Preparing for an Audit:
DMHRSi Time vs. Workload Reporting
Navy Resources Symposium
4 June 2012
Herb Escobar
Escobar Analytics and Services, Inc.
hescobar@easincorporated.com
Objectives
After completing this session the attendee can:
•
•
•
•
Describe the Defense Medical Human Resources Reporting
System internet (DMHRSi).
Characterize data that can be analyzed with DMHRSi not
available in MEPRS.
Characterize the extent to which workload and timesheet
reporting differs at MTF and MEPRS Code level in Navy
Medicine.
Describe methods that can be used to test the extent to which
timesheet and workload reporting differ.
2
Outline
•
DMHRSi Data and Application
•
DMHRSi Data Quality Challenges
•
Tri-Service Labor Reporting vs. Workload Study
•
Questions
3
DMHRSi Data and
Application
4
DMHRSi Overview
•
Defense Medical Human Resources System - internet
(DMHRSi)
•
•
•
•
•
Repository for MHS human capital and labor cost assignment data
Source for tri-Service medical human capital information
Source of FTE data and personnel expenses in MEPRS and M2
Self-reported labor hours across Functional Cost Codes (4th-level
MEPRS Codes)
Labor hours across MEPRS Codes lead to personnel costs
•
•
•
Actual salary for Civilians
Uniform composite pay tables for Military
No personnel costs for Contractors
5
DMHRSi Data Sources
•
“DMHRSi DiscovererPlus” is the integrated
reporting tool
•
•
•
•
Interactive
Corporate Reports
Ad-hoc queries
Performance and
documentation
challenges
SMART receives regular DMHRSi extracts
6
DMHRSi Data Sources (Cont.)
•
Monthly DMHRSi HR extract available in MDR
• Person-level assignment data from 1 Oct 2008 – Present
• /mdr/pub/dmhrsi/hr/dmhrsi.sas7bdat
•
•
•
•
•
•
•
EDIPN/NPI/SSN
Name/Rank/Grade
Person Category/Skill Type/Suffix
Occupation Code/Taxonomy/Job/Position
Assignment MTF/Organization/People Group
Labor Reporting MTF/Organization/People Group
Assignment Start/End Dates
7
Analytic Applications of
DMHRSi data
•
Richness of DMHRSi data facilitates analyses not possible with
MEPRS or M2 personnel data alone
• Workload and cost metrics by Facility/Service of assignment
– Army or Air Force providers in Navy facilities
• Assigned/Available MEPRS codes by person – where are
people actually working
• National Practitioner Identifier (NPI) and Electronic Data
Interchange Person Number (EDIPN) facilitates linking
workload from CAPER/SIDR to specific provider
characteristics
• Labor reporting vs. workload across Functional Cost Codes
8
DMHRSi Data Quality
Challenges
9
DMHRSi Data Quality
•
Common of DQ issues observed – some easy to spot
•
•
•
•
