System Definition Parameters Create Monthly Workload ASCII File to EAS Create Monthly Workload ASCII File to STARS/FL Workload Generation Controller Select Workload Assignment Module Menu Option: 4 Manage Workload Templates Select (I)nitialize, (A)pprove, (B)atch Approve, or (Q)uit: Q// A Select DIVISION NAME: DIV A - TRAINING HOSPITAL// DIV A - TRAINING HOSPITAL Select Workload MONTH/YEAR: May 2001// 104

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Manage Workload Template Prior Month Approve DIV A - TRAINING HOSPITAL DMIS ID/UIC: 0037/W 2 DHAA Fiscal Month/Year: May 2001 Date: 21 Jun 2001@1118 Template Status: W DSI: ADM Description: ADMISSIONS Performing FCC: N/A Performance Factor/Workload Total: 160 FCC/DMIS -------AAAA/0037 ABAA/0037 ADAA/0037 AFAA/0037 Statistic Amount ----157 3 0 0 FCC/DMIS -------AAKA/0037 ACAA/0037 AEAA/0037 Statistic Amount ----0 0 0 Next Screen Prev Screen View Change Status Allows changing this Template Status to A Quit 105

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Manage Workload Template Prior Month Approve (cont. ) DIV A - TRAINING HOSPITAL DMIS ID/UIC: 0037/W 2 DHAA Fiscal Month/Year: May 2001 Date: 21 Jun 2001@1118 Template Status: W DSI: ADM Description: ADMISSIONS Performing FCC: N/A Performance Factor/Workload Total: 160 FCC/DMIS -------AAAA/0037 ABAA/0037 ADAA/0037 AFAA/0037 Statistic Amount ----157 3 0 0 FCC/DMIS -------AAKA/0037 ACAA/0037 AEAA/0037 Statistic Amount ----0 0 0 Are you sure that you want change status from W to A? NO// Y Next Screen Prev Screen View Change Status Allows changing this Template Status to A Quit 106

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Manage Workload Template Prior Month Approve (cont. ) DIV A - TRAINING HOSPITAL DMIS ID/UIC: 0037/W 2 DHAA Fiscal Month/Year: May 2001 Date: 21 Jun 2001@1125 Template Status: A DSI: ADM Description: ADMISSIONS Performing FCC: N/A Performance Factor/Workload Total: 160 FCC/DMIS -------AAAA/0037 ABAA/0037 ADAA/0037 AFAA/0037 Statistic Amount ----157 3 0 0 FCC/DMIS -------AAKA/0037 ACAA/0037 AEAA/0037 Statistic Amount ----0 0 0 Next Screen Prev Screen View Change Status Allows changing this Template Status to A Quit 107

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Manage Workload Template Prior Month Batch Approve Select DIVISION NAME: DIV A - TRAINING HOSPITAL// ^ 1 2 3 4 5 6 7 8 Edit Workload Report Workload Menu Display Exceptions Report Manage Workload Templates System Definition Parameters Create Monthly Workload ASCII File to EAS Create Monthly Workload ASCII File to STARS/FL Workload Generation Controller Select Workload Assignment Module Menu Option: 4 Manage Workload Templates Select (I)nitialize, (A)pprove, (B)atch Approve, or (Q)uit: Q// B Select DIVISION NAME: DIV A - TRAINING HOSPITAL// Select Workload MONTH/YEAR: May 2001// Are you sure that you want to change the status of all DSIs to A? NO// Y 108

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 DSI Status Report WAM > 2 Select DATA SET Status Report MONTH/YEAR: Jun 2001// MAY 2001 Select DIVISION NAME: DIV A - TRAINING HOSPITAL// Select (D)ivision, (G)roup, or (Q)uit: D// D DEVICE: May 2001 DIV A - TRAINING HOSPITAL 109

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 DSI Status Report (cont. ) WAM > 2 DIV A - TRAINING HOSPITAL 21 Jun 2001@1156 Page 1 DATA SET STATUS REPORT Month: May Year: 2001 ----------------------------------------DATA Description Perf Status SET FCC/DMIS Date ----------------------------------------OBD OCCUPIED BED DAYS A 21 Jun 01 OUTPATIENT VISITS A 21 Jun 01 TOTAL VISITS A 21 Jun 01 DISPOSITIONS A 21 Jun 01 ADMISSIONS A 21 Jun 01 DAA PHARMACY: RAW & WEIGHTED PROCEDURES DAAA/0037 A 21 Jun 01 DBA CLINICAL PATHOLOGY: RAW & DBAA/0037 Press to continue or '^' to quit A 21 Jun 01 110

