$TXT Created by BOWEN,MARY JANE at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Friday, 01/30/09 at 11:12 ============================================================================= Run Date: JUN 29, 2009 Designation: ICD*18*39 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #39 Status: Released Compliance Date: JUL 30, 2009 ============================================================================= Associated patches: (v)ICD*18*34 <<= must be installed BEFORE `ICD*18*39' (v)ICD*18*37 <<= must be installed BEFORE `ICD*18*39' Subject: DRG CORRECTIONS Category: - Routine Description: ============ This patch will fix incorrect Diagnostic Related Group (DRG) groupings. ASSOCIATED REMEDY TICKETS: ========================= 1. HD0000000295442 - DRG Code Mismatch. Duplicate: HD0000000306095 - Numbers are different within the Grouper 2. HD0000000297823 - DRG 592 in Vista does not match DRG 573 in Quantim 3. HD0000000294685 - DRG in VISTA 291 does not match Quantim DRG 292 4. HD0000000299064 - DSS is getting a DRG of 981 and Vista 193 ASSOCIATED NSR'S: ================ N/A PARTICIPATING TEST SITES: ======================== Montana HCS Tampa, FL Heartland East REMEDY OVERVIEW: =============== 1. HD0000000295442 - DRG Code Mismatch Problem: ======== Inpatient stay was coded for malig neoplasm of kidney and patient underwent a complete nephrectomy. When the Patient Transfer File (PTF) was completed, the DRG calculated was 688 which is a Medical DRG. Since this was a surgery performed, the DRG calculated should have been DRG 658, which is the Surgical DRG for this diagnosis. Solution: ========= Changed line DRG656 in routine ICDTBL6A to look for ICDOR variable to contain "O". This variable contains the identifiers for the procedures. If the variable contains the "O", the calculation will go to DRG686 so that the grouping will go to the surgical DRG. 2. HD0000000297823 - DRG 592 in Vista does not match DRG 573 in Quantim Problem: ======== DRG 592 in VistA does not match DRG 573 in Quantim. 592 is a Medical DRG and 573 is a surgical DRG. Solution: ========= Changed line DRG575 in routine ICDTBL5A to look for ICDOR variable to contain "O". This variable contains the identifiers for the procedures. If the variable contains the "O", the calculation will go to DRG592 so that the grouping will go to the surgical DRG. 3. HD0000000294685 - DRG in VISTA 291 does not match Quantim DRG 292 Problem: ======== DRG in VistA 291 does not match Quantim DRG 292. Codes involved should not compute to the MCC DRG. Solution: ========= Add 428.0 as a code not CC to diagnosis code 428.21. Post init routine ICD1839P will add. 4. HD0000000299064 -DSS is getting a DRG of 981 and Vista 193 Problem: ======== VistA is grouping codes to DRG 193 Simple Pneumonia and Pleurisy with MCC. Quadramed shows the DRG as 981 Extensive O.R Procedure Unrelated to Principal Diagnosis with MCC. The code is incorrect in VistA as the surgical procedures don't match with the Diagnosis of Pneumonia. Solution: ========= Changed line DRG194 in ICDTBL6A to look for ICDOR variable to contain "O". If it contains the "O" the DRG will be set to DRG 981. INSTALLATION INSTRUCTIONS: ========================== This patch may be run with users on the system, but it is recommended that Medical Records coders be off the system. Installation will take less than 2 minutes. 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*39): 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*39. 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? NO//', respond NO. 7. Routine ICD1839P can be deleted after the patch has been successfully installed. POST-INSTALL INSTRUCTIONS: ========================== Following installation of this patch, it is necessary to run the DG PTF UPDATE TRANSFER DRGs option in order to make the transfer DRGs correspond to the appropriate grouper. This should be done soon after installing the patch, but should be run at a time when PTF options are not in use. 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: ICD1839P Before: n/a After: B1416970 **39** Routine Name: ICDTBL1A Before: B6090894 After: B6264234 **37,34,39** Routine Name: ICDTBL5A Before: B6463485 After: B6476029 **37,39** Routine Name: ICDTBL6A Before: B8171099 After: B8180587 **37,39** Routine list of preceding patches: 34 ============================================================================= User Information: Entered By : BOWEN,MARY JANE Date Entered : JAN 26, 2009 Completed By: SESSLER,APRIL Date Completed: MAY 14, 2009 Released By : HOLMES,MARY Date Released : JUN 29, 2009 ============================================================================= Packman Mail Message: ===================== $END TXT