Manual data entry errors:
UIC “KV!MFV9P" vs. "KV1MFV9P”
Inconsistent data entry:
“TMA” vs. “TRICARE MGT”, “PHS” vs. “Public Health”
Caps vs. Lower Case:
“Navy” vs. “NAVY”
More serious DQ issues affect reconciliation of data
transmitted to downstream systems
10
DMHRSi = MEPRS
Ava ila ble Sa la ry Expe nse
Skill T ype
Ava ila ble FT E
N on-Ava ila ble Sa la ry Expe nse
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
$1,682,291
$1,681,791
0.03%
$233,293
$233,293
0.00%
191.9
191.2
0.35%
$617,409
$626,167
-1.40%
$102,945
$103,383
-0.42%
80.8
81.7
-1.07%
1
Clinicia n
2
D ire ct Ca re Profe ssiona l
3
R e giste re d N urse
$1,450,958
$1,452,697
-0.12%
$224,573
$224,573
0.00%
196.3
196.5
-0.11%
4
D ire ct Ca re Pa ra -Profe ssiona l
$2,380,502
$2,380,502
0.00%
$415,514
$417,184
-0.40%
499.7
500.2
-0.10%
5
Administra tive / Cle rica l
$1,627,095
$1,618,338
0.54%
$292,494
$290,067
0.84%
479.5
478.4
0.23%
$7,758,256
$7,759,495
-0.02%
$1,268,820
$1,268,501
0.03%
1,448.2
1,448.0
0.01%
T ota l
Correct
Ava ila ble Sa la ry Expe nse
Pe rsonne l Ca te gory
Ava ila ble FT E
N on-Ava ila ble Sa la ry Expe nse
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
C
CIVILIAN
$1,046,535
$1,046,535
0.00%
$211,687
$211,687
0.00%
202.2
202.9
-0.37%
E
EN LIST ED
$3,016,901
$3,016,901
0.00%
$505,785
$505,466
0.06%
535.5
535.3
0.02%
O
OFFICER
$3,694,820
$3,687,141
0.21%
$551,348
$551,348
0.00%
375.4
374.7
0.18%
V
VOLU N T EER
$0
$0
0.00%
$0
$0
0.00%
7.8
7.8
0.29%
X
CON T R ACT OR
$0
$8,918
-100.00%
$0
$0
0.00%
327.4
327.2
0.04%
$7,758,256
$7,759,495
-0.02%
$1,268,820
$1,268,501
0.03%
1,448.2
1,448.0
0.01%
T ota l
D MH R Si T ota l Sa la ry: $9,027,996
D MH R Si Ava ila ble FT E:
1,448.0
EASIV T ota l Sa la ry: $9,027,076
EASIV Ava ila ble FT E:
1,448.2
EASIV - D MH R Si D iffe re nce :
-$920
EASIV - D MH R Si D iffe re nce :
0.2
11
DMHRSi > MEPRS
Ava ila ble Sa la ry Expe nse
Skill T ype
Ava ila ble FT E
N on-Ava ila ble Sa la ry Expe nse
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
$1,677,525
$1,737,054
-3.4%
$161,694
$166,940
-3.1%
177.7
181.0
-1.8%
$470,248
$495,132
-5.0%
$63,592
$63,154
0.7%
61.5
64.3
-4.4%
1
Clinicia n
2
D ire ct Ca re Profe ssiona l
3
R e giste re d N urse
$1,099,249
$1,121,840
-2.0%
$164,489
$166,636
-1.3%
189.4
194.5
-2.6%
4
D ire ct Ca re Pa ra -Profe ssiona l
$2,898,074
$2,953,737
-1.9%
$410,359
$414,544
-1.0%
667.5
680.0
-1.8%
5
Administra tive / Cle rica l
$1,347,162
$1,350,580
-0.3%
$170,763
$170,934
-0.1%
312.8
315.1
-0.7%
$7,492,258
$7,658,343
-2.2%
$970,896
$982,207
-1.2%
1,408.9
1,434.7
-1.8%
T ota l
Incomplete
Timecards Pulled?
