$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Wednesday, 01/29/14 at 11:20 ============================================================================= Run Date: JUN 19, 2014 Designation: ICD*18*74 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #67 Status: Released Compliance Date: JUL 20, 2014 ============================================================================= Associated patches: (v)ICD*18*70 <<= must be installed BEFORE `ICD*18*74' (v)ICD*18*71 <<= must be installed BEFORE `ICD*18*74' (v)ICD*18*72 <<= must be installed BEFORE `ICD*18*74' 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)INC000000893627 - DRG Grouper - Other: 2)INC000000897851 - 620 vs 621 3)INC000000897860 - 663 vs 664 4)INC000000900766 - DRG discrepancy between VistA & Quantim 5)INC000000907339 - DRG discrepancy between VistA & Quantim 6)INC000000916660 - DRG Miscalculation 7)INC000000918874 - DRG Grouper - Other: 8)INC000000940773 - DRG discrepancy between VistA & Quantim 9)INC000000940782 - DRG discrepancy between VistA & Quantim ASSOCIATED NSR's: ================= N/A PARTICIPATING TEST SITES: ========================= Honolulu, HI (VA Pacific Islands HCS) Louisville, KY Providence, RI Upstate New York HCS REMEDY OVERVIEW: ================ 1) INC000000893627 - DRG Grouper - Other: Problem: ======== DRG 781 is incorrectly calculating to DRG 782 in VistA. Solution: ========= Updated routines ICDTBL7E and ICDTBL7F to account for correct diagnosis codes. 2) INC000000897851 - 620 vs 621 Problem: ======== DRG 620 is incorrectly calculating to DRG 621 in VistA. Solution: ========= Updated routines ICDTBL6E and ICDTBL6F to account for correct diagnosis codes. 3) INC000000897860 - 663 vs 664 Problem: ======== DRG 663 is incorrectly calculating to DRG 664 in VistA. Solution: ========= Updated routines ICDTBL6E and ICDTBL6F to account for correct diagnosis codes. 4) INC000000900766 - DRG discrepancy between VistA & Quantim Problem: ======== DRG 168 is incorrectly calculating to DRG 167 in VistA. Solution: ========= Updated routines ICDTBL1E and ICDTBL1F to account for correct diagnosis codes. 5) INC000000907339 - DRG discrepancy between VistA & Quantim Problem: ======== DRG 308 is incorrectly calculating to DRG 310 in VistA. Solution: ========= Updated routines ICDTBL3E and ICDTBL3F to account for correct diagnosis codes. 6) INC000000916660 - DRG Miscalculation Problem: ======== DRG 26 is incorrectly calculating to DRG 25 in VistA. Solution: ========= Updated routines ICDTBL0E and ICDTBL0F to account for correct diagnosis codes. 7) INC000000918874 - DRG Grouper - Other: Problem: ======== DRG 682 is incorrectly calculating to DRG 683 in VistA. Solution: ========= Updated routines ICDTBL6E and ICDTBL6F to account for correct diagnosis codes. 8) INC000000940773 - DRG discrepancy between VistA & Quantim Problem: ======== DRG 694 is incorrectly calculating to DRG 684 in VistA. Solution: ========= Updated routines ICDTBL6E and ICDTBL6F to account for correct diagnosis codes. 9) INC000000940782 - DRG discrepancy between VistA & Quantim Problem: ======== DRG 309 is incorrectly calculating to DRG 310 in VistA. Solution: ========= Updated routines ICDTBL3E and ICDTBL3F 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*74): 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*74. 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 DRG'S] 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 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICDTBL0E Before: B23414190 After: B23895138 **65,62,71,74** Routine Name: ICDTBL0F Before: B23932948 After: B24417174 **72,74** Routine Name: ICDTBL1E Before: B9970948