$TXT Created by GILMORE,JEREMY at MNTVBB.FO-ALBANY.DOMAIN.EXT (KIDS) on Wednesday, 06/19/13 at 08:56 ============================================================================= Run Date: NOV 12, 2013 Designation: ICD*18*70 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #63 Status: Released Compliance Date: DEC 13, 2013 ============================================================================= Associated patches: (v)ICD*18*50 <<= must be installed BEFORE `ICD*18*70' (v)ICD*18*62 <<= must be installed BEFORE `ICD*18*70' (v)ICD*18*69 <<= must be installed BEFORE `ICD*18*70' Subject: VARIOUS 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)INC000000707912 - Coder identified 4 instances which vista is calculating DRG incorrectly Duplicates: INC000000719266 - Per Quadra Med the DRG needs to be updated within Lexicon INC000000769386 - DRG418 miscalculating to 412 in VistA INC000000800774 - DRG Discrepancy between VistA & Quantim INC000000832987 - DRG Grouper - Other: DRG in Quantim: 418 DRG in DHCP: 412 INC000000858312 - DRG Grouper - Other: Lap chole drgs not calculating correctly INC000000861107 - DRG Grouper - Other INC000000865892 - DRG Grouper - Other 2)INC000000742705 - Upload from Quantim to VIP, the DRG changes Duplicates: INC000000745406 - DRG discrepancy between Quantim & VistA INC000000745801 - DRG's not calculating correctly 3)INC000000772738 - DRG discrepancy between VistA & Quantim Duplicates: INC000000748076 - DRG discrepancy between Quantim & VistA INC000000863522 - DRG Grouper - 464 vs 496 4)INC000000772768 - DRG discrepancy between VistA & Quantim Duplicate: INC000000799326 - DRG Grouper - Other: 5)INC000000774277 - DRG MISCALCULATION 6)INC000000839014 - DRG Grouper - 682 vs 684 7)INC000000859110 - DRG Grouper - DRG Ungroupable: ASSOCIATED NSR's: ================= N/A PARTICIPATING TEST SITES: ========================= HONOLULU, HI TAMPA, FL UPSTATE NEW YORK HCS REMEDY OVERVIEW: ================ 1) INC000000707912 - Coder identified 4 instances which vista is calculating DRG incorrectly Problem: ======== DRG 416 is incorrectly calculating to DRG 413 in VistA. Solution: ========= Updated routines ICDTBL4D and ICDTBL4E to account for correct diagnosis codes. 2) INC000000742705 - Upload from Quantim to VIP, the DRG changes Problem: ======== DRG 419 is incorrectly calculating to DRG 413 in VistA. Solution: ========= Updated routines ICDTBL4D and ICDTBL4E to account for correct diagnosis codes. 3) INC000000772738 - DRG discrepancy between VistA & Quantim Problem: ======== DRG 465 is incorrectly calculating to DRG 497 in VistA. Solution: ========= Updated routines ICDTBL4D and ICDTBL4E to account for correct diagnosis codes. 4) INC000000772768 - DRG discrepancy between VistA & Quantim Problem: ======== DRG 616 is incorrectly calculating to DRG 628 in VistA. Solution: ========= Updated routine ICDDRG10 to account for the related DRG's that are associated with any operation/procedure codes used in the DRG calculation. 5) INC000000774277 - DRG MISCALCULATION Problem: ======== DRG 491 is incorrectly calculating to DRG 458 in VistA. Solution: ========= Updated routines ICDTBL4D and ICDTBL4E to account for correct diagnosis codes. 6) INC000000839014 - DRG Grouper - 682 vs 684 Problem: ======== DRG 682 is incorrectly calculating to DRG 684 in VistA. Solution: ========= Updated routine ICDTBL6E to account for the correct diagnosis codes. 7) INC000000859110 - DRG Grouper - DRG Ungroupable: Problem: ======== DRG 683 is incorrectly calculating to DRG 999 in VistA. Solution: ========= Updated routine ICDTBL6E to account for the 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*70): 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*70. 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. 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 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICDDRG10 Before: B1924617 After: B1926153 **24,31,50,70** Routine Name: ICDTBL4D Before: B25052268 After: B43610232 **56,55,62,70** Routine Name: ICDTBL4E Before: B25052485 After: B43610455 **65,70** Routine Name: ICDTBL6D Before: B10478160 After: B11043717 **56,55,69,70** Routine Name: ICDTBL6E Before: B10478169 After: B13576530 **65,69,70** Routine list of preceding patches: 50, 62, 69 ============================================================================= User Information: Entered By : GILMORE,JEREMY Date Entered : JAN 24, 2013 Completed By: LEANORD,TATIANA Date Completed: NOV 05, 2013 Released By : DANE,SIDNEY Date Released : NOV 12, 2013 ============================================================================= Packman Mail Message: ===================== $END TXT