$TXT Created by BOWEN,MARY JANE at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Friday, 07/24/09 at 11:12 ============================================================================= Run Date: SEP 24, 2009 Designation: ICD*18*43 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #41 Status: Released Compliance Date: OCT 25, 2009 ============================================================================= Associated patches: (v)ICD*18*39 <<= must be installed BEFORE `ICD*18*43' (v)ICD*18*42 <<= must be installed BEFORE `ICD*18*43' Subject: FIXES FOR DIAGNOSTIC RELATED GROUP (DRG) GROUPER CALCULATIONS Category: - Routine Description: ============ This patch corrects several Diagnostic Related Group (DRG) Grouper calculations. In this patch MCC stands for Major Complicating Condition, CC stands for Complicating Condition and MDC stands for Major Diagnostic Category. ASSOCIATED REMEDY TICKETS: ========================== 1) HD0000000295969 - DSS calculating different DRG than VistA 2) HD0000000310537 - crossed over incorrect 3) HD0000000313410 - DRG Inconsistency 4) HD0000000323342 - Incorrect Crossover Duplicate: HD0000000333243 - Quantim DRG 440 but in VISTA as 439 5) HD0000000326155 - DRG's not grouping correctly in Vista 6) HD0000000328159 - DRG calculating Duplicate: HD0000000331091 - Drg 86 in quantim is correct, Vista is 84 7) HD0000000328901 - DRG ungroupable 999, should be DRG 951 ASSOCIATED NSRs: ================= N/A PARTICIPATING TEST SITES: ========================= Huntington, WV Portland, OR Upstate New York HCS REMEDY OVERVIEW: ================ 1) HD0000000295969 - DSS calculating different DRG than VistA Problem: ======== VistA calculates DRG 617 incorrectly as DRG 616. Solution: ========= Routine ICDTBL6A was corrected to look for secondary diagnosis identifier "z". 2) HD0000000310537 - crossed over incorrect Problem: ======== VistA calculates DRG 470 incorrectly as DRG 469. Solution: ========= Change ICDTBL4A to look for ICDEXP to see if patient expired and change to non CC if it's there. 3) HD0000000313410 - DRG Inconsistency Problem: ======== Site reported that DRG 670 is calculating as 668 in VistA. Solution: ========= Change table ICDTBL6A to look for z operation identifier before setting to MCC. 4) HD0000000323342 - Incorrect Crossover Problem: ======== VistA calculates DRG 440 incorrectly as 439. Solution: ========= Change ICDTBL4A to account for DRG codes 438, 439 and 440. 5) HD0000000326155 - DRG's not grouping correctly in Vista Problem: ======== a. DRG 841 calculating as 844 in VistA. b. DRG 66 calculating as 65 in VistA. Solution: ========= a. Change ICDTBL8A to look for identifier L in primary diagnosis for Leukemia. b. Change ICDTBL0A to look for Operation identifier O to determine if DRG should be an MCC. 6) HD0000000328159 - DRG calculating Problem: ======== a. DRG 249 calculating incorrectly as 251 in VistA. b. DRG 87 calculating incorrectly as 84 in VistA. Solution: ========= a. Change IDCTBL2A to use operator '&' instead of '!' to verify fields at linetag CMS516 then change DRG248 to default to 249 instead of defaulting to a variable when checking MCC. b. Change ICDTBL0A to look for identifier 1(coma>1hr) before setting DRG. 7) HD0000000328901 - DRG ungroupable 999, should be DRG 951 Problem: ======== DRG showing as ungroupable 999, should be DRG 951. Solution: ========= Add versioned MDC and DRG to diagnosis code v66.2. 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. 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*43): 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*43. 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. All routines ICD1843* can be deleted after the patch has been successfully installed. POST-INSTALL INSTRUCTIONS: ========================== 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 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 13,2000;Build 12 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1843D Before: n/a After: B5938437 **43** Routine Name: ICD1843P Before: n/a After: B240267 **43** Routine Name: ICDTBL0A Before: B15115403 After: B15517370 **37,34,43** Routine Name: ICDTBL2A Before: B40680504 After: B40060685 **37,34,42,43** Routine Name: ICDTBL4A Before: B22172181 After: B22524574 **37,43** Routine Name: ICDTBL6A Before: B8180587 After: B8528275 **37,39,43** Routine Name: ICDTBL8A Before: B18378735 After: B18587794 **37,34,43** Routine list of preceding patches: 39, 42 ============================================================================= User Information: Entered By : BOWEN,MARY JANE Date Entered : JUN 02, 2009 Completed By: SESSLER,APRIL Date Completed: SEP 16, 2009 Released By : FRANCE,KATHI Date Released : SEP 24, 2009 ============================================================================= Packman Mail Message: ===================== $END TXT