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 System Definition Parameters WAM > 5 1 2 3 Edit Workload Report Workload Menu Display Exceptions Report 4 5 6 7 8 Manage Workload Templates System Definition Parameters Create Monthly Workload ASCII File to EAS Create Monthly Workload ASCII File to STARS/FL Workload Generation Controller Select Workload Assignment Module Menu Option: 5 111

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 System Definition Parameters (cont. ) WAM > 5 DIVISION PARAMETERS: DIV A - TRAINING HOSPITAL YES/NO WAM Functionality Activation: YES Workload Deviation Range (%): Workload Data Generation Frequency (days): Delinquency Status Allowance (days): Delinquency E-Mail Bulletin: YES YES VALUE Help = HELP Exit = F 10 File/Exit = DO 15 7 7 INSERT OFF 112

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create Monthly Workload ASCII File to EAS WAM > 6 1 2 3 Edit Workload Report Workload Menu Display Exceptions Report 4 5 6 7 8 Manage Workload Templates System Definition Parameters Create Monthly Workload ASCII File to EAS Create Monthly Workload ASCII File to STARS/FL Workload Generation Controller Select Workload Assignment Module Menu Option: 6 113

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create Monthly Workload ASCII File to EAS Divisions not Approved Select Workload MONTH/YEAR: May 2001// Job is terminated. 0037 0256 May 2001 DSIs are not all approved for the following division(s): Press to continue 114

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create Monthly Workload ASCII File to EAS Divisions Approved Select Workload MONTH/YEAR: May 2001// Requested start time: NOW// May 2001 (21 Jun 2001@101927) ASCII file DISK$RAID 4: [TDBMGR 2. APPL. EXPORT]X 0037105. 21 A has been successfully assigned Task number 1153. Press to continue 115

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create Monthly Workload ASCII File to EAS Mail Generated Notification 1 Edit Workload 2 3 4 5 6 7 8 Report Workload Menu Display Exceptions Report Manage Workload Templates System Definition Parameters Create Monthly Workload ASCII File to EAS Create Monthly Workload ASCII File to STARS/FL Workload Generation Controller Select Workload Assignment Module Menu Option: You have new mail. 116

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create Monthly Workload ASCII File to EAS Mail AML BOP EML GML HML LNM NML QML RML SML Assume another identity as a surrogate Basket Options Edit user options Group Membership Help Menu List New Messages and Responses Queued Message Deletion Read a Message Send a Message Select Mail. Man Menu Option: LNM You have 37 new messages. Select listing device: List New Messages for TRAINING, MANAGER @TRAINING. SAIC. COM Thu, 21 Jun 2001 10: 21: 35 _________________________________________ + Thu, 21 Jun 2001 14: 26: 11 7 Lines From: POSTMASTER Not read, in IN basket 35) Subj: APPOINTMENT SCHEDULED Thu, 21 Jun 2001 10: 24 5 Lines From: POSTMASTER Not read, in IN basket 36) Subj: WAM ASCII FILE GENERATION Thu, 21 Jun 2001 10: 19: 30 1 Line From: POSTMASTER Not read, in IN basket 117

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Create Monthly Workload ASCII File to EAS Mail Subj: WAM ASCII FILE GENERATION Thu, 21 Jun 2001 13: 10: 14 1 Line From: POSTMASTER (Sender: TRAINING, MANAGER) in 'IN' basket. **NEW** , , , , , , , , Expires: 06 Jul 2001, , , , , , , X 0037105. 21 B has been created and placed in the EXPORT directory Select MESSAGE Action: IGNORE (in IN basket)// 118

Exception Report SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 WAM > 3 Select Select Exceptions Report START DATE: 01 Jun 2001// T (21 Jun 2001) Exceptions Report END DATE: 21 Jun 2001// T (21 Jun 2001) DIVISION NAME: DIV A - TRAINING HOSPITAL// DIV A - TRAINING HOSPITAL (D)ivision, (G)roup, or (Q)uit: D// G CATEGORY to report (A)ll, (M)any, (O)ne or (Q)uit: M// O Select CATEGORY to report: 12 EAS ASCII File Creation Select SEVERITY to report (A)ll, (M)any, (O)ne or (Q)uit: M// A DEVICE DIV A - TRAINING HOSPITAL 21 Jun 2001@1104 Page 1 * * * EXCEPTIONS REPORT * * * From: 21 Jun 2001 To: 21 Jun 2001 ----------------------------------------EAS ASCII File Creation (W) (N) (N) File X 0037105. 21 A has been re-transmitted. Recommend retrans WWR data. Creation of ASCII file X 0037105. 21 A was successful - ended 06/21/01@1019 Requested by TRAINING, MANAGER Creation of ASCII file X 0037105. 21 A is in progress - started 06/21/01@1019 119