Ava ila ble Sa la ry Expe nse
Pe rsonne l Ca te gory
Ava ila ble FT E
N on-Ava ila ble Sa la ry Expe nse
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
$317,730
$327,166
-2.9%
$49,876
$51,403
-3.0%
64.8
67.4
-3.9%
C
CIVILIAN
E
EN LIST ED
$3,741,836
$3,786,096
-1.2%
$506,828
$509,219
-0.5%
696.9
705.2
-1.2%
O
OFFICER
$3,432,691
$3,540,947
-3.1%
$414,192
$421,585
-1.8%
328.0
338.3
-3.1%
V
VOLU N T EER
$0
$0
0.0%
$0
$0
0.0%
13.1
13.1
0.0%
X
CON T R ACT OR
$0
$4,134
-100.0%
$0
$0
0.0%
306.1
310.6
-1.5%
$7,492,258
$7,658,343
-2.2%
$970,896
$982,207
-1.2%
1,408.9
1,434.7
-1.8%
T ota l
D MH R Si T ota l Sa la ry: $8,640,550
D MH R Si Ava ila ble FT E:
1,434.7
EASIV T ota l Sa la ry: $8,463,154
EASIV Ava ila ble FT E:
1,408.9
-$177,395
EASIV - D MH R Si D iffe re nce :
EASIV - D MH R Si D iffe re nce :
-25.9
12
DMHRSi < MEPRS
Ava ila ble Sa la ry Expe nse
Skill T ype
Ava ila ble FT E
N on-Ava ila ble Sa la ry Expe nse
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
1
Clinicia n
$3,828,754
$3,820,226
0.2%
$524,130
$519,585
0.9%
341.1
339.6
0.4%
2
D ire ct Ca re Profe ssiona l
$3,364,448
$3,345,389
0.6%
$529,478
$521,743
1.5%
350.0
343.9
1.8%
3
R e giste re d N urse
$4,253,795
$4,301,603
-1.1%
$566,227
$576,611
-1.8%
500.3
506.4
-1.2%
4
D ire ct Ca re Pa ra -Profe ssiona l
$5,265,663
$5,276,002
-0.2%
$855,599
$859,234
-0.4%
1,113.4
1,112.7
0.1%
5
Administra tive / Cle rica l
$4,381,969
$4,293,801
2.1%
$803,615
$806,897
-0.4%
1,121.6
925.1
21.2%
0.3%
$3,279,050
$3,284,070
-0.2%
3,426.3
3,227.7
6.2%
$21,094,629 $21,037,021
T ota l
Edits in MEPRS
Only?
Ava ila ble Sa la ry Expe nse
Pe rsonne l Ca te gory
Ava ila ble FT E
N on-Ava ila ble Sa la ry Expe nse
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
EASIV
D MH R Si
EAS/
D MH R Si
D iff
$12,317,406
$12,292,309
0.2%
$2,229,529
$2,240,679
-0.5%
2,031.3
2,025.7
0.3%
C
CIVILIAN
E
EN LIST ED
$2,486,879
$2,468,992
0.7%
$308,158
$306,089
0.7%
433.4
431.2
0.5%
O
OFFICER
$6,290,344
$6,275,719
0.2%
$741,363
$737,302
0.6%
545.6
544.5
0.2%
V
VOLU N T EER
$0
$0
0.0%
$0
$0
0.0%
0.7
0.0
0.0%
X
CON T R ACT OR
$0
$0
0.0%
$0
$0
0.0%
415.3
226.5
83.4%
0.3%
$3,279,050
$3,284,070
-0.2%
3,426.3
3,227.7
6.2%
T ota l
$21,094,629 $21,037,021
D MH R Si T ota l Sa la ry: $24,321,091
D MH R Si Ava ila ble FT E:
3,227.7
EASIV T ota l Sa la ry: $24,373,678
EASIV Ava ila ble FT E:
3,426.3
EASIV - D MH R Si D iffe re nce :
$52,587
EASIV - D MH R Si D iffe re nce :
198.6
13
Intercepted DMHRSi to
EASIV Raw File
FY11 Fiscal Months
Skill
Type FTE Source
1
2
3
4
5
N
•
•
FM01
FM02
FM03
FM04
FM05
FM06
FM07
FM08
FM09
FM10
FM11
FM12
EASIV
319.8
308.6
305.1
327.4
317.3
370.8
322.8
334.9
340.4
314.4
359.6
325.5
DMHRSi
EAS - DMHRSi Diff
EASIV
DMHRSi
EAS - DMHRSi Diff
EASIV
DMHRSi
EAS - DMHRSi Diff
EASIV
