============================================================================= Run Date: DEC 04, 2019 Designation: GMRC*3*137 Package : GMRC - CONSULT/REQUEST TRACKING Priority: Mandatory Version : 3 SEQ #126 Status: Released Compliance Date: DEC 18, 2019 ============================================================================= Subject: CONSULT TOOLBOX 1.9.0054 Category: - Informational Description: ============ ************************************************************************** This is an informational patch explaining changes in Consult Toolbox. NOTE: This patch is loaded on individual PC workstations via SCCM software update push from local/regional OIT. There is nothing that local sites can or need to do besides communicate changes to the clinical users. No code changes were made to the Consult application to accommodate these enhancements. ************************************************************************** Version 1.9.0054 modifies the Consult Toolbox application as described below: 1. The CTB User Interface has been updated as follows: a. The CC Consult Review tab has been updated to remove all Choice options. New options have been added for New Community Care Program. b. The Forward to Community Care panel has been updated as follows: i. "Nature of simplicity of service (UEXB)" changed to "Nature of simplicity of service" ii. "Explain (UEXB)" changed to "Explain" iii. "Unusual or Excessive travel Burden (type and explanation of UEXB required)" removed as an option c. The ability to select a Category of Care from a drop down list has been added to the Authorization tab d. The MSA Elig. Verification tab/Specific Eligibility Verified has been modified to add the following options: i. "Drive Time not Distance" ii. "BMI - Hardship" iii. "BMI-BMI per Episode of Care" iv. "Quality Standard not met" v. "Grandfathered under Choice" vi. "No Full Service available VA in State" e. The MSA Elig. Verification tab/Specific Eligibility Verified has been modified to remove the following options: i. "Air, Boat, Ferry" ii. "UEXB-Geographical Challenges" iii. "UEXB-Environmental Factors" iv. "UEXB-Medical Condition" v. "UEXB-Nature or simplicity of services" f. The "Send to HSRM" functionality has been updated to insert a copy of the last inserted SEOC after the ICR Consult Factor to allow ingestion by HSRM. 2. The following DST related functionality has been updated: a. DST has been updated to detect Chrome browser tab closure and/or Chrome browser window closure b. Consult information is now passed from CTB to DST so complete context is available when DST is launched from a signed consult c. The Link DST Data window has been eliminated, and text is directly inserted into the Reason for Request field d. DST can now be opened regardless of what information is passed as a CID e. CTB has been updated to work with DST Auto Forwarding functionality This software was created by the Atlanta VA Medical Center in response to a need to manage the process of consult management. During the life of a consult, there are prescribed steps of actions to be taken, and there is a need to be able track these steps at an individual patient level. Additionally, there is a need to be able to understand the overall status of consult management at a macro level, and identify specific services needing attention or resources. Without opening and reading a patient medical record, it is difficult to identify which patients have had which scheduling steps completed. This software does several things. First, it makes it very easy for staff to document actions completed quickly and consistently. Second, it uses consistent verbiage to document these steps. Third, it eliminates the need to take a second action or make a separate entry to track scheduling steps. Fourth, this consistent verbiage allows software analysis of records without needing to have software changes to VistA or CPRS. A separate process using corporate data warehouse queries and reports allows creation of views showing such things as patients who have not had first call, second call, scheduling letter sent or how much time has passed between these events. Together, these allow tracking and managing consults without the need to keep a separate list or other workflow to know which consults need attention. Additional Information: ----------------------- This software watches keyboard and mouse activity, and comes to life when certain conditions occur. 1. It only activates when the currently active windows title "Receive Consult", "Add Comment to Consult" or "Discontinue Consult." Otherwise nothing happens 2. When the user initiates a trigger event when either of these windows have the focus, then depending on the open window a menu appears for the user to select the appropriate action, then the software inserts the appropriate text into the comment box. 3. The defined trigger is a right mouse click in the supported CPRS consult actions. New Service Requests (NSRs): -------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------- The following Service Now tickets are addressed by this release: 1. INC6627239 - Issue related to DST window z-order 2. INC6778483, INC7435487, INC7442871 - Issues related to DST information not being consistently being added to consult records Problem: -------- 1. Z-order issue with Mental Health & Behavioral Science window stuck focus preventing DST access 2. Ongoing facility wide issues linking DST to consults- product works inconsistently Resolution: ----------- 1. Launch DST functionality has been updated to resolve known Z-order issue in CTB 1.9.0054 2. Launch DST functionality has been updated to resolve know DST linking issues in CTB 1.9.0054 Test Sites: -------------------- Madison, WI Salisbury, NC Salt Lake City, UT Software and Documentation Retrieval Instructions: ---------------------------------------------------- Software is being released via SCCM package to ESE. User Guide will be placed on the following anonymous directories: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www.domain.ext/vdl/ Title File Name FTP Mode ----------------------------------------------------------------------- Consult Toolbox User Guide consult_toolbox_1_0_um.pdf Binary Consult Toolbox User Guide consult_toolbox_1_0_um.docx Binary Deployment, Installation, Back-Out, and Rollback Guide ctb_dibr.pdf Binary Deployment, Installation, Back-Out, and Rollback Guide ctb_dibr.docx Binary Patch Installation -------------------- N/A Installation Instructions: -------------------------- Software is being released via SCCM package to ESE. This software installs on the PC desktop at the windows level and will reside in the system tray. Installation of this Windows feature will occur via a SCCM software push to PCs via a Local/ Regional process. Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : JUL 02, 2019 Completed By: Date Completed: DEC 03, 2019 Released By : Date Released : DEC 04, 2019 ============================================================================= Packman Mail Message: ===================== No routines included