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Workload Generation Controller WAM > 8 1 2 3 Edit Workload Report Workload Menu Display Exceptions Report 4 5 6 7 8 Manage Workload Templates System Definition Parameters Create Monthly Workload ASCII File to EAS Create Monthly Workload ASCII File to STARS/FL Workload Generation Controller Select Workload Assignment Module Menu Option: 8 120

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 WAM Generator Controller Reports • • • WAM Templates WWR LAB, RAD, and PHR MEPRS Group Reports PAD Monthly MEPRS Report PAS Monthly Statistical Report-Summary Format Note: If EOD processing is still outstanding, the Delinquent EOD Processing Report prints instead. • Roster of Kept APV Appointments 121

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 WAM Generator Controller Business Rules • • WGC can only be used for a prior month Must be logged into a lead division to use the WGC can only be scheduled to run during non-peak hours (e. g. , 1700 to 0400). Only one WGC task can be scheduled per night, regardless of the reporting month Security Key needed: DGNAS WAM GENERATION You must enroll in the WAM GENERATION mail group to receive WGC completion bulletins. WGC does not generate the WWR ASCII file for transmission. The WWR POCs must still generate the file manually through the Create Worldwide Workload Report in ASCII format (CMF) option. WWR POCs should belong to the WAM GENERATION mail group. 122

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Agenda Ø Ø Ø Ø Introduction Lesson 1: Yearly Initialization Lesson 2: Monthly Initialization Summary References Questions Appendix • FY DWAM Initialization Check List • Two Locations – One MEPRS Code • WAM Exceptions Report 123

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Summary Lesson 1: Yearly Initialization Lesson 2: Monthly Initialization 124

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 References • CHCS Workload Desktop Guide; SAIC D/SIDDOMS Doc. D 2 -NWDq-5000 A; 28 Sep 2007 • WAM Exception Messages 125

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Questions ? 126

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 Appendix 1. FY DWAM Initialization Check List 2. Two Locations – One MEPRS Code 3. WAM Exceptions Report 127

SAIC D/SIDDOMS III Doc. D 3 -ACSS-8100 DRAFT: 28 Jun 2010 FY DWAM Initialization Check List 1 Step Activity - Description Approximate Completion Date 1 Know your mission changes. 21 Sept (4 wks prior) 2 Review your site-definable MEPRS Codes Table (especially any new codes for the new missions). 29 Sept (3 wks prior) 3 a CHCS Site Manager should load FY data updates onto CHCS. Note: If the local CHCS Site Manager does not complete this step by 25 October please contact your AMPO Analyst. 05 Oct (2 wks prior) 3 b Verify that the appropriate third-level MEPRS codes were inactivated with the Master MEPRS Update. Sites must manually inactivate the forth level if necessary. 12 Oct (1 wk prior) 4 Validate that your CHCS DMIS IS Structure for the new FY. 20 Oct 5 Create the DSI Exclusion. Use the Data Set Exclusions by DMIS ID Enter/Edit (DXCL) option to exclude certain DMIS IDs as Requesting FCCs prior to creating the DSI file for the new FY. 20 Oct 6 Create the DSI file for the new FY. 20 Oct 7 Check the WAM Exceptions Report – Category 14, CHCS DSI File Activity, for DSI file exceptions messages after the SDI Creation status is listed as COMPLETE. Resolve all WAM Exceptions. 20 Oct 8 Perform DWAM cleanup. These actions include adding manual and Cost Pool DSI, and Cost Pools as Requesting FCCs. 20 Oct 128

2 Two Locations – One MEPRS Code 129

Two Locations One MEPRS Each location accrues its own workload, EOD, monthly statistical, etc. Now let’s see who at site is responsible for each part of creating the location in order for workload to be accrued correctly. We will follow one location only, but both locations follow the same format. NAME: LOCATION: ABBREV: DEPT/SERVICE MEPRS: SPECIALTY: Internal Medicine CLINIC INTMED Internal Medicine BAAA Internal Medicine NAME: LOCATION: ABBREV: DEPT/SERVICE MEPRS: SPECIALTY: Coumadin Clinic CLINIC ACOUMA Internal Medicine BAAA Hematology 130

01 Handout: 2 Clinics 1 MEPRS Code 131

MEPRS Coordinator 1. BAAA MEPRS Coordinator provides the approved MEPRS code information to local CHCS/AHLTA personnel. Due to the synchronization issue, MEPRS Coordinators do not add the MEPRS Code to the sitedefinable MEPRS Table. 132