DMHRSi
EAS - DMHRSi Diff
EASIV
DMHRSi
EAS - DMHRSi Diff
EASIV
DMHRSi
EAS - DMHRSi Diff
EASIV
DMHRSi
EAS - DMHRSi Diff
319.6
0.1
227.2
128.1
99.1
325.5
325.5
0.0
821.3
819.4
1.9
565.7
567.5
-1.7
308.7
-0.1
123.8
123.8
0.0
321.0
321.0
0.0
798.8
796.8
2.0
547.4
549.4
-2.0
304.9
0.2
123.9
123.8
0.0
327.4
327.4
0.0
772.9
772.8
0.1
530.7
531.5
-0.8
327.2
0.2
132.3
132.2
0.1
337.8
337.8
0.0
815.1
817.2
-2.1
569.9
568.6
1.3
317.3
0.0
124.2
124.2
0.0
319.7
319.7
-0.1
757.7
757.7
0.0
536.8
536.9
-0.1
370.7
0.1
150.0
149.9
0.1
368.1
368.0
0.1
886.1
885.9
0.2
640.1
639.8
0.3
322.8
0.0
131.5
131.0
0.5
338.1
338.5
-0.3
797.6
797.6
0.0
566.0
565.8
0.2
334.6
0.2
131.4
132.5
-1.0
349.5
349.5
0.0
808.7
808.8
-0.1
550.7
550.7
0.0
340.7
-0.3
134.1
134.0
0.1
350.9
350.8
0.0
845.2
845.2
0.0
574.8
574.0
0.8
314.3
0.1
118.0
117.9
0.1
324.7
324.7
0.0
788.2
788.2
0.1
536.5
536.3
0.2
359.5
0.1
132.6
132.5
0.1
346.7
346.7
0.1
878.7
878.5
0.2
601.4
600.9
0.4
321.2
4.2
122.8
123.8
-1.0
319.2
309.3
10.0
825.8
808.5
17.3
551.1
544.6
6.5
0.0
2,259.6
2,160.2
99.4
0.0
2,099.6
2,099.6
0.0
0.0
2,060.0
2,060.5
-0.5
0.0
2,182.5
2,183.1
-0.6
0.0
2,055.7
2,055.8
-0.1
0.0
2,415.2
2,414.4
0.8
0.0
2,156.0
2,155.6
0.4
0.0
2,175.2
2,176.0
-0.9
0.0
2,245.3
2,244.8
0.5
0.0
2,081.8
2,081.4
0.4
0.0
2,319.0
2,318.0
0.9
0.7
-0.7
2,144.4
2,108.1
36.3
EASIV output file is sometimes intercepted and edited due to
DMHRSi system performance challenges
Easy to make mistakes & makes traceability of data impossible
14
Tri-Service
Labor Reporting vs.
Workload Study
15
Background
•
•
•
•
Labor costs account for about 70% of MHS facility
expenses.
Accurate reporting of labor hours across facility work
centers is critical for valid healthcare cost and
productivity analysis.
DoD 6010.13M provides detailed labor reporting policy
and instructions.
First-of-its-kind study sponsored by the Methods,
Measures and Analyses Directorate at TMA/DHCAPE
through Axiom – Resource Management examined
reported labor and associated workload across clinics.
16
Context
17
Method
•
•
•
•
•
Darnall AMC - Ft. Hood, NH Pensacola, and the 60th Medical
Group –Travis AFB Fiscal Year 2011 data were analyzed
Person-specific Available hours by facility, fiscal month, and cost
center were obtained from DMHRSi Labor Cost Assignment
(LCA) module via Discoverer
CAPER and SIDR workload records by facility, fiscal month, and
cost center were extracted from the MHS Data Repository
(MDR)
EDIPN and NPI data were added to the LCA extract to facilitate
provider-level matching to CAPER/SIDR workload datasets
LCA data matched to CAPER/SIDR by facility, fiscal month,
and 4th-level Functional Cost Code
18
Method (Cont.)
•
•
•
•
•
•
All skill types were included in the LCA analysis
dataset (i.e., providers, nurses, techs, etc.)
