1. MEPRS Data Sources and Differences: EAS IV Repository vs. M2 Herb Escobar Axiom Resource Management Herb.Escobar.CTR@tma.osd.mil 210-481-2526 Herb.Escobar.CTR@tma.osd.mil

2. 2 Presentation Objectives After this presentation, participants will be able to: Demonstrate an understanding of the differences between what MEPRS data elements are in EAS IV and the M2 Demonstrate an understanding of the differences between what MEPRS data elements are in EAS IV and the M2 Explain reasons why the data are different Explain reasons why the data are different Describe the different purposes for which MEPRS data in EAS IV and the M2 are used Describe the different purposes for which MEPRS data in EAS IV and the M2 are used List key references available to aid in understanding data differences List key references available to aid in understanding data differences

3. 3 MEPRS Data Flow Workload (CHCS) Financial Data ( STANFINS, STARS/FL, BASF) Personnel Data (UCAPERS, SPMS, EAS) Local EAS IV Server MDR (Large MEPRS dataset) M2 (Smaller MEPRS dataset) (Monthly Processing) (Nightly/Monthly Processing) EAS IV Repository (Full MEPRS dataset) MEWACS (Small MEPRS Dataset)

4. 4 MEPRS ≠ MEPRS While there are many sources of MEPRS data…. While there are many sources of MEPRS data…. MEQS III MEQS III Local MTF EAS IV Local MTF EAS IV EAS IV Repository EAS IV Repository MEWACS MEWACS MHS Data Repository (MDR) MHS Data Repository (MDR) MHS Data Mart (M2) MHS Data Mart (M2) Not all MEPRS sources produce the same data… Not all MEPRS sources produce the same data… Service-specific vs. DoD-standardized Service-specific vs. DoD-standardized Timing differences Timing differences Availability of data elements Availability of data elements Level of aggregation Level of aggregation Processing errors Processing errors This presentation will focus on MEPRS on the M2 This presentation will focus on MEPRS on the M2

5. 5 MEPRS on the M2 Historical MEPRS expense data processed and applied to patient-level inpatient and ambulatory (Professional Encounters) records. Mostly raw MEPRS fields from the EAS IV Repository with a few data elements and calculations added.

6. 6 Patient-Level expense data from MEPRS are available in both Summary and Detail data classes Measures are shown as Raw and Total (estimated to completion) Inpatient Admission records updated monthly; Professional Encounters are updated weekly… …However, MEPRS data used to estimate all expense elements are updated once per year Inpatient Admissions / Professional Encounters

7. 7 Processed expense data from MEPRS applied to person-level records Processed expense data from MEPRS applied to person-level records Patient Level Cost Allocation (PLCA) Patient Level Cost Allocation (PLCA) Full Costs Full Costs Variable Costs Variable Costs Prospective Payment System (PPS) Earnings Prospective Payment System (PPS) Earnings TRICARE For Life (TFL) Earnings TRICARE For Life (TFL) Earnings MTF and Peer Group Norms MTF and Peer Group Norms Inpatient Admissions / Professional Encounters (Cont.)

8. 8 MEPRS Expenses applied to inpatient records MEPRS Expenses applied to inpatient records Direct expenses per Day Direct expenses per Day Support expenses per Day Support expenses per Day Ancillary expenses per RWP Ancillary expenses per RWP Surgical expenses per DRG Weight Surgical expenses per DRG Weight Clinician salaries per PWP Clinician salaries per PWP MEPRS Expenses applied to ambulatory records MEPRS Expenses applied to ambulatory records All expenses are APG-based… All expenses are APG-based… …Except Clinician salaries per RVU …Except Clinician salaries per RVU Patient-Level Cost Allocation (PLCA)

9. 9 How PLCA Works *Inflation factor added to forward-year data

10. 10 Full vs. Variable Costs Full costs in the M2 include all MEPRS expense components as applied via PLCA Full costs in the M2 include all MEPRS expense components as applied via PLCA Variable costs are also applied via PLCA, however not all expenses are included*: Variable costs are also applied via PLCA, however not all expenses are included*: 80% of both Military and Civilian Labor 80% of both Military and Civilian Labor 80% of Contracts 80% of Contracts 100% of Travel and Transportation 100% of Travel and Transportation 100% of Supplies 100% of Supplies Other expenses included at 100%: Other expenses included at 100%: 24.00 PRINTING & REPRODUCTION 25.20 LAUNDRY & DRY CLEANING 25.25 CUSTODIAL SERVICES 25.30 EDUCATION & TRAINING 25.55 CO-OP AND SUPPLEMENTAL CARE 26.05 AVPOL 26.10 FUELS 41.00 GRANTS, SUBSIDIES & CONTRIBUTIONS 41.10 FREE RECEIPTS/UNFUNDED/NON REIMBURSABLE 42.00 INSURANCE CLAIMS AND INDEMNITIES 43.00 INTEREST AND DIVIDENDS 44.00 REFUNDS *Identified using MEPRS SEECs

