$TXT Created by GILMORE,JEREMY at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Thursday, 01/17/13 at 12:19 ============================================================================= Run Date: JUN 21, 2013 Designation: ICD*18*69 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #61 Status: Released Compliance Date: JUL 22, 2013 ============================================================================= Associated patches: (v)ICD*18*55 <<= must be installed BEFORE `ICD*18*69' (v)ICD*18*65 <<= must be installed BEFORE `ICD*18*69' Subject: VARIOUS DRG GROUPER FIXES Category: - Routine Description: ============ The DRG (Diagnostic Related Group) Grouper is used to compute and display the DRG for a patient based on that patient's diagnoses and any operations/procedures performed. It uses a mixture of formulas, Diagnosis and Operation identifiers, and tables that rely on data added to the DRG file (#80.2), the ICD DIAGNOSIS file (#80) and the ICD OPERATION/PROCEDURE file (#80.1). These files, the date, and the age of the patient determine which codes are needed to calculate the proper DRG. This patch corrects various DRG calculations. ASSOCIATED REMEDY TICKETS: ========================== 1)INC000000592036 - DRG not calculating correctly 2)INC000000606874 - DRG Calculations DRG 981 - VistA 293 3)INC000000614523 - DRG not calculating correctly 4)INC000000707978 - Issue Encountered. 5)INC000000707980 - DRG calculating codes incorrectly in Vista 6)INC000000710881 - Issue Encountered. 7)INC000000739227 - Upload from Quantim to VIP, the DRG changes 8)INC000000755863 - DRG grouping discrepancy 794 to 795 Duplicate: INC000000757555 - DRG Miscalculation 9)INC000000768965 - drg calculates incorrectly in Vista for following codes 10)INC000000604637 - PTF file will not release Duplicates: INC000000742575 - 4 and 5 site code rejection INC000000763037 - invalid code 534 and 535 INC000000787997 - VIP work place INC000000807643 - MAS - PTF: ASSOCIATED NSR's: ================= N/A PARTICIPATING TEST SITES: ========================= Tampa, FL Upstate New York HCS REMEDY OVERVIEW: ================ 1) INC000000592036 - DRG not calculating correctly Problem: ======== DRG 179 is incorrectly calculating to DRG 177 in VistA. Solution: ========= Updated the identifier field to include a 'k' for diagnosis code 482.42. 2) INC000000606874 - DRG Calculations DRG 981 - VistA 293 Problem: ======== DRG 981 is incorrectly calculating to DRG 291 in VistA. Solution: ========= Updated the identifier field to include a 'O' for diagnosis code 32.02. 3) INC000000614523 - DRG not calculating correctly Problem: ======== DRG 310 is incorrectly calculating to DRG 309 in VistA. Solution: ========= Updated routines ICDTBL3D and ICDTBL3E to account for correct diagnosis codes. 4) INC000000707978 - Issue Encountered. Problem: ======== DRG 040 is incorrectly calculating to DRG 981 in VistA. Solution: ========= Updated routines ICDTBL9D and ICDTBL9E to account for correct diagnosis codes. 5) INC000000707980 - DRG calculating codes incorrectly in Vista Problem: ======== DRG 592 is incorrectly calculating to DRG 593 in VistA. Solution: ========= Updated routines ICDTBL5D and ICDTBL5E to account for correct diagnosis codes. 6) INC000000710881 - Issue Encountered. Problem: ======== DRG 310 is incorrectly calculating to DRG 308 in VistA. Solution: ========= Updated routines ICDTBL3D and ICDTBL3E to account for correct diagnosis codes. 7) INC000000739227 - Upload from Quantim to VIP, the DRG changes Problem: ======== DRG 673 is incorrectly calculating to DRG 675 in VistA. Solution: ========= Updated routines ICDTBL6D and ICDTBL6E to account for correct diagnosis codes. 8) INC000000755863 - DRG grouping discrepancy 794 to 795 Problem: ======== DRG 794 is incorrectly calculating to DRG 795 in VistA. Solution: ========= Updated routines ICDTBL7D and ICDTBL7E to account for correct diagnosis codes. 9) INC000000768965 - drg calculates incorrectly in Vista for following codes Problem: ======== DRG 794 is incorrectly calculating to DRG 795 in VistA. Solution: ========= Updated the identifier field to include an 'S' for diagnosis code v18.0. 