Only MEPRS-B CAPERs were included
Provider 1 – 5 Work RVUs and individual providers
in CAPERs were included (only 1 – 3 were populated)
CAPER/LCA match on EDIPN then NPI
SIDR analyses included Attending, Admitting, and
procedure-specific providers; Total RWPs retained
SIDR/LCA match on NPI
19
Matching CAPER/LCA by Child DMISID
CAPER/LCA Match
MTF
Parent
0014
DMISID
0014
ChildName
60th MED GRP-TRAVIS
0014 Total
0038
No
Pct
284,206
41,659
87%
284,206
41,659
87%
0038
NH PENSACOLA
169,243
24,891
87%
0107
NBHC NSA MID-SOUTH
19,714
2,572
88%
0260
NBHC NAS PENSACOLA
28,040
7,274
79%
0261
NBHC MILTON WHITING FIELD
18,353
2,641
87%
0262
NBHC NATTC PENSACOLA
22,291
11,580
66%
0265
NBHC NAVCOASTSYSC PANAMA CITY
3,400
362
90%
0316
NBHC GULFPORT
7,184
19,372
27%
0317
NBHC MERIDIAN
8,629
704
92%
0357
NBHC WPNSCEN CRANE
3,195
4
100%
0436
NBHC NAS BELLE CHASE
15,360
6,493
70%
0513
NBHC NTTC PENSACOLA
19,059
3,489
85%
314,468
79,382
80%
446,325
91,109
83%
3,166
0
100%
12,958
1,579
89%
0038 Total
0110
Yes
0110
DARNALL AMC-FT. HOOD
0362
RED RIVER ARMY DEPOT OHC
1592
MONROE CONSOLIDATED-FT. HOOD
1599
TMC-12- FT. HOOD
5,816
714
89%
1601
TMC-14- FT. HOOD
33
0
99%
6014
CHARLES MOORE HLTH CLN-FT HOOD
80,357
17,603
82%
6076
WEST FORT HOOD CLINIC
33,790
9,464
78%
6077
TBI 1 CLINIC-FT. HOOD
13,733
733
95%
6078
INTENSIVE OUTPNT DAY TMNT CLNC
1,742
707
71%
6111
HARKER HEIGHTS MED HOME-HOOD
7,128
0
100%
6112
KILLEEN MEDICAL HOME-HOOD
845
0
100%
•
•
•
•
Aggregate Provider Work
RVUs used
Match by Fiscal Year, Fiscal
Month, Parent DMISID,
Child DMISID, and 4th-Level
Cost Center per MEPRS labor
reporting policy
Variance noted across
aggregated by Child MTFs
Color coding criteria is not per
policy; no prior quantitative
assessments have been
performed
Color Key
6113
COPPERAS COVE MED HOME-HOOD
4,922
90
98%
0 - 84 Percent
7236
BENNETT FAM CARE CLINIC - HOOD
52,701
9,803
84%
85 - 94 Percent
663,516
131,803
83%
95 - 100 Percent
0110 Total
20
Matching CAPER/LCA by Summary
Cost Center
CAPER/LCA Match
MTF Parent
MEPR2
Description
Yes
No
Pct
0014
BA
MEDICAL CARE
58,666
9,154
87%
Travis
BB
SURGICAL CARE
32,539
5,866
85%
BC
OBSTETRICAL AND GYNECOLOGICAL CARE
8,658
850
91%
BD
PEDIATRIC CARE
14,384
276
98%
BE
ORTHOPEDIC CARE
17,922
3,661
83%
BF
PSYCHIATRIC/MENTAL HEALTH CARE
10,566
454
96%
BG
FAMILY PRACTICE CARE
61,553
16,119
79%
BH
PRIMARY MEDICAL CARE
11,822
402
97%
BI
EMERGENCY MEDICAL CARE
44,119
1,106
98%
BJ
FLIGHT MEDICINE CARE
4,734
2,015
70%
BL
REHAB AMBULATORY SERVICES
0014 Total
19,241
1,757
92%
284,206
41,659
87%
•
•
Aggregate Provider Work
RVUs used
Match by Fiscal Year, Fiscal
Month, Parent DMISID,
Child DMISID, and 4thLevel Cost Center per
MEPRS labor reporting
policy
Variance noted across clinical
services
0038
BA
MEDICAL CARE
44,030
1,484
97%
Pensacola
BB
SURGICAL CARE
17,914
5,724
76%
BC