1 Add BAAA MEPRS Code to CHCS CA > DAA > MPR > WFM > SDM MEPRS CODES: BAAA MEPRS CODE: DESCRIPTION: ABBREVIATION: CATEGORY: DEPT/SERVICE: STANDARDIZATION: SALES CODE: GROUP ID: DMIS ID: CLINIC ROLLUP CODE: ICU FLAG: APU FLAG: Ask for Help = HELP DOD MEPRS ENTER EDIT BAAA Internal Medicine Clinic INTMED OUTPATIENT INTERNAL MEDICINE SERVICE NON-STANDARD 0037 Screen Exit = F 10 File/Exit = DO INSERT OFF 133

Data Base Administrator 2. 3. 4. 5. 6. Hospital Location File (HOS) Provider File (PRO) Clinic Profile (CPRO) Provider Profile (PPRO) MCP F&T (PTAB) a. GROU b. PLOC c. PROV 7. Schedules (SCHE) 134

Hospital Location File 2 CA > DAA > CFT > CFM > HOSPITAL LOCATION: INTERNAL MEDICINE CLINIC NAME: ABBREV: DESCRIPTION: LOCATION TYPE: DOD HOSP LOCATION EDIT INTERNAL MEDICINE CLNIC AINMED INTERNAL MEDICINE CLINIC SERVICE: INTERNAL MEDICINE SE DIVISION: DIV A - TRAINING HOSPITAL FACILITY: WALTER REED AMC WASHINGTON DC BLDG NAME: BLDG NUMBER: TELEPHONE: STREET ADDRESS: ZIP: CITY: STATE: DEFAULT DEVICE: Ask for Help = HELP Screen Exit = F 10 File/Exit = DO INSERT OFF 135

Hospital Location File (cont. ) CA > DAA > CFT > CFM > HOSPITAL LOCATION: INTERNAL MEDICINE CLINIC DOD HOSP LOCATION EDIT -- CONTINUATION MEPRS CODE: BAAA/0037 COST POOL CODE: PROMPT FOR REQUESTING SERVICE: NO ENROLLEE LOCKOUT: NO TYPE OF CARE: Select CLINIC SPECIALTY: INTERNAL MEDICINE Select KEY PERSON: Select DUPLICATE CHECKING ORDER TYPE: INACTIVE FLAG: 136

Provider File 3 CA > DAA > CFT > CFM > PROVIDER: HARTMAN, CHRIS Name: Provider Flag: Provider ID: NPI Type/ID: Provider Class: Person Identifier: Person ID Type Code: Select PROVIDER SPECIALTY: + INTERNIST DA PROVIDER EDIT EDI_PN: HARTMAN, CHRIS PROVIDER HARTMC / INTERNIST xxx-xx-xxxx SOCIAL SECURITY NUMBER (SSN) Primary Provider Taxonomy: 207 R 00000 X CMAC Provider Class: 01 – MEDICAL DOCTOR OSTEOPATHY Select PROVIDER TAXONOMY: + 207 E 0000 X Location: INTERMAL MEDICIN CLINIC HCP SIDR-ID: Branch of Service: Rank: CAPTAIN 137

PAS Clinic Profile 4 CA > PAS > SCHE > PROF > CPRO CLINIC PROFILE Hospital Location: INTERNAL MEDICINE CLINIC ----------------------------------------Name: INTERNAL MEDICINE CLINIC Abbreviation: AINMED Facility: WALTER REED AMC WASHINGTON DC Division: DIV A - TRAINING HOSPITAL Building Name: Building Number: Street Address: ZIP: City: State: Clinic Location: Clinic Availability: Telephone: Enrollee Lockout: NO Type of Care: Service: INTERNAL MEDICINE SERVICE Department: MEDICAL CARE DEPARTMENT MEPRS Code: BAAA Help = HELP Exit = F 10 File/Exit = DO INSERT OFF 138

PAS Clinic Profile (cont. ) CA > PAS > SCHE > PROF > CPRO CLINIC PROFILE HOSPITAL LOCATION: INTERNAL MEDICINE CLINIC ----------------------------------------Wait List Activated: NO Maximum Wait List Days: day(s) Wait List Provider Mandatory: Wait List Hold Duration: day(s) Auto Wait List Processing: Schedule Hold Duration: 7 day(s) Prompt for Requesting Service: NO Patient Record Pull: 0 day(s) Clinic Type: COUNT Radiology Record Pull: 0 day(s ) Check Holiday File: YES Roster Production: 1 day(s) Cost Pool Code: Prepare Reminder Notice: 4 day(s) Activation Status: ACTIVATED Available Schedule: 30 day(s) Access to Care Reporting: YES Self-Referrals Allowed: YES Clinic Appt Instructions: Help = HELP Exit = F 10 File/Exit = DO INSERT OFF 139

