Medical Management Guide, 2009, Version 3.0 - Tricare

Medical Management GuideVersion 3.0Medical Management ToolsPage 135for the MHS. EI/DS tools help provide complete,accurate information to MM staff, includingbeneficiary, provider, financial, and healthcare usedata. These data are evaluated, integrated, andmade available to MHS users through a variety ofEI/DS tools and specialized data sets developedto meet business requirements. EI/DS activelyinterfaces with more than 260 systems around theglobe and is comprised of a data warehouse andseven operational data marts supporting nearly3,000 users, including MHS managers, clinicians,and analysts.EI/DS includes the following tools, many of whichare discussed in this section:1. Military Health System Data Repository (MDR)2. MHS Management Analysis and Reporting (M2)3. Prospective Payment System (PPS)4. ESSENCE Medical Surveillance5. CDM6. TRICARE Encounter Data (TED)7. Patient Encounter Processing and Reporting(PEPR) and its reporting applications.All tools and resources provided by EI/DS require anaccount. The various tools have a limited number oflicenses; therefore, accounts must be approved bya Service representative. To become a user, contactEI/DS via email at: eids.access@tma.osd.mil.TOOLS FOR UTILIZATION, CASE, ANDDISEASE MANAGEMENT COLLABORATIONFig. 37 provides a summary of informationsystems that may be helpful for UM, CM,and DM collaboration. (For more informationon collaboration between MM components, seeSection I, Medical Management Essentials;Integrating Utilization, Case, and DiseaseManagement Functions.)Multiple source systems feed the MHS DataRepository (MDR) to create various data marts andapplications. These source systems include:• The Composite Health Care System (CHCS)— where data are gathered directly from theMTFs.• The Medical Expense & Performance ReportingSystem (MEPRS) Executive Query System(MEQS).• The Defense Eligibility Enrollment ReportingSystem (DEERS).• Managed Care Support Contractor (MCSC)systems.The data from these systems are reviewed, analyzed,and aggregated in the MDR to create the variousmarts and applications listed in Fig. 38.Be sure to see the companion CD-ROM for moreimportant Medical Management Tools and Resources.