OBSTETRICAL AND GYNECOLOGICAL CARE
11,945
574
95%
PEDIATRIC CARE
15,541
471
97%
ORTHOPEDIC CARE
17,762
1,148
94%
PSYCHIATRIC/MENTAL HEALTH CARE
26,514
2,166
92%
FAMILY PRACTICE CARE
101,791
38,290
73%
PRIMARY MEDICAL CARE
25,724
6,240
80%
EMERGENCY MEDICAL CARE
20,207
4,517
82%
FLIGHT MEDICINE CARE
10,141
10,801
48%
BL
REHAB AMBULATORY SERVICES
22,898
7,967
74%
314,468
79,382
80%
0110
BA
MEDICAL CARE
58,571
8,215
88%
Ft. Hood
BB
SURGICAL CARE
50,212
7,528
87%
BC
OBSTETRICAL AND GYNECOLOGICAL CARE
53,742
13,514
80%
BD
PEDIATRIC CARE
49,738
13,800
78%
BE
ORTHOPEDIC CARE
32,100
12,048
73%
BF
PSYCHIATRIC/MENTAL HEALTH CARE
99,320
19,663
83%
BG
FAMILY PRACTICE CARE
143,357
25,310
85%
0 - 84 Percent
BH
PRIMARY MEDICAL CARE
50,550
5,766
90%
85 - 94 Percent
BI
EMERGENCY MEDICAL CARE
79,147
16,876
82%
BJ
FLIGHT MEDICINE CARE
12,629
1,387
90%
BL
REHAB AMBULATORY SERVICES
34,149
7,696
82%
663,516
131,803
83%
BD
BE
BF
BG
BH
BI
BJ
0038 Total
0110 Total
•
Color Key
95 - 100 Percent
21
Color Key
0 - 84 Percent
22
85 - 94 Percent
95 - 100 Percent
Matching SIDR/LCA by Summary
Cost Center
SIDR/LCA Match
MTF Parent
MEPR2
Description
Yes
No
Pct
0014
AA
MEDICAL CARE
567.9
1,624.6
26%
Travis
AB
SURGICAL CARE
584.1
1,373.6
30%
AC
OBSTETRICAL AND GYNECOLOGICAL CARE
236.3
41.2
85%
AD
PEDIATRIC CARE
43.9
53.3
45%
AE
ORTHOPEDIC CARE
35.9
109.7
25%
AF
PSYCHIATRIC CARE
113.7
67.4
63%
AG
FAMILY PRACTICE CARE
650.6
466.2
58%
2,232
3,736
37%
0014 Total
0038
AA
MEDICAL CARE
274.5
164.3
63%
Pensacola
AB
SURGICAL CARE
188.3
183.7
51%
AC
OBSTETRICAL AND GYNECOLOGICAL CARE
306.4
56.9
84%
AD
PEDIATRIC CARE
21.3
86.5
20%
AE
ORTHOPEDIC CARE
170.4
33.1
84%
AG
FAMILY PRACTICE CARE
179.7
91.8
66%
1,141
616
65%
0038 Total
•
•
•
Attending Provider Total
RWPs shown (Admitting
Provider also analyzed with
poorer results)
Match by Fiscal Year, Fiscal
Month, Parent DMISID,
Child DMISID, and 4thLevel Cost Center per
MEPRS labor reporting
policy
Variance noted across clinical
services, poor match overall
0110
AA
MEDICAL CARE
372.8
488.2
43%
Ft. Hood
AB
SURGICAL CARE
623.3
218.6
74%
AC
OBSTETRICAL AND GYNECOLOGICAL CARE
1,032.1
498.0
67%
AD
PEDIATRIC CARE
378.1
634.9
37%
AE
ORTHOPEDIC CARE
187.5
433.9
30%
0 - 84 Percent
AF
PSYCHIATRIC CARE
213.5
72.0
75%
85 - 94 Percent
AG
FAMILY PRACTICE CARE
141.9
193.0
42%
95 - 100 Percent
2,949
2,539
54%
0110 Total
Color Key
23
Matching CAPER/LCA – MTF Aggregate
•
CAPER/LCA Match
DMIS ID
Name
Yes
No
Pct
0014
Travis
308,691
17,175
95%
0038
Pensacola
402,542
30,104
93%
0110
Ft. Hood
684,940
111,132
86%
•
•
Parent
DMISID
Name
FY11 Provider Total Prov Salary
Salary
per WKRVU
Potential Salary
Cost Not
Accounted
0014
Travis
$14,963,792
$48
$832,550
0038
Pensacola
$15,515,363
$39
$1,160,312
0110
Ft. Hood
$29,516,805
$43
$4,789,113
Aggregate Provider Work
RVUs reported
Match by Fiscal Year,