PAS Clinic Profile (cont. ) CA > PAS > SCHE > PROF > CPRO HOSPITAL LOCATION: INTERNAL MEDICINE CLINIC ----------------------------------------Select CLINIC SPECIALTY: INTERNAL MEDICINE . . . lp = HELP Exit = F 10 File/Exit = DO INSERT OFF 140

PAS Clinic Profile (cont. ) CA > PAS > SCHE > PROF > CPRO CLINIC PROFILE HOSPITAL LOCATION: INTERNAL MEDICINE CLINIC ----------------------------------------Select DETAIL CODES: Help = HELP Exit = F 10 File/Exit = DO INSERT OFF 141

PAS Clinic Profile (cont. ) CA > PAS > SCHE > PROF > CPRO CLINIC PROFILE HOSPITAL LOCATION: INTERNAL MEDICINE CLINIC ----------------------------------------Select APPOINTMENT TYPE: ACUT EST GRP SPEC T-CON* Help = HELP Exit = F 10 File/Exit = DO INSERT OFF 142

PAS Provider Profile 5 CA > PAS > SCHE > PROF > PPRO HOSPITAL LOCATION: INTERNAL MEDICINE CLINIC SD HCP PROFILE Select PROVIDER: ALLEN, ERWIN D BLEVINS, ROGER B CARSON, CORRINE C HARTMAN, CHRIS QUIST, AMY TELCON, PROVIDER VALENCIA, DAVID Ask for Help = HELP Screen Exit = F 10 File/Exit = DO 143

PTAB - GROU 6 A CA > PAS > MAN > FMCP > PTAB > GROUP PROFILE Group: INTERNAL MEDICINE GROUP ======================================== Group ID: 143/V 71 Tax ID#: CHAMPUS Number: Address 1: Address 2: Zip: City: State: Phone: Contact: Will this Group allow PCM Assignments to the "Group Provider"? NO Help = HELP Exit = F 10 File/Exit = DO 144

6 B PTAB – PLOC CA > PAS > MAN > FMCP > PTAB > PLOC CLINIC PROFILE Hospital Location: INTERNAL MEDICINE CLINIC ----------------------------------------Name: INTERNAL MEDICINE CLINIC Abbreviation: AINMED Facility: WALTER REED AMC WASHINGTON DC Division: DIV A - TRAINING HOSPITAL Building Name: Building Number: Street Address: 1610 CONSTITUTION AVE ZIP: 20307 City: WASHINGTON State: DISTRICT OF COLUMBIA Clinic Location: Clinic Availability: Telephone: 202 427 -4781 Enrollee Lockout: Type of Care: Service: INTERNAL MEDICINE SERVICE Department: MEDICAL CARE DEPARTMENT MEPRS Code: BAAA 145

PTAB – PLOC (cont. ) CA > PAS > MAN > FMCP > PTAB > PLOC CLINIC PROFILE HOSPITAL LOCATION: INTERNAL MEDICINE CLINIC ----------------------------------------Wait List Activated: NO Maximum Wait List Days: day(s) Wait List Provider Mandatory: Wait List Hold Duration: day(s) Auto Wait List Processing: Schedule Hold Duration: day(s) Prompt for Requesting Service: Patient Record Pull: 0 day(s) Clinic Type: COUNT Radiology Record Pull: 0 day(s ) Check Holiday File: YES Roster Production: 1 day(s) Cost Pool Code: Prepare Reminder Notice: 4 day(s) Activation Status: ACTIVATED Available Schedule: 30 day(s) Access to Care Reporting: YES Self-Referrals Allowed: YES Clinic Appt Instructions: Help = HELP Exit = F 10 File/Exit = DO INSERT OFF 146

PTAB – PLOC (cont. ) CA > PAS > MAN > FMCP > PTAB > PLOC CLINIC PROFILE HOSPITAL LOCATION: INTERNAL MEDICINE CLINIC ----------------------------------------Select CLINIC SPECIALTY: INTERNAL MEDICINE Help = HELP Exit = F 10 File/Exit = DO INSERT OFF 147

PTAB – PLOC (cont. ) CA > PAS > MAN > FMCP > PTAB > PLOC CLINIC PROFILE HOSPITAL LOCATION: CASE MANAGEMENT DIV ARMY ----------------------------------------Select APPOINTMENT TYPE: ACUT EST GRP SPEC T-CON* Help = HELP Exit = F 10 File/Exit = DO INSERT OFF 148

