Group Practice Manager on Administrative Applications

An Air Force (AF) military treatment facility (MTF) will normally have two or more group practice managers (GPM). The facility where this interview takes place has three; they are co-located at LakenheathHospital with duties equally divided between in and outpatient care areas. The duties of a GPM consist of assessing clinical business practices, forecasting demands on medical services, and determine how well the MTF is meeting the business plan.

They are responsible for the evaluation of each provider regarding relative value unit (RVU) and relative weighted unit (RWU). Additionally, they are evolved in budgeting, marketing, strategic planning and lead facility initiatives addressing patient satisfaction of in and outpatient medical services (AFMS Kx, n. d. ). The GPMs interact with numerous administrative applications to achieve success at their job.

This paper will discuss three key applications; Management Analysis and Reporting Tool (M2), United States Armed Forces Europe (USAFE) Decision Support System (DSS) and Air Force Surgeon General’s Executive Global Look (SG EGL) utilized by the GPM in assess data. M2 is a Business Objects query tool GPMs use to aid decision makers in overseeing military health system(MHS) operations. The benefits of M2, provides a detailed summary of population, clinical and financial data from all MHSworldwide. Data includes, purchased care, eligibility and enrollment data (Executive Information Decision Support, n. ). GPMs use M2 to evaluate encounters, business practices, perform trend analyses, conduct patient, and provider profiling studies. This application also identifies areas of healthcare services paid to the private sector that are available at the MTF and transfers those services back to MTF. Disadvantages of this system identified by the GPM include, complicated excel spreadsheets requiring extensive data cleanup and performing multiple pivots to present reportable data. Data lag time is forty to sixty days, so today the GPM can only assess data as recent as the end of February.

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This system is preferred to the Composite Health Care System (CHCS I), a Virtual Memory System (VMS) where ad-hoc reports are built, requiring clean up, then pasted in to Excel for more data clean-up and pivoting (Beyster & Economy, 2007). Another administrative application favored by GPMs is the Air Force Surgeon General’s Executive Global Look (SG EGL). SG EGL assesses MTF effectiveness of meeting measures in customer satisfaction, provider availability, appointment booking, business plan and the command’s overall performance.

One innovation all three GPMs agree upon is SG EGL, this administrative application provides "Push Report," which pre-builds graphics of the aforementioned data that they do not have to pivot down. The SG EGL website allows requested reports to be sent directly to e-mail inbox monthly (Air Force Surgeon General’s Executive Global Look, n. d. ). Reports received have the same information contained on the website, so the user receives information in a dashboard format that is easily copied into PowerPoint for presentation tothe hospital leadership.

One limitations of SG EGL noted by the GPM is the same data lag time as M2. Another problem with this application is the website frequently is inoperative and if updates are implemented you may not be able to see data until the Pentagon figures out the issue. One of the strengths of the website regardless up or down the “Push Reports” are always sent and contain viable data. Another tool for analyzing data used by the GPM is DSS. DSS is located in Ramstein, Germany and supports USAFESG on data regarding medical services provided throughout USAFE.

DSS is a team of informatics specialists that generate custom reports, create and manage web-based applications (USAFE DSS, n. d. ). GPMs find DSS a favorite place to request custom built reports not covered in other applications such as M2 or SG EGL. Additionally, the informatics experts have the ability to mined data and perform clean-up, the GPM would normally have to accomplish. The report is still received in excel format,but data is specific to the request. The negatives of DSS, if a requested report needs additional data fields added, the report has to be rebuilt to include the new fields.

Furthermore, extensive directions must be given to guide the informatics section on building the report. Once the report is built to specifications the potential for assessment of data is tremendous. The administrative application discussed in this paper address just a few currently used by GPMs. There are additional unique databases at major commands (MAJCOM), developed to assess unique data requiring evaluation by the command. The development of unique databases occurs due tothe demand for quick acquisition of data “in real time. Unfortunately, development at the DoD level takes years for implementation and the user want current data, not data forty to sixty days out of date. GPMs at this facility greatly desire one administrative application to obtain tables, graphs and reports, but such an application is years in the making.

References

1. Air Force Medical Service (AFMS) Knowledge Exchange (Kx). (n. d). Group practice manager’s position description. Retrieved from https://kx. afms. mil/kxweb/home. doAFAF (Air Force Surgeon General’s Executive Global Look n. d. SG EGL)
2. Air Force Surgeon General’s Executive Global Look. (n. d. . SG EGL. Retrieved from https://egl. afms. mil/ (Beyster R J Economy P 2007 SAIC Solution: How We Built an $8 Billion Employee-Owned Technology Comapny)
3. Beyster, R. J. , & Economy, P. (2007). The SAIC solution: How we built an $8 billion employee-owned technology company. John Wiley & Sons, 88. (Executive Information Decision Support n. d. EIDS)Executive Information Decision Support. (n. d. ). EIDS. Retrieved from http://www. ha. osd. mil/peo/59810_Axiom_Bro_EIDS. pdf
4. United States Armed Forces Europe (USAFE) Decision Support System (DSS). (n. d. ). Retrieved from https://sg2. usafe. af. mil/DSS/

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