$TXT Created by GILMORE,JEREMY at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Tuesday, 02/14/12 at 12:37 ============================================================================= Run Date: APR 24, 2012 Designation: ICD*18*55 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #55 Status: Released Compliance Date: MAY 25, 2012 ============================================================================= Associated patches: (v)ICD*18*24 <<= must be installed BEFORE `ICD*18*55' (v)ICD*18*31 <<= must be installed BEFORE `ICD*18*55' (v)ICD*18*48 <<= must be installed BEFORE `ICD*18*55' (v)ICD*18*53 <<= must be installed BEFORE `ICD*18*55' (v)ICD*18*54 <<= must be installed BEFORE `ICD*18*55' (v)ICD*18*56 <<= must be installed BEFORE `ICD*18*55' Subject: DRG GROUPER FIXES Category: - Routine Description: ============ The DRG (Diagnostic Related Group) 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 which codes are needed to calculate the proper DRG. This patch corrects various DRG calculations. ASSOCIATED REMEDY TICKETS: ========================== 1)HD0000000476014 - MSDRG configuration - 728 vs 343 2)HD0000000455927 - DRG Grouper Issue 3)HD0000000431141 - Quadramed DRGs not matching Vista DRGs DUPLICATES: HD0000000590270 - 292 vs 293 MSDRG config HD0000000589013 - Code crossing over incorrectly HD0000000594949 - DRG Calculation coming up wrong for 292/293 DRG HD0000000597851 - DRG Discrepancy HD0000000596040 - Issue with DRGs HD0000000596352 - DRG 291 crossed over into VIP Workplace as DRG 293 4)HD0000000465665 - 584.9 is MCC and should be CC for 2011 DUPLICATES: HD0000000476777 - Issue with DRG grouping HD0000000481965 - Issue with DRG grouping HD0000000485060 - PTF issue 5)HD0000000505257 - DRG calculates incorrectly 6)HD0000000494991 - DRG Calculations ASSOCIATED NSR's: ================= N/A PARTICIPATING TEST SITES: ========================= Fargo, ND Tampa, FL Upstate New York HCS REMEDY OVERVIEW: ================ 1) HD0000000476014 - MSDRG configuration - 728 vs 343 Problem: ======== DRG 728 is incorrectly calculating to DRG 343 in VistA. Solution: ========= Modified routine ICDTBL3C to account for identifier "a". 2) HD0000000455927 - DRG Grouper Issue Problem: ======== There are six total issues listed in the ticket; however, four of the issues have been corrected by a previous patch or were not valid errors. The following are being corrected in this patch: a)DRG calculating incorrectly in VistA as 189 instead of 205. b)DRG calculating incorrectly in VistA as 592 instead of 593. Solution: ========= a)Modified routine ICDTBL1C to account for DRG 205 and DRG 206 as well. b)Modified routine ICDTBL5C to account for identifier "U". 3)HD0000000431141 - Quadramed DRGs not matching Vista DRGs Problem: ======== There are twenty three total issues listed in the ticket; however, the majority of the issues have either been corrected by a previous patch or were not valid errors. The following are being corrected in this patch: a)DRG calculating incorrectly in VistA as 292 instead of 293. b)DRG calculating incorrectly in VistA as 408 instead of 411. c)DRG calculating incorrectly in VistA as 062 instead of 069. d)DRG calculating incorrectly in VistA as 458 instead of 491. Solution: ========= a)Modified necessary routines to account for identifier "Z". b)Added identifier "T" to procedure codes 51.21, 51.22, 51.23, and 51.24. c)Modified necessary routines to account for DRG 69 as well. d)Removed identifier "6" from diagnosis code 730.28. 4)HD0000000465665 - 584.9 is MCC and should be CC for 2011 Problem: ======== There are five total issues listed in the ticket; however, two of the issues have been corrected by a previous patch. The following are being corrected in this patch: a)DRG calculating incorrectly in VistA as 825 instead of 822. b)DRG calculating incorrectly in VistA as 623 instead of 617. c)DRG calculating incorrectly in VistA as 023 instead of 027. Solution: ========= a)Added identifiers 2, 3, and "O" to procedure code 07.83. b)Modified routine ICDTBL6C to account for identifier "A" and added identifier "A" to procedure codes 84.10 through 84.17. c)Modified routine ICDTBL0C to account for identifier "Q". 5)HD0000000505257 - DRG calculates incorrectly Problem: ======== DRG 27 is incorrectly calculating to DRG 33 in VistA. Solution: ========= Modified the 2007 multiples associated with procedure code 04.41. 6)HD0000000494991 - DRG Calculations Problem: ======== DRG 85 is incorrectly calculating to DRG 82 in VistA. Solution: ========= Modified routine ICDTBL0C to account for identifier "1". 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*55): 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*55. 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) ICD1855* 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 20,2000;Build 20 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1855L Before: n/a After: B7864914 **55** Routine Name: ICD1855P Before: n/a After: B808711 **55** Routine Name: ICDHLPD Before: B5770053 After: B11727225 **10,14,20,24,55** Routine Name: ICDHLPO Before: B5289446 After: B11315252 **10,14,31,55** Routine Name: ICDTBL0A Before: B16879268 After: B17131158 **37,34,43,45,46,48,55** Routine Name: ICDTBL0B Before: B17283241 After: B17539263 **45,46,48,55** Routine Name: ICDTBL0C Before: B19074130 After: B19676818 **50,49,55** Routine Name: ICDTBL1C Before: B6365262 After: B6601382 **50,53,55** Routine Name: ICDTBL2B Before: B50565361 After: B50395608 **45,46,49,54,55** Routine Name: ICDTBL2C Before: B50565634 After: B50396685 **50,49,54,55** Routine Name: ICDTBL2D Before: B49289607 After: B49290399 **56,55** Routine Name: ICDTBL3C Before: B7781796 After: B8000221 **50,54,55** Routine Name: ICDTBL4A Before: B24115998 After: B24212753 **37,43,45,46,48,55** Routine Name: ICDTBL4B Before: B24629645 After: B24726400 **45,46,48,55** Routine Name: ICDTBL4C Before: B24629757 After: B24726512 **50,54,55** Routine Name: ICDTBL4D Before: B24726724 After: B24726624 **56,55** Routine Name: ICDTBL5C Before: B6613705 After: B6885575 **50,49,55** Routine Name: ICDTBL6C Before: B9896629 After: B10167522 **50,49,55** Routine Name: ICDTBL6D Before: B10354424 After: B10169323 **56,55** Routine list of preceding patches: 24, 31, 48, 53, 54, 56 ============================================================================= User Information: Entered By : BOWEN,MARY JANE Date Entered : MAR 03, 2011 Completed By: LEANORD,TATIANA Date Completed: APR 23, 2012 Released By : FLINN,DAWN Date Released : APR 24, 2012 ============================================================================= Packman Mail Message: ===================== $END TXT