PTAB – PLOC (cont. ) CA > PAS > MAN > FMCP > PTAB > PLOC Hospital Location: INTERNAL MEDICINE CLINIC PLACE OF CARE - HOURS OF SERVICE ======================================== Type of Facility: MSC MULTISERVICE CLINIC Appt Contact: APPOINTMENT CLERK Beneficiary PCM Contact Number: DMIS ID#: 0037 WALTER REED ARMY MEDICAL CENTE OPS Forces PLOC: ---------------------- Hours of Service ---------Day of Week AM PM ----------------------------------------Monday 0800 - 1200 1201 - 1700 Tuesday 0800 - 1200 1201 - 1700 Wednesday 0800 - 1200 1201 - 1700 Thursday 0800 - 1200 1201 - 1700 Friday 0800 - 1200 1201 - 1700 Saturday Sunday - 149

6 C PTAB - PROV CA > PAS > MAN > FMCP > PTAB > PROV Associate PROV with GROU Associate PROV with PLOC Link MCP with Pas Provider Profiles 150

PROV – Associate with Group INDIVIDUAL PROVIDER PROFILE Provider: HARTMAN, CHRIS ----------------------------------------Groups with which this provider is associated ________________________________________ INTERNAL MEDICINE GROUP , , , , , , , , , , , , , , , , , , , , Select (P)rovider Profile enter/edit, Pro(V)ider Capacity, (G)roup add/delete, P(R)actice Parameters, (D)elete Provider from all Groups, or (Q)uit: R// 151

PROV – Associate with Place of Care Practice Parameters INDIVIDUAL PROVIDER - GROUP ASSOCIATION PROFILE Provider: HARTMAN, CHRIS Group: INTERNAL MEDICINE GROUP ----------------------------------------Places of Care in association with this Group , , , , , , , , , , , , , , , , , , , , INTERNAL MEDICINE , , , , , , , , , , , , , , , , , , , , Select (A)dd Place of Care, (D)elete Place of Care, (V)iew Place of Care, (S)pecialties, (H)ours of Service, (P)AS Provider Profile enter/edit, or (Q)uit: 152

PROC – Associate Specialty Practice Parameters INDIVIDUAL PROVIDER - PLACE OF CARE PROFILE WITHIN GROUP Provider: HARTMAN, CHRIS Group: INTERNAL MEDICINE GROUP Place of Care: INTERNAL MEDICINE ======================================== Select Specialty ----------------------------------------INTERNIST Help = HELP Exit = F 10 File/Exit = DO INSERT OFF 153

PROV – Associate with Specialty (cont. ) Practice Parameters INDIVIDUAL PROVIDER - PLACE OF CARE PROFILE WITHIN GROUP Provider: HARTMAN, CHRIS Group: INTERNAL MEDICINE GROUP Place of Care: INTERNAL MEDICINE ======================================== Specialty Code: INTERNIST Accepts Specialty Referrals associated with Specialty at this Place of Care YES Accepts PCM Assignments associated with Specialty at this Place of Care NO HIPAA Provider Taxonomy Code: 207 E 0000 X HIPAA Provider Taxonomy Description: CMAC Provider Class: 01 Help = HELP MEDICAL DOCTOR OSTEOPATHY Exit = F 10 File/Exit = DO INSERT OFF 154

PROC – Associate MCP with PAS Provider Profiles PROVIDER: HARTMAN, CHRIS CP NET HCP PROFILE -- CONTINUATION PROVIDER: HARTMAN, CHRIS PROVIDER TAXONOMY: 207 E 0000 X MEDICAL DOCTOR OSTEOPATHY CLINIC HOURS: LOCATION: MAX # OF PATIENT APPTS PER DAY: 99 APPT ARRIVAL ADVANCE TIME: minutes PROVIDER INSTRUCTIONS: PRINT ROSTER WITH OPEN APPTS: YES, SHOW OPEN APPT SLOTS INACTIVATION DATE: Ask for Help = HELP Screen Exit = F 10 File/Exit = DO INSERT OFF 155

7 Create Schedule for Providers CA > PAS > SCHE Created schedules for all providers in Internal Medicine for 21 Jun 2001 Tested by booking appointments to the providers 156

Miscellaneous Enter Ancillary Order for Internal Medicine Enter Internal Medicine clinic in the Ambulatory Data System (ADS) Site will have to enter a MHS Help Ticket so that the new clinic can be mapped to AHLTA by DISA. (This can take up to four weeks. ) 157

8 Ancillary Procedure - Internal Medicine CA > CLN > MNG > TAB > ANCILLARY PROCEDURE: INTERNAL MEDICINE CONSULT Name: INTERNAL MEDICINE CONSULT Special Procedure Type: CONSULTS Description: ANCILLARY PROCEDURE MAINTAIN Mnemonic: INC Schedule Type: SCHEDULED Clinic Specialty: Consulting Clinic(s): Display Clinic Specialty? : Consulting Clinic? : Provider Specialty? : Consulting HCP? : Help = HELP Exit = F 10 NO YES File/Exit = DO INSERT OFF 158

