MEDICAL EXPENSE & PERFORMANCE REPORTING SYSTEM (MEPRS)

The Medical Expense and Performance Reporting System (MEPRS) is a cost management system that accumulates and reports expenses, manpower, and workload performed by Department of Defense (DoD) fixed military medical and dental treatment facilities. It is the basis for establishing a uniform reporting methodology that provides consistent financial and operating performance data to assist managers who are responsible for health care delivery.

The MEPRS Manual for fixed military medical and dental treatment facilities is DOD Manual 6010.13-M, dated 7 April 2008. The purpose of this manual for MEPRS is to update uniform procedures for the reporting of expense and manpower data for DoD Medical Operations.  Click here to get 6010.13-M.

The MEPRS Analyst for the region serves as a liaison between ten SRMC MTFs and MEDCOM/OTSG MEPRS, this office assists with data quality initiatives and issues to include analysis of data from all military health care systems.

The AMPO website is available at: http://www.ampo.amedd.army.mil/.   The AKO website, 70C Homepage, MEPRS FY08 & FY09 Guidance folder is available for download at: www.us.army.mil/suite/page/584.   The AKO website, DMHRSi Homepage, Enterprise, Labor Cost Assignment (LCA) FY Documentation for EASi Tables and DMHRSi guidance is available at: https://www.us.army.mil/suite/page/132800.

Key Roles & Responsibilities

• Data Quality/Productivity Metrics: Updates and status reports are provided to SRMC on MEPRS monthly transmissions. These reports are part of several MEDCOM and TMA data quality metrics. The SRMC supports the regions MTFs with guidance and further in-depth analysis of PA&E’s Productivity, Economic Efficiency (EEF) and other data quality models to include the Optimization Triangle in order to assist with reporting improved results.
• EASIV/WAM: The SRMC MEPRS office coordinates with MEDCOM/OTSG MEPRS to develop deployment and transition strategies for the mandatory EASIV and WAM Systems. EAS is a Tri-Service system developed to reduce the labor required in collecting and computing expense data. The system produces MEPRS reports by integrating financial, manpower, and workload data into a total cost and average cost per output for each work center. The version of EAS currently under development is EAS IV. The EAS IV automated information system (AIS) will be a data repository that provides standardized reporting of expense, personnel, and workload data by DoD medical and dental facilities at the facility level. EAS IV will be essential for the implementation of capitation-based budgeting and managed care with DoD and will serve as the primary source of cost data for various studies and for calculating rates for third-party collections.
• DMHRSi: The Defense Medical Human Resource System (DMHRSi) supports the Military Health System (MHS) by integrating critical medical human resource information in an accurate and timely manner for all levels of MHS. The system is designed to provide a single integrated solution for the tasks of managing and supporting time-sensitive decisions regarding medical personnel, readiness, training, patient acuity, workload and financial reporting, and other human resource requirements for efficient resource and contingency planning. Users have the ability to perform analysis of personnel trends and subsequently manage a shifting resources pool.  Please click here to visit DMHRSi web site.
• WMSN: The Workload Management System for Nursing (WMSN) is a management tool used to assess nursing personnel staffing based on patients' nursing care needs. Nurses classify patients according to an assessment of their nursing care needs for the next 24 hour period and determine the total number of nursing care hours (NCH) a unit's patients will require. This system provides solid factors to begin planning for patient care. It is important to note that the strength of the WMSN is knowing its capabilities and limitations. The WMSN cannot stand as a single method for determining staffing requirements but when used properly, the WMSN can provide a good starting point for assessing the staffing needs of your unit. Click Here for more information.  
• Questions: The SRMC assists MEDCOM/OTSG MEPRS by submitting written issues to recommended changes on MEPRS processes, policies, and regulations. Written clarification and guidance of MEPRS policies and processes are provided from this office to SRMC MTFs and shared with MEDCOM/OTSG MEPRS to assist in developing responses to online queries.

Policy and Guidance

AMPO approval is required for use of 4th level MEPRS Functional Cost Codes (FCCs) by medical treatment facilities (MTFs) prior to being activated at the local level.  Due to pending system changes and future transformation of Military Health Care, efforts are being made to standardize MEPRS/FCC reporting for all Army, Air Force, and Navy MTFs.  A standardized MEPRS/FCC cannot be used to record a different function than prescribed and approved by AMPO.  The FY MEPRS Reference Guidelines Reporting Components by FCC provides a listing of all approved MEPRS/FCCs, to include standardized MEPRS/FCCs.  The FY MEPRS Reference Guidelines Reporting Components by FCC and MEPRS/FCC Changes are available for download on the AKO website on the 70C homepage in MEPRS FY Guidance folder at: www.us.army.mil/suite/page/584.

For more on EAS, DMHRSi, WMSN and to submit questions on MEPRS to a central functional mailbox, Click Here.