10) INC000000604637 - PTF file will not release Problem: ======== In VistA, when using the Load/Edit PTF Data option within the PTF Menu [DG PTF MENU] option name, the system will not prompt for axis codes when diagnosis codes 294.20 or 294.21 are used on either the 501 or 701 screens. This issue will not allow the record to close and release because the axis codes are missing. Solution: ========= Added diagnosis codes 294.20 and 294.21 to the PTF EXPANDED CODE (#45.89) file. INSTALLATION INSTRUCTIONS: =========================== This patch may be run with users on the system. However, it would be preferable if Medical Records coders were off the system. Installation will take less than 5 minutes. ******************************************************************** *Please Note: For those test sites/accounts with patch ICD*18.0*57 * *installed for ICD-10 testing; you will need to restore the ICD-10 * *account back to an ICD-9 account to install patch ICD*18.0*69. * ******************************************************************** 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu to unload the KIDS distribution included with this message. NOTE: If the required patches are not installed, the transport global will be removed. If the transport global is removed you will need to repeat this step. 2. From the Kernel Installation and Distribution System Menu, select the Installation menu. 3. From this menu, you may elect to use the following options (when prompted for INSTALL NAME, enter ICD*18.0*69): a. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). b. Verify Checksums in Transport Global - this option will allow you to ensure the integrity of the routines that are in the transport global. c. Print Transport Global - this option will allow you to view the components of the KIDS build. d. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. 4. Use the Install Package(s) option and select the package ICD*18.0*69. 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond No. 6. When prompted, 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond Yes. When prompted, 'Enter options you wish to mark as 'Out Of Order':', enter: PTF Menu [DG PTF MENU] When prompted, 'Enter protocols you wish to mark as 'Out Of Order':', press enter. 7. Routine(s) ICD1869* can be deleted after the patch has been successfully installed. 8. Following installation of this patch, it is necessary to run the Update Transfer DRG's for Current FY [DG PTF UPDATE TRANSFER DRGs] option in order to make the transfer DRGs correspond to the appropriate grouper. This option updates/recalculates the transfer DRGs for PTF records opened during the current fiscal year. The option is locked with the DG PTFSUP security key. The Menu path is PTF Menu/Update DRG Information Menu/Update Transfer DRGs for current FY. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;Oct 20,2000;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1869L Before: n/a After: B15287847 **69** Routine Name: ICD1869P Before: n/a After: B861701 **69** Routine Name: ICDTBL1C Before: B6601382 After: B6806736 **50,53,55,69** Routine Name: ICDTBL1D Before: B6597931 After: B6803254 **56,69** Routine Name: ICDTBL1E Before: B9736324 After: B9970948 **65,69** Routine Name: ICDTBL3D Before: B8024597 After: B8072801 **56,69** Routine Name: ICDTBL3E Before: B8024685 After: B8072890 **65,69** Routine Name: ICDTBL5D Before: B7303976 After: B7024066 **56,69** Routine Name: ICDTBL5E Before: B7303985 After: B7024075 **65,69** Routine Name: ICDTBL6D Before: B10169323 After: B10478160 **56,55,69** Routine Name: ICDTBL6E Before: B10169332 After: B10478169 **65,69** Routine Name: ICDTBL9D Before: B4782477 After: B5060180 **56,69** Routine Name: ICDTBL9E Before: B4782486 After: B5060300 **65,69** Routine list of preceding patches: 55, 65 ============================================================================= User Information: Entered By : GILMORE,JEREMY Date Entered : OCT 25, 2012 Completed By: LEANORD,TATIANA Date Completed: JUN 12, 2013 Released By : DANE,SIDNEY Date Released : JUN 21, 2013 ============================================================================= Packman Mail Message: ===================== $END TXT