MEPRS-B, and Parent
DMISID
Provider Salary data from
MEPRS
Color Key
0 - 84 Percent
85 - 94 Percent
95 - 100 Percent
24
Matching SIDR/LCA – MTF Aggregate
•
SIDR/LCA Match
DMISID
Name
Yes
No
Pct
0014
Travis
4,272
1,696
72%
0038
Pensacola
1,474
321
82%
0110
Ft. Hood
4,158
1,330
76%
Parent DMISID
0014
Name
Travis
FY11 Provider
Total Prov
Salary
Salary per RWP
$2,773,556
$649
•
•
Aggregate Total RWPs reported
Match by Fiscal Year, MEPRSA, and Parent DMISID
Provider Salary data from
MEPRS
Potential Salary
Cost Not
Accounted
$1,101,217
Color Key
0 - 84 Percent
0038
Pensacola
$2,141,886
$1,453
$466,005
0110
Ft. Hood
$3,499,324
$842
$1,119,388
85 - 94 Percent
95 - 100 Percent
25
Matching LCA MEPRS-B FTEs in CAPER
LCA FTE in CAPER
Facility
Skill Type
Yes
No
Pct
1
102.2
1.9
98%
2
45.8
2.6
95%
148.0
4.5
97%
1
58.5
2.8
95%
2
74.1
16.2
82%
132.6
19.0
87%
1
92.3
12.5
88%
2
141.2
31.2
82%
233.5
43.7
84%
0014 - Travis
0014 Total
0038 - Pensacola
0038 Total
0110 - Ft. Hood
0110 Total
Facility
0014 - Travis
Skill Type Personnel Salary
$11,286,927
$92,325
$175,525
2
$3,676,865
$103,445
$270,522
$14,963,792
$95,148
$429,717
1
$8,267,696
$181,198
$505,264
2
$7,247,667
$112,419
$1,821,046
$15,515,363
$142,692
$2,709,321
1
$12,481,722
$196,640
$2,452,367
2
$17,035,083
$83,874
$2,618,116
0038 Total
0110 - Ft. Hood
0110 Total
Personnel Cost
w/o Workload
1
0014 Total
0038 - Pensacola
Annual Cost per
FTE
$29,516,805
$124,473
$5,437,763
•
•
•
•
Comparison of Providers with
labor hours reported in MEPRS-B
Cost Centers vs. CAPER
workload
Match by Parent DMISID,
MEPRS-B, EDIPN, and NPI
Participating in Readiness or
supporting non-clinical
administrative services?
Per DoD6010-13M APP3, nonclinical administration hours
should be recorded in overhead
(E) Cost Centers
Color Key
0 - 84 Percent
85 - 94 Percent
95 - 100 Percent
26
Matching LCA MEPRS-A FTEs in SIDR
•
LCA FTE w/ SIDR Wkld by MTF, FM, MEPR3
Facility
0014 - Travis
Skill Type
Yes
No
Pct
1
14.6
5.5
73%
2
0.8
2.3
26%
15.4
7.8
66%
1
7.8
7.7
51%
2
0.8
0.0
100%
8.7
7.7
53%
1
15.6
1.4
92%
2
4.1
1.8
70%
19.7
3.1
86%
0014 Total
0038 - Pensacola
0038 Total
0110 - Ft. Hood
0110 Total
Facility
0014 - Travis
Personnel
Salary
Annual Cost
per FTE
Personnel
Cost w/o
Workload
1
$2,508,653
$123,695
$681,427
2
$264,903
$147,284
$334,824
$2,773,556
$125,903
$979,808
1
$1,477,215
$73,723
$565,664
2
$664,671
$26,972
$0
$2,141,886
$59,690
$457,993
1
$2,679,874
$170,247
$230,429
2
$819,451
$96,127
$168,438
$3,499,324
$150,881
$468,599
0038 Total
0110 - Ft. Hood
0110 Total
•
Skill Type
0014 Total
0038 - Pensacola
•
•
•
Comparison of Providers with labor
hours reported in MEPRS-A Cost
Centers vs. SIDR workload
Match by Parent DMISID, Fiscal
Month, 3rd-Level FCC, NPI, EDIPN
Participating in Readiness or
supporting non-clinical administrative
services?
