$TXT Created by BOWEN,MARY JANE at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Wednesday, 01/12/11 at 11:05 ============================================================================= Run Date: MAY 27, 2011 Designation: ICD*18*53 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #51 Status: Released Compliance Date: JUN 27, 2011 ============================================================================= Associated patches: (v)ICD*18*50 <<= must be installed BEFORE `ICD*18*53' Subject: DRG GROUPER FIXES Category: - Routine Description: ============ The Diagnostic Related Group (DRG) 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 the codes and other information needed to pass into the formulas and the tables used in those formulas to calculate the DRG. These codes and the DRG codes come from the Federal Register for Center for Medicare and Medicaid Services (CMS) and are updated and added to yearly effective October 1 of the year. This patch corrects various DRG calculations. ASSOCIATED REMEDY TICKETS: ========================== 1) HD0000000411936 - DRG grouper 509 is showing as 232 2) HD0000000445988 - DRG012 displays DRG129 in VistA 3) HD0000000447594 - DRG Frequency report is missing the AVERAGE WEIGHT 4) HD0000000387684 - VISTA is calculating the DRG incorrectly - it should be DRG 585 Duplicate: HD0000000463472 - DRG IN VISTA IS 999, SHOULD BE 585 ASSOCIATED NSR's: ================= N/A PARTICIPATING TEST SITES: ========================= Bay Pines, FL Erie, PA Upstate New York HCS REMEDY OVERVIEW: ================ 1) HD0000000411936 - DRG grouper 509 is showing as 232 Problem: ======== Routine ICDDRG0 code had the DRG hard coded to go to DRG 232 which was changed to DRG 509 in 2007. Solution: ========= Changed routine ICDDRG0 to only go to DRG 232 if effective date is less than 10/1/07. 2) HD0000000445988 - DRG012 displays DRG129 in VistA Problem: ======== DRG 012 is incorrectly calculating to DRG 129 in Vista. Solution: ========= Added a look up for procedure code 31.1 in table code routines ICDTBL1B and ICDTBL1C to group to the correct DRG. 3) HD0000000447594 - DRG Frequency report is missing the AVERAGE WEIGHT Problem: ======== Weights of Low, High and Average Length of Stay (ALOS) are assigned to each DRG. Users have reported that the DRG Frequency report is not accurate due to weights not being assigned to DRGs. Solution: ========= Routines ICD1853A and ICD1853B will correct the DRG weights. 4) HD0000000387684 - VISTA is calculating the DRG incorrectly - it should be DRG 585 Problem: ======== DRG calculation for DRG 585 is showing as Ungroupable in Vista. Solution: ========= Added identifier for Total Mastectomy to procedure code 85.72. 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. 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*53): 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*53. 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) ICD1853* can be deleted after the patch has been successfully installed. 8. Following installation of this patch, it is necessary to run the Update Transfer DRGs 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 13, 2000;Build 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1853A Before: n/a After:B101815070 **53** Routine Name: ICD1853P Before: n/a After:B104565852 **53** Routine Name: ICDDRG0 Before: B61230090 After: B61340562 **1,2,7,10,14,17,20,24,27,30, 31,32,33,37,45,50,53** Routine Name: ICDTBL1B Before: B6090903 After: B6373278 **45,53** Routine Name: ICDTBL1C Before: B6090912 After: B6365262 **50,53** Routine list of preceding patches: 50 ============================================================================= User Information: Entered By : BOWEN,MARY JANE Date Entered : DEC 15, 2010 Completed By: LEANORD,TATIANA Date Completed: MAY 26, 2011 Released By : DANE,SIDNEY Date Released : MAY 27, 2011 ============================================================================= Packman Mail Message: ===================== $END TXT