$TXT Created by GILMORE,JEREMY at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Tuesday, 09/25/12 at 09:39 ============================================================================= Run Date: DEC 26, 2012 Designation: ICD*18*61 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #58 Status: Released Compliance Date: JAN 26, 2013 ============================================================================= Associated patches: (v)ICD*18*55 <<= must be installed BEFORE `ICD*18*61' 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)HD0000000525466 - DRG ERROR in FEE 2)HD0000000494993 - DRG Calculations:243/249 3)HD0000000529006 - DRG not calculating correctly 4)HD0000000538427 - Wrong DRG being calculated DUPLICATE: HD0000000607300 - DRG not calculating correctly 5)HD0000000522889 - DRG Calculation DUPLICATE: HD0000000597140 - DRG group in Vista calculating wrong HD0000000745794 - DRG's not calculating correctly 6)HD0000000522762 - Calculations in Quantim ASSOCIATED NSR's: ================= N/A PARTICIPATING TEST SITES: ========================= Louisville, KY Montana HCS Tampa, FL REMEDY OVERVIEW: ================ 1) HD0000000525466 - DRG ERROR in FEE Problem: ======== DRG 794 is incorrectly calculating to DRG 795 in VistA. Solution: ========= Routines ICDTBL7C and ICDTBL7D were modified to account for identifier "S". 2) HD0000000494993 - DRG Calculations:243/249 Problem: ======== DRG 243 is incorrectly calculating to DRG 249 in VistA. Solution: ========= Routines ICDTBL2C and ICDTBL2D were modified to account for identifier "p". 3) HD0000000529006 - DRG not calculating correctly Problem: ======== DRG 914 is incorrectly calculating to DRG 13 in VistA. Solution: ========= Routines ICDTBL0C and ICDTBL0D were modified to account for identifier "T". 4)HD0000000538427 - Wrong DRG being calculated Problem: ======== DRG 24 is incorrectly calculating to DRG 33 in VistA. Solution: ========= Routines ICDTBL0C and ICDTBL0D were modified to account for procedure code 01.20. 5)HD0000000522889 - DRG Calculation Problem: ======== DRG 863 is incorrectly calculating to DRG 869 in VistA. Solution: ========= Routines ICDTBL8C and ICDTBL8D were modified to account for correct diagnosis codes. 6)HD0000000522762 - Calculations in Quantim Problem: ======== DRG 201 is incorrectly calculating to DRG 200 in VistA. Solution: ========= Routines ICDTBL2C and ICDTBL2D were modified to account for correct diagnosis codes. 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*61): 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*61. 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) ICD1861* can be deleted after the patch has been successfully installed. 8. 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 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 18 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1861L Before: n/a After: B3177946 **61** Routine Name: ICD1861P Before: n/a After: B540664 **61** Routine Name: ICDTBL0C Before: B19676818 After: B19961608 **50,49,55,61** Routine Name: ICDTBL0D Before: B21269416 After: B21200955 **56,61** Routine Name: ICDTBL2C Before: B50396685 After: B51334945 **50,49,54,55,61** Routine Name: ICDTBL2D Before: B49290399 After: B50218198 **56,55,61** Routine Name: ICDTBL7C Before: B14033279 After: B14226593 **50,61** Routine Name: ICDTBL7D Before: B14033288 After: B14226602 **56,61** Routine Name: ICDTBL8C Before: B25187698 After: B24982928 **50,49,54,61** Routine Name: ICDTBL8D Before: B25187707 After: B24982937 **56,61** Routine list of preceding patches: 55 ============================================================================= User Information: Entered By : GILMORE,JEREMY Date Entered : SEP 22, 2011 Completed By: LEANORD,TATIANA Date Completed: DEC 19, 2012 Released By : DANE,SIDNEY Date Released : DEC 26, 2012 ============================================================================= Packman Mail Message: ===================== $END TXT