PASBA Deployed Records Processing

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PASBADeployed Records Processing
Chuck Blagg
5 August 2007
UNCLASSIFIED
2
BRIEFING OUTLINE
PURPOSE To provide information on PASBA
Deployed Medical Records processing.

• Background
• Current Status
• Cumulative Workload Statistics
• Conclusion
• Questions?

UNCLASSIFIED
Chuck Blagg/MHS-ISQ/[phone] (DSN 421)
/chuck.blagg_at_us.army.mil
3
Background

• Began processing deployed inpatient medical
  records in PASBA basement.
• Fall 01 OEF
• Spring 03 OIF
• April 05 Obtained additional building and
  opened Deployed Medical Records Processing Center
  (DMRPC) with 7 Contractors
• Since have increased contract labor 22 (Coders
  and Medical Records Clerks)
• Share data to support Joint Theater Trauma
  Repository (JTTR)

UNCLASSIFIED
Chuck Blagg/MHS-ISQ/[phone] (DSN 421)
/chuck.blagg_at_us.army.mil
4
Background

• November 06 MEDCOM CoS and TSG redirect
  priority of processing medical records
• 1st priority US Forces and Detainees
• 2nd priority Others (Local Nationals,
  Contractors, US and Coalition Forces, Third
  Country Nationals)
• Aug 06 Web Interface to Scanned Patient
  Records (WISPR) facilitated more efficient
  support of JTTR using scanned medical record
  images instead of hard copy records.
• June 06 Started retiring completed and scanned
  records to NPRC (St. Louis)

UNCLASSIFIED
Chuck Blagg/MHS-ISQ/[phone] (DSN 421)
/chuck.blagg_at_us.army.mil
5
Current Status

• Processing Medical Records consists of
• Proper document order for retirement
• Completeness of documentation
• Demographic verification
• Proper coding
• Electronically capturing the data
• Scanning completed records into an optical
  repository
• Retiring medical record to NPRC (St. Louis)

UNCLASSIFIED
Chuck Blagg/MHS-ISQ/[phone] (DSN 421)
/chuck.blagg_at_us.army.mil
6
Cumulative Workload
Thousands
UNCLASSIFIED
Chuck Blagg/MHS-ISQ/[phone] (DSN 421)
/chuck.blagg_at_us.army.mil
7
CONCLUSION

• Results from Medical Record Processing
• Approximately 30 - 35 are coded accurately
• PASBA completely re-codes all records based upon
  hard copy documentation because
• Using wrong ICD/CPT Code
• Coded to wrong specificity
• No Code at all
• Way Ahead
• Continue to optimize and streamline processing
• Contract Labor re-writing SOW to optimize
  productivity and faster turn around of completed
  medical records
• Continue retiring records
• Continue to refine coding quality and production

UNCLASSIFIED
Chuck Blagg/MHS-ISQ/[phone] (DSN 421)
/chuck.blagg_at_us.army.mil
8
Questions??
UNCLASSIFIED
Chuck Blagg/MHS-ISQ/[phone] (DSN 421)
/chuck.blagg_at_us.army.mil