Ancillary Procedure for Internal Med (cont. ) CA > CLN > MNG > TAB > ANCILLARY PROCEDURE: INTERNAL MEDICINE CONSULT ANCILLARY PROCEDURE MAINTAIN Order Review Required: YES or NO Select Authorized Ordering Classes: Countersignature: Unavailable: Help = HELP Authorization Key: Exit = F 10 File/Exit = DO INSERT OFF 159

9 ADM Setup for Internal Medicine ADS > 6 EDIT ADM CLINICS This is the list of clinics allowed to enter/edit ADM encounters. The nightly SADR task will automatically generate ADM encounters for cancelled appointments for these clinics. Many reports also examine this list. Clinics: + DERM CARE MTF ENT CLINIC FAM MED MTF ACUTE CR BC ADULT PR CR BC APU GENERAL SURGERY IMMUNIZATION CLINIC BL MED HEARING CONSERVATION IBWA CLINIC 0037 IBWA CLINIC 0067 INTERNAL MEDICINE DIV A DIV B DIV A DIV A NAVAL DIV A - TRAINING - PENTAGON - TRAINING - TRAINING HOSPITAL BRANCH CLINIC HOSPITAL HOSPITAL 160

ADM Setup for Internal Medicine (cont. ) ADS > 6 EDIT ADM CLINICS This is the list of clinics allowed to enter/edit ADM encounters. The nightly SADR task will automatically generate ADM encounters for cancelled appointments for these clinics. Many reports also examine this list. Clinics: + INT MED MTF ARMY DIV A - TRAINING HOSPITAL DERM CARE MTF DIV A - TRAINING HOSPITAL --------------------------------------INTERNAL MEDICINE DIV A - TRAINING HOSPITAL BAAA/0037 Are you adding ‘INTERNAL MEDICINE' as a new ADS CLINICS (the 33 rd for this KG SITE PARAMETERS) ? Y --------------------------------------- Help = HELP Exit = F 10 File/Exit = DO INSERT OFF 161

Second Location Repeat Steps 2 - 9 for the second Hospital Location, Coumadin Clinic. 162

10 AHLTA DBA will enter a Help Ticket in order that DISA can complete the necessary file and table to add the clinics to AHLTA. This process could take from 4 -6 weeks. Be pro-active and think ahead. 163

3 WAM Exceptions Report 164

WAM Exception Categories 4 5 6 7 8 9 10 11 12 13 14 15 16 WAM File Synchronization Errors CAC/JON Processing in DWAM SAS Processing in DWAM Invalid MEPRS in DWAM Workload Deviations Workload Delinquencies Template Status STARS/FL ASCII File Creation EAS ASCII File Creation CHCS MEPRS Activity CHCS SAS Detail File Activity CHCS Worldwide Workload Report and SIDR Transmission Log CHCS Radiology Remote Workload Processing 165

Exceptions Report Information The Exceptions Report contains valuable information relating to WAM processing. Its purpose is to aid in the tracking of normal processes as well as advise of any errors that may occur during the process. Exception messages are displayed under the appropriate category in the report, to provide detailed information on the daily WAM activities. N = Notation – normal processing W = Warnings – normal processing but may need attention E = Error – processes that did not occur properly or did not take place at all and therefore need further attention. 166

Exceptions Report Information (cont. ) Category 11, STARS/FL ASCII File Creation These exception messages are generated showing the start and completion of STARS ASCII file creation, as well as the user who requested the ASCII file creation. They include the filename of the ASCII file. (N) Creation of ASCII file WRK 00183. 03 R was successful ended 10/17/03@1556 (N) Requested by VAHN, GARY (N) Creation of ASCII file WRK 00183. 03 R is in progress started 10/17/03@1555 Meaning: These messages are normally for information only. However, if a start message is generated but an end message is not generated within a reasonable length of time, the system/software specialist should be notified. Corrective Action: Notify your system/software specialist to investigate this as a possible system problem. Category Number and Title Explanation of Category Exception Examples What the Exceptions Mean Corrective Action 167

N = Notations Category 6, DSI Processing in DWAM Like Category 5, this category reflects modifications to the DSI file that are the result of manual edits using the Data Set IDs Enter/Edit (DEDT) option on CHCS. (W) DSI EHA related data has been modified (W) Inactivated DSI EHA – 0124 – inact. Date 10/15/03 Meaning: These informational messages are generated when inactivating a single Requesting MEPRS within a manual or Cost Pool DSI. Corrective Action: No action is required. ------------------------------------------(N) DSI EHA related data has been modified for FY 03 - 10/25/03@1202 (N) Changed DSI EHA - 0382 inact. date to 10/26/03 Meaning: These messages are generated when the inactivation date for a manual or Cost Pool DSI is changed. This is already inactive (rare but possible). Corrective Action: No action is required. ------------------------------------------(N) DSI A*X - 0124 - AAXA Per. FCC inactivated for FY 03 - 22 Oct 2003@1302 Meaning: These information messages are generated when a Performing FCC is inactivated within an Inpatient Cost Pool DSI through the Data Set IDs Enter/Edit (DEDT) option. Corrective Action: No action is required. 168