11. 11 Raw MEPRS data from EAS IV Repository, plus… DMIS ID Attributes from the M2 DMIS ID Index Table Tmt DMIS Name Tmt DMIS Military Service Tmt DMIS Region Tmt DMIS HSSC Region Tmt Parent DMIS Name Tmt Parent DMIS Id Tmt DMIS MSMA Calculated Normative Data (Observed, expected, and peer normative values) “Cost Center Expense”, “CHCS Days”, “MTF Peer” Data updated monthly System Production Data / MEPRS (Not all objects shown)

12. 12 Other M2 vs. EAS IV Repository Data Differences Common terminology does not mean equal values… Common terminology does not mean equal values… Occupied Bed Days (OBDs) Occupied Bed Days (OBDs) Relative Value Units (RVUs) Relative Value Units (RVUs) Beneficiary Categories Beneficiary Categories Available FTEs Available FTEs DMIS ID Attributes DMIS ID Attributes

13. 13 OBD Differences ICU bed days in MEPRS are rolled up into the MEPRS code corresponding to the attending provider’s specialty ICU bed days in MEPRS are rolled up into the MEPRS code corresponding to the attending provider’s specialty ICU workload in MEPRS is reported as hours of service in DJ** FCCs ICU workload in MEPRS is reported as hours of service in DJ** FCCs M2 shows ICU workload as OBDs reported in CHCS using A*** FCCs M2 shows ICU workload as OBDs reported in CHCS using A*** FCCs

14. 14 RVU Differences Ambulatory RVU amounts reported in the EAS IV Repository will be greater than M2 Ambulatory RVU amounts reported in the EAS IV Repository will be greater than M2 RVUs in MEPRS are based on Work plus Non- Facility Practice Expense components RVUs in MEPRS are based on Work plus Non- Facility Practice Expense components M2 RVUs are based solely on Work values M2 RVUs are based solely on Work values

15. 15 Beneficiary Category Differences EAS IV Repository M2 Beneficiary Category Beneficiary’s Category Ben Cat Common 1 = ACTIVE DUTY 2 = FAM MBR OF ACTIVE DUTY 3 = RETIRED 4 = FAM MBR OF RETIRED 5 = OTHER 9 = NOT REPORTED N = NOT APPLICABLE 1 = Dependent of Active Duty/Guard/Reserve 2 = Retirees 3 = Dependent of Retirees, Survivors, Other, NATO, Survivors, Other, NATO, DCO, and Unknown DCO, and Unknown 4 = Active Duty and Guard ACT = Active Duty Member DA = Dependent of Active Duty/Guard/Reserve DCO = Direct Care Only DR = Dependent of Retired DS = Dependent of Survivor GRD = Guard NAT = NATO OTH = Other RET = Retired UNK =Unknown

16. 16 Available FTE Differences Available FTEs and Purified Available FTEs are shown separately in the EAS IV Repository (Class 7) Available FTEs and Purified Available FTEs are shown separately in the EAS IV Repository (Class 7) In M2, the Available FTEs represents the sum of Available and Purified Available FTEs by FCC as reported in the EAS IV Repository In M2, the Available FTEs represents the sum of Available and Purified Available FTEs by FCC as reported in the EAS IV Repository In other words, Available FTEs in M2 equal Available FTEs shown in the EAS IV Repository Class 10 (Personnel Allocated) In other words, Available FTEs in M2 equal Available FTEs shown in the EAS IV Repository Class 10 (Personnel Allocated)

17. 17 DMIS ID Attributes Differences M2 maps DMIS ID attributes from the DMIS ID Index Table Specification, not values contained in the EAS IV Repository M2 maps DMIS ID attributes from the DMIS ID Index Table Specification, not values contained in the EAS IV Repository Tmt DMIS Name Tmt DMIS Military Service Tmt DMIS Region Tmt DMIS HSSC Region Tmt Parent DMIS Name Tmt Parent DMIS Id Tmt DMIS MSMA Though the M2 and EAS IV Repository rely on the same table for DMIS ID information, timing and synchronization issues may result Though the M2 and EAS IV Repository rely on the same table for DMIS ID information, timing and synchronization issues may result

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19. 19 References are Available! All M2 functional specifications are available at http://www.tricare.osd.mil/hpae/m2.cfm All M2 functional specifications are available at http://www.tricare.osd.mil/hpae/m2.cfm Download the M2 Data Dictionary from https://eidsportal.ha.osd.mil/sapportal/common/eids/ resources/products/m2/m2_datadictionary.xls Download the M2 Data Dictionary from https://eidsportal.ha.osd.mil/sapportal/common/eids/ resources/products/m2/m2_datadictionary.xls Additional M2 tools and resources: https://eidsportal.ha.osd.mil Additional M2 tools and resources: https://eidsportal.ha.osd.mil Herb.Escobar.CTR@tma.osd.mil 210-481-2526