navigating the databases: vssc/arc/dss/nepec/intranetavapl.org/conference/pubs/2011 conference...
TRANSCRIPT
![Page 1: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/1.jpg)
Navigating the Databases:VSSC/ARC/DSS/NEPEC/Intranet
Mark F. Ward, PhD
VA Psychology Leadership Conference
May 21, 2011
![Page 2: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/2.jpg)
VA
![Page 3: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/3.jpg)
Mastering the Maze of Data Alphabet Soup
OQP
SATP
VSSC
MO
SE
PCTEPRP
CPT
Recovery
ARC
EWL
TIDES
DSS
NEXUS
SSN
PRP
5CRVU
PCT
RVU
FacWork
VERA LRC
KLF
TBI
![Page 4: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/4.jpg)
Managing With Data
• You Have only Two Choices– Data Savvy - Master of Your Data
• The closer you are to your data, or your data person, the better you will be able to answer the tough Q’s
• The Data Devil is Always in the Details - Criteria• What’s included, what’s not
– Data Ducker - Or your Data’s Slave• When the tough Q’s come, you are toast
• Choose Wisely– Then Proceed with Caution
![Page 5: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/5.jpg)
Cautious Use of Data
• What you see is often not exactly what you think you see• The less often you access a given data site, the more
confusing/misleading it will be• Assumptions about the data – Be Careful• Validate before you Conclude
– Crosscheck with known sources• Start by looking at data reflecting something you already
know and understand to see how the data compare to your knowledge
• Year to Year usually Safe• Cross Facility Comparisons often Very Dangerous
– Exception NEPEC-Still be cautious
![Page 6: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/6.jpg)
Keys to Cost Management
• Careful DSS Mapping of Each Provider to their Programs/Sites of Service by percent of time
• Careful Clinic Stopcode setup
• Periodic review of costs from all angles
• Judicious use of “Admin time”– My time managing my programs is NOT Admin
• Careful monitoring of Indirect Costs
![Page 7: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/7.jpg)
![Page 8: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/8.jpg)
Primary Stop Code2ndary Stop Code
CPT CodeDiagnosisMapped Provider & RVU
Direct Costs + Indirect Costs = Encounter Cost
![Page 9: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/9.jpg)
CPTDx
Provider
![Page 10: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/10.jpg)
CPTDx
Provider
Provider TypePrimary Stop CodeCredit Stop CodeMatrix for CostTimeRVU
![Page 11: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/11.jpg)
ARC Resources
• Allocation Resource Center –VERA lives here• http://vaww.arc.med.va.gov/
• Education – Tutorials (VERA 2011 Model)– Mental Health
• Resource Management – Staff, Beds, Costs– MH FTE Briefing Book – MH Staff by VISN Over Time
» Core…All VISN…V20
• Administrative – 14 Day Summary & Patient Level– 2010…Sep…Cum…Admin Parent….648
– Links to many useful websites (at bottom)
![Page 12: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/12.jpg)
VHA Support Service Center -VSSCPerformance Measure Resources– http://klfmenu.med.va.gov/
• Tip- Search Mental
• MH Uniform Services Survey
• Tip- Search Missed Opp
• Tip- Search TBI
– Spreadsheet and Links
– Monthly User Calls 3rd Thursday 3pm EST• VANTS 63073
![Page 13: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/13.jpg)
DSS Resources• http://klfmenu.med.va.gov/
– DSS Portal• Reports Home – Search Index of Reports
– Cost and Workload of Selected DSS Stop/Credit
– Clinical – Pt. Centric
Mental Health Specific Reports
Mental Health Pts with and without Primary Care
Select All, or be selective
Drill down to SSN’S
![Page 14: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/14.jpg)
![Page 15: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/15.jpg)
![Page 16: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/16.jpg)
![Page 17: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/17.jpg)
![Page 18: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/18.jpg)
![Page 19: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/19.jpg)
![Page 20: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/20.jpg)
![Page 21: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/21.jpg)
Northeast Program Evaluation Center
• http://vaww.nepec.mentalhealth.va.gov/index.htm
• Nat’l MH Programming Performance Monitor– 2010 Draft National Report Card
• 4 Domains Ranked by VISN (p 10)– 70 Monitors (p 72)
• Outpatient (p172)
• Economics Table 6-8 (p210)
![Page 22: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/22.jpg)
Local Data Validation Tool
• Ambulatory Care Report Project (ACRP) –in VISTA• Nearly Real Time- As up to date as your data• Runs fast• Can be global (Clinic or Stopcode)• Can be focused (Provider for a given xxx time)
– Can list each patient fitting your criteria• Use to compare to database numbers when in
doubt• Find a skilled ACRPer, and have them teach you
– There are unseen traps
![Page 23: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/23.jpg)
![Page 24: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/24.jpg)
![Page 25: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/25.jpg)
Get Cozy with your Data !!
![Page 26: Navigating the Databases: VSSC/ARC/DSS/NEPEC/Intranetavapl.org/conference/pubs/2011 Conference Presentations... · 2011-05-27 · The pictures pretty bleak gentlemen….The world](https://reader034.vdocument.in/reader034/viewer/2022042911/5f43858a7d44864654018f09/html5/thumbnails/26.jpg)
VHA Resources
• http://vaww1.va.gov– Locations
• All Medical Centers and CBOC’s– Vet Centers
• http://vaww.mentalhealth.va.gov/
• [email protected]• 503-220-8262 x 54242 (I’d rather talk than type!)