W = Warnings Category 8, Workload Deviations Workload deviation ranges are set in the WAM Site Parameters file for each division as a percentage. Exception messages are triggered when the percentage deviation for a Performing FCC from one month to the next is exceeded. The intent of these messages is to notify managers and MEPRS Coordinators of large deviations in monthly workload data that may indicate procedural or data-quality issues. Three messages are possible, as shown below: (W) DSI devi range exceeded - DSI ADM - Raw/Stat - Rpt Month 10/03 (W) DSI devi range exceeded - DSI DBA - Perf DBAA - Raw/Stat - Rpt Month 10/03 (W) DSI devi range exceeded - DSI DCA - Perf DCAA - Weighted - Rpt Month 10/03 Meaning: Example 1 is generated for a DSI without a Performing FCC that has a deviation in the raw count. Example 2 is generated for a DSI with a Performing FCC that has a deviation in the raw count. And Example 3 is generated for a DSI with a Performing FCC that has a deviation in the weighted workload. Corrective Action: Analysis is required to determine the source of the deviation. Possible sources: If the deviation is for RAD or LAB workload, was a recent CPT Table update installed? Do other workload measurements (e. g. , WWR or MEPRS Group Reports) validate the current workload counts? Has the DBA recently inactivated or created new MEPRS codes? 169

E = Error Category 13, CHCS MEPRS Activity CHCS automatically updates the DSI Detail file for the FY when changes are made in the CHCS MEPRS Codes Table. For every change in the MEPRS Codes Table, messages are written to Category 13 (showing the change to the MEPRS Codes Table) and to Category 14 (showing corresponding automatic changes to the DSI Detail file). (N) 0124 -BABB added-DMIS 0124 -11/01/03@1528 Meaning: This message is generated when a new MEPRS code is created. The message indicates the division and the date/time it was created. Corrective Action: No action is required. ------------------------------------------(E) 0124 -BABB added – DMIS 0386 lacks MPARENT – 11/01/00@1528 Meaning: This message is generated when a new MEPRS code is created on CHCS, but the DMIS ID lacks a MEPRS Parent in the official DMIS ID Codes file. Corrective Action: If the problem is in the DMIS ID Codes file, log a Support Center call requesting a data repair. Requests for changes to the DMIS ID Codes file should always be coordinated through NMIMC and BUMED. ------------------------------------------(E) 0124 – BABB added – DMIS 0386 – MPARENT not equal GROUP ID - 11/01/00@1528 Meaning: A new MEPRS code is created on CHCS, but the MEPRS Parent does not match the Group ID in the official DMIS ID Codes file Corrective Action: If the problem is in the DMIS ID Codes file, log a Support Center call requesting a data repair. Requests for changes to the DMIS ID Codes file should always be coordinated through NMIMC and BUMED. 170

Other Examples Category 14, CHCS DSI File Activity CHCS automatically updates the DSI Detail file for the FY when changes are made in the CHCS MEPRS Codes Table. For every change in the MEPRS Codes Table, messages are written to Category 13 (showing the change to the MEPRS Codes Table) and to Category 14 (showing corresponding automatic changes to the DSI Detail file). (E) DMIS 0381 – Div. DSI data not created; MEPRS Parent not equal to Group ID Meaning: This error message is generated when trying to create the DSI file. In the example, DMIS 0381 cannot have DSI data created because a mismatch exists between the ‘MEPRS Parent’ field and the ‘DMIS Parent (Group ID)’ field in the DMIS ID codes for that DMIS. Corrective Action: If this is correct, turn off WAM for this division. If you feel that the division should have an MEPRS Parent value, log a SEAHELP ticket. The DMIS ID Codes file may be wrong. -------------------------------------------(E) WAM functionality not turned on for Group 0124 Meaning: This error message is generated when trying to create the DSI file and WAM is turned off for the Group/Parent division. The DSI data must be generated first for the Group division, before any data can be created for the child divisions. Corrective Action: Turn on WAM for the Group and then try again to create the DSI file. -------------------------------------------(E) WAM functionality not turned on for DMIS 0381 Meaning: This message is generated during DSI creation. In the example, the child division with a DMIS of 0381 has WAM turned off. Therefore, no DSI data can be generated for this division. Corrective Action: If this is correct, do nothing. If this is not correct, turn on WAM for the division. 171