ICU workload in SIDR in A-FCCs
vs. DJ* in LCA
Per DoD6010-13M APP3, nonclinical administration hours should
be recorded in overhead (E) Cost
Color Key
Centers
0 - 84 Percent
85 - 94 Percent 27
95 - 100 Percent
Matching LCA MEPRS-A FTEs in SIDR
•
LCA FTE w/ SIDR Wkld by MTF
Facility
0014 - Travis
Skill Type
Yes
No
Pct
1
20.1
0.0
100%
2
2.0
1.1
66%
22.1
1.1
95%
1
15.5
0.0
100%
2
0.8
0.0
100%
16.3
0.0
100%
1
16.9
0.1
100%
2
5.4
0.4
93%
22.3
0.5
98%
0014 Total
0038 - Pensacola
0038 Total
0110 - Ft. Hood
0110 Total
Facility
0014 - Travis
Personnel
Salary
Annual Cost
per FTE
Personnel
Cost w/o
Workload
1
$2,508,653
$123,695
$185
2
$264,903
$147,284
$154,903
0110 Total
•
$2,773,556
$125,903
$132,603
1
$1,477,215
$73,723
$1,737
2
$664,671
$26,972
$0
$2,141,886
$59,690
$1,406
1
$2,679,874
$170,247
$13,867
Color Key
2
$819,451
$96,127
$40,844
0 - 84 Percent
$3,499,324
$150,881
$76,399
85 - 94 Percent
0038 Total
0110 - Ft. Hood
•
Skill Type
0014 Total
0038 - Pensacola
•
Comparison of Providers with
labor hours reported in
MEPRS-A Cost Centers vs.
SIDR workload
Match by Parent DMISID, NPI,
EDIPN
Significant improvement over
3rd-Level FCC comparison
Almost all MEPRS-A Provider
FTEs in LCA report some
SIDR workload
95 - 100 Percent
28
Clinic-Level vs. Aggregate Analysis
•
•
MHS policy prescribes workload, labor, and
expense data reporting by functional cost center
(clinic-level)
However, some analytical applications rely on
inpatient and outpatient aggregates
Clinic-Level MHS Cost
Data Applications
Inpatient / Outpatient Aggregate Cost
Data Applications
“Make vs. Buy” Analysis
Annual MERCHF Reconciliation
Program Evaluation (i.e., PCMH)
Third Party Collection ASAs
Product-line Performance Metrics
PMPM Calculations
Patient-Level Costs for M2/MDR
PPS Analysis
Business Planning
29
Study Conclusions
•
•
Study demonstrates ability to link reported labor
hours by provider to specific workload production
Unquestionable problem dictating further attention
and examination
Next Steps
•
•
Follow-on study will seek to validate initial results and
expand analyses
Explore centrally developed metrics to monitor:
•
•
DMHRSi Labor vs. workload match
DMHRSi Available FTE vs. EASIV Available FTE
30
Review of Objectives
31
Objectives Review
After completing this session the attendee can:
•
•
•
•
Describe the Defense Medical Human Resources Reporting
System internet (DMHRSi).
Characterize data that can be analyzed with DMHRSi not
available in MEPRS.
Characterize the extent to which workload and timesheet
reporting differs at MTF and MEPRS Code level in Navy
Medicine.
Describe methods that can be used to test the extent to which
timesheet and workload reporting differ.
32
Preparing for an Audit:
DMHRSi Time vs. Workload Reporting
Navy Resources Symposium
4 June 2012
Herb Escobar
Escobar Analytics and Services, Inc.
hescobar@easincorporated.com