============================================================================= Run Date: DEC 21, 2023 Designation: ICD*18*115 Package : ICD - DRG GROUPER Priority: EMERGENCY Version : 18 SEQ #107 Status: Released Compliance Date: JAN 03, 2024 ============================================================================= Associated patches: (v)ICD*18*114 <<= must be installed BEFORE `ICD*18*115' Subject: FY2024 ANNUAL DRG GROUPER UPDATE Category: - Routine - Other Description: ============ This patch provides the annual update to the Medicare Severity Diagnosis Related Grouper (MS-DRG) Grouper version 41. The purpose of this patch is to add code for the update that was posted in the Federal Register for fiscal year 2024. These changes were published on https://www.cms.gov and are part of the version 41 release, with an effective date of October 1, 2023. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ PLEASE NOTE: Be aware of the shortened compliance date. The changes included in this patch are posted in the Federal Register for Fiscal Year 2024 with an effective date of October 1, 2023. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File Number New/Modified/Deleted --------- ----------- -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- Blood Bank Team Coordination: N/A New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1) INC28447916 - Annual Update of VistA DRG Application Request update to HIPAA Standard Code Set CMS MS-DRG and calculation rules to ensure accuracy of MS-DRG calculation data as outlined by CMS V41 (Effective Discharge Dates beginning 10/1/23) as posted in the Federal Register for FY2024. These changes were published on https://www.cms.gov and are part of the version 41 release. Changes include: I. Revised, Added and Deactivated DRGs. II. Revised DRG descriptions, relative weights & average length of stay (ALOS) values for DRGs. III. DRG Reclassification changes to the Grouper. This is a summary of the additions/changes made: I. Routine ICD115A was written to update the DRG file (#80.2). II. Routine ICD115A is used to update the finalized values for DRG relative weights and average length of stay (ALOS). III. DRG RECLASSIFICATION. Test Sites: ----------- VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SNOW Change Order #: -------------------- VISN 02 (Buffalo, NY) - CHG0437680 Montana HCS (Fort Harrison, MT) - CHG0437541 North Florida HCS (Gainesville, FL) - CHG0438022 Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released using a host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/ICD_18_115.KID or by accessing the URL: https://download.vista.domain.ext/index.html/SOFTWARE. File Title File Name Format ------------------------------------------------------------------- ICD_18_115.KID ICD_18_115.KID ASCII Documentation describing the new functionality is not included in this release. Documentation Title File Name --------------------------------------------------------- N/A Patch Installation: ------------------- Pre/Post Installation Overview: N/A Pre-Installation Instructions: ------------------------------ It is recommended that this patch be installed during non-peak hours to minimize potential disruption to users. Additionally, installing during peak hours may lead to an unusually long install time. Do not interrupt the installation. Do not Queue this installation. If it is queued, it may hang and not finish installing. Installation can take 40 mins to one (1) hour. Create a backup of the following global file before continuing. When you are creating a backup of non-subscripted globals, you are saving the entire global. You should use the utility ^%GO for non-subscripted globals, and when prompted for a global, enter the global root (global name only, no open parenthesis, no file number and no commas, as shown below). Examples: Enter To create a Backup copy of: ------ -------------------------- ^ICDD entire ICDD global ^ICD entire ICD global Installation Instructions: ========================== 1. Use the Load a Distribution option contained on the Kernel Installation and Distribution System Menu to load the Host file. When prompted to "Enter a Host File: (Ex. /srv/vista/patches/SOFTWARE/ICD_18_115.KID) 2. From the Kernel Installation & Distribution System menu, select the Installation menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter the patch or build name. (ex. ICD*18.0*115) B. Select the Backup a Transport Global option to create a backup message. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. However, it is NOT recommended to use this backup to restore the system as it will NOT restore your system to pre-patch condition. i. At the Installation option menu, select Backup a Transport Global. ii. At the Select INSTALL NAME prompt, enter your build ICD*18.0*115. iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Enter response: Build iv. When prompted "Do you wish to secure this message? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox. vii. Repeat step ii for each build in the host file. C. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all of the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install. i. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. ii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', answer YES. a. When prompted 'Enter options you wish to mark as 'Out Of Order':', select the following options: Menu Text Option Name --------- ----------- DRG Grouper [ICD DRG GROUPER] DRG Calculation [DG DRG CALCULATION] Load/Edit PTF Data [DG PTF SCREEN] Claims Tracking Edit [IBT EDIT TRACKING ENTRY] Enter/Edit Billing Information [IB EDIT BILLING INFO] DRG Information Report [DG PTF DRG INFORMATION OUTPUT] b. When prompted, 'Enter protocols you wish to mark as 'Out of Order':', enter: Post-Installation Instructions: ------------------------------- N/A Back-Out/Roll Back Plan: ------------------------ Back-out will be done only with the concurrence and participation of the development team and appropriate VA site/region personnel. The decision to back-out or rollback software will be a joint decision between the development team, VA site/region personnel and other appropriate VA personnel. Due to the complexity of this patch, it is not recommended for back-out. In the event that an installer decides to back out this patch, the patch installer should contact the Enterprise Service Desk (ESD) to submit a help desk ticket. The sustainment team will need to issue a follow-on patch in order to comprehensively back-out this patch and restore the system to a functioning state. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;October 20, 2000;Build 7 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD115A Before: n/a After: B66004677 **115** Routine Name: ICD115F Before: n/a After: B72000809 **115** Routine Name: ICD115G Before: n/a After: B81767695 **115** Routine Name: ICD115H Before: n/a After: B71316176 **115** Routine Name: ICD115I Before: n/a After: B75423483 **115** Routine Name: ICD115J Before: n/a After: B72406556 **115** Routine Name: ICD115K Before: n/a After: B76895274 **115** Routine Name: ICD115O Before: n/a After: B3504386 **115** Routine Name: ICD115P Before: n/a After: B3531633 **115** ============================================================================= User Information: Entered By : Date Entered : SEP 06, 2023 Completed By: Date Completed: DEC 20, 2023 Released By : Date Released : DEC 21, 2023 ============================================================================= Packman Mail Message: ===================== No routines included