2010 UBO/UBU Conference Title: MEPRS Strategic Plan Update Session: W

Objectives Gain an understanding of the MEPRS Strategic Plan Become familiar with the purpose, process and components of the MEPRS Annual Operational Plan Gain an understanding of how the MEPRS Strategic Plan supports the MHS Strategic Plan 2

Overview What Is a Strategic Plan? About the MEPRS Strategic Plan – Conceptual Framework – Goals – Annual Operational Plan MEPRS Strategic Plan Supports Quadruple Aim 3

What Is a Strategic Plan? A Strategic Plan is … A process Used to focus / guide an organization A map leading to a desired state 4

5 MEPRS Policy & Business Rules Oversight MEPRS Management Improvement Group (MMIG) – Established in 1999 – Provides Functional Oversight – Tri-Service Integration, Standardization and Compliance—now includes JTF CAPMED representatives – Automated Information System Oversight – Coordinates Policy / Action with Resource Management Steering Committee (RMSC) – Meeting Minutes and Information on

6 TMA Program Offices (DHIMS / DHSS) Chartered Workgroups (UBU / UBO) HA / TMA Directorates MMIG MEPRS Policy & Business Rules Oversight

MEPRS Strategic Plan 7 MHS-MEPRS Execution Model

MEPRS Strategic Plan 8

MEPRS Strategic Plan “LEARNING AS WE GROW” Process Why a Strategic Plan? – MHS Strategic Plan, MMIG Charter, Last Plan 2006 Who was involved? – MMIG, Senior MHS Stakeholders (PPS, MERHCF…) How was the plan developed? – Identified goals, objectives and initiatives – Categorized each objective based on priority – Selected initiatives for the FY11 Operational Plan What is the expected outcome? – Our work will support Efficiencies, Compliance, and Cost Measurements – Our progress will be Measurable, Accountable and Transparent 9

MEPRS Strategic Plan Goals Goal 1: Enhance data quality by systematically eliminating data compilation errors. Goal 2: Sustain and enhance Tri-Service data uniformity, integrity, consistency and compliance with DoD MEPRS policy. Goal 3: Transform MEPRS to produce managerially relevant data to support the MHS Strategic Goals and Senior MHS Stakeholders' operational objectives. Goal 4: Support financial reporting and product cost management through linked databases. 10

MEPRS Strategic Plan FY11 Operational Plan – Score Card 11

MEPRS Strategic Plan 12

MHS Strategic Plan The Quadruple Aim 13 Readiness Ensuring that the total military force is medically ready to deploy and that the medical force is ready to deliver health care anytime, anywhere in support of the full range of military operations, including humanitarian missions. Experience of Care Providing a care experience that is patient and family centered, compassionate, convenient, equitable, safe and always of the highest quality. Population Health Reducing the generators of ill health by encouraging healthy behaviors and decreasing the likelihood of illness through focused prevention and the development of increased resilience. Per Capita Cost Creating value by focusing on quality, eliminating waste, and reducing unwarranted variation; considering the total cost of care over time, not just the cost of an individual health care activity.

MEPRS Supporting Quadruple Aim 14

MEPRS Supporting Quadruple Aim 15 MHS Quadruple Aim Readiness: Ensuring that the total military force is medically ready… Experience of Care: Providing a care experience that is patient and family centered… Population Health: Reducing the generators of ill health by encouraging healthy behaviors… Per Capita Cost: Creating value …quality, eliminating waste, and reducing unwanted variation… Patient Centered Medical Home Policy Memo, Sep 2009 Supersedes Individual Assignments to PCM By Name Policy Memo Implements PCMH model of primary care delivery for the MHS Improves Continuity of Care/enhances access through patient-centered care Improves outcomes, reduced mortality, fewer admissions, and lower utilization Cornerstone of PCMH implementation Use of 4 th -Level MEPRS Code per PCMH TEAM, Feb 2011 Unique 4 th Level Per PCMH Team…Key pillar to analyzing team performance Enables MHS to measure all aspects of PCMH Consistent manner and allow for studying variation within each MTF and the MHS Requires more granular dataset based on MEPRS “Chart of Accounts” 4th Level codes will populate Team data across MHS Automated Info Systems (AIS): EAS, DMHRSi, DMLSS, CHCS/AHLTA Data will be viewed in multiple MHS data repositories for performance benchmarking and analyses

PCMH-MEPRS InteractiveWay Forward “ LEARNING AS WE GROW ” 16

EASIV PCMH WORKLOAD AND EXPENSE DETAIL – FY11/FM02 EASIV PCMH PROVIDER DETAIL – FY11/FM02 EASIV PCMH MTF SUMMARY – FY11 PCMH NAVY “Learning as We Grow”

EASIV PCMH WORKLOAD AND EXPENSE DETAIL – FY11/FM02 EASIV PCMH PROVIDER DETAIL – FY11/FM02 EASIV PCMH MTF SUMMARY – FY11 PCMH AIR FORCE “Learning as We Grow”

EASIV PCMH WORKLOAD AND EXPENSE DETAIL – FY11/FM02 Closer examination of Direct Expenses suggest that Labor Expense and FTEs may not be aligned properly – affecting team-level cost per visit. PCMH AIR FORCE (CONT.) “Learning as We Grow” 19

EASIV PCMH WORKLOAD AND EXPENSE DETAIL – FY11/FM02 CHCS Workload – TOC Report – FY11/FM02 EASIV PCMH MTF SUMMARY – FY11 PCMH ARMY “Learning as We Grow” DMHRSi Task-Level Labor – FY11/FM02 20

Summary 21 What Is a Strategic Plan? About the MEPRS Strategic Plan – Conceptual Framework – Goals – Annual Operational Plan MEPRS Strategic Plan Supports Quadruple Aim

22 Questions?

23 JTF-CAPMED-Joint Task Force National Capital Region Medical GFEBS-General Fund Enterprise Business System SFIS-ERPs-Standard Financial Information Structure, Enterprise Resource Planning System DEAMS-Defense Enterprise Accounting & Management System CHCS/AHLTA-Composite Health Care System/Armed Forces Health Longitudinal Technology Application EAS IV Repository – Expense Assignment System IV Repository MEWACS - MEPRS Early Warning and Control System Six Sigma - MEPRS Management Metrics (S2M3) EHR-WA – Electronic Health Record - Way AheadBOXi-Business Objects XI MERHCF - Medicare Eligible Retiree Health Care Fund CCR-Consolidated Cost Report PPS - Prospective Payment SystemPCMH – Patient Centered Medical Home DMHRSi-Defense Medical Human Resource System-internet DMLSS-Defense Medical Logistics Standard Support Acronym List

Bibliography 24