financial data

Financial DataFinancial Data

2TMA / WISDOM Excerpt

• MEPRS = Medical Expense and Performance Reporting System

• Costs, workload and FTEs

• Summary data only

• MEPRS Business Rules estimate “work center” costs

• Tri-Service Cost “Accounting” system

MEPRS Overview


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)


Using the Data!Using the Data!


• MEPRS Codes: Define the cost entities in an MTF

• 4 character codes - imbedded hierarchical logic

(each character means something!)• For example:

AADA = Inpatient Dermatology

Terminology


• 1st character – “MEPRS1 Code”– A - Inpatient– B - Ambulatory– C - Dental– D - Ancillary– E - Support– F - Special Programs– G - Readiness

Terminology

Use MEPRS Manual for

detailed descriptions of all

codes:www.meprs.info


• MEPRS uses a unique parent/child structure

• Smaller MTFs report through parents

• Both parent and child (DMISID) levels of reporting are available in M2

• Parent DMISID of Record (MEPRS Parent) vs. Parent DMISID

Parents and Children


All data available by:

• Timeframe (months, years)

• MEPRS Code – All 4 char’s. Most questions only need 3.

– Ex. MEPRS4 Code matches pattern DAA%

MEPRS Summary Data


Types of Workload:• Inpatient: Dispositions, Bed Days. As

incurred in a month

• Outpatient Visits

• Inpatient Visits: (Ambulatory workload for inpatients)

• Total Visits

Workload Data


• Weighted Rx workload:– Primarily contains prescriptions– Also bulk issue, unit doses, sterile products

• Lab/Rad Weighted Workload (Relative Value Units)

• Workload ordered by a particular work center and filled at the reporting MTF

Workload Data


San Diego’s Ambulatory Internal Medicine Clinic ordered 135K Lab RVUs from the lab at San Diego


• Assigned FTEs: From Service Personnel Systems

– Monthly Assigned Staff

– Won’t include borrowed labor or R/S

• Available FTEs: From Timesheets

– Monthly Available FTEs

• Monthly Numbers: Don’t add people across months!

FTE Data


• Clinician: MD, DO, DDS, Interns/Residents

• “Other Clinician”: MD, DO, DDS

• Professionals: PAs, NPs, Midwives, etc

• Interns/Residents

• RN: Registered Nurse

• Para-Professionals: LPNs, X-Ray Techs, etc.

• Admin: Administrative Staff

Types of FTEs


• Don’t add across months! 600 people each month, not 1200 people!

•Assigned < Available (OT, Resource Sharing, etc)


• Expenses are estimates.• All work centers have direct expenses: The

original work center that captures an expense – Often includes salaries, supplies and such

• Work centers also have costs allocated to them

Expense Assignment

Allocated $

AAAA (Internal Medicine) Work Center

Direct $

Total Expenses $

+ =


Allocated expenses:– Shared expenses

• “Purified” as MEPRS calls them

– Ancillary Services (MEPRS D codes)• Rx, lab, rad, ICU, etc.

– Support Services (MEPRS E codes)• Commanders salary, housekeeping, utilities

• Allocation process is the same

Expense Assignment


• Expenses are allocated based on “performance factors”– Laundry: lbs of laundry– Commander’s salary: FTEs– Lab: weighted workload ordered– Pharmacy: weighted procedures– Housekeeping: square footage– Cost Pools: Minutes of service or OBD

Expense Assignment


Sample Allocation:– OB/GYN Supply Cabinet

(MEPRS Code ACX): $10,000– OB Workload (ACA):

500 OBDs, 83% of total workload– GYN Workload (ACB):

100 OBDs; 17% of total workload

– Purified to OB: $10,000*83% or $8,300

– Purified to GYN: $10,000*17% or $1,700

Expense Assignment


Allocated Expense Measures from MEPRS:• Ancillary Expense: Sum of all allocated expenses

to a given work center from ancillary accounts• Some components of ancillary expense (lab, rad

and rx stepdown)• Purified Expense (shared)• Support Expense

Expense Variables


Direct Expense

Purified Expense

Ancillary Expense

+Support Expense

Total Expense

Final Accounts

Inpatient (A), Ambulatory (B), Dental (C), Special Programs (F) and Readiness (G) are “FINAL ACCOUNTS”


A - Inpatient

B- Ambulatory

C- Dental

D - Ancillary

E - Support

F - Special Progs

G - Readiness

Expense Assignment

Note: Ancillary and Support Accounts should have total expense = 0 in the M2 (their expenses are already captured in the other work centers)!


Direct Expense

+ Allocated from others

-Allocated out

0 Total Expense

Support/Ancillary Accounts

If total expense too much greater than 0, probably an error in MEPRS


To get a “total expense” for ancillary and support accounts:

Use Cost Center Expense

Expense Assignment


Very close to 0 in total expense. Probably rounding


• MEPRS Manual

– Describes MEPRS Codes

– FTE/workload reporting

– Expense allocation process

• MEWACS

– Web based reports on MEPRS data quality. Site specific

• TMA Website/MEPRS

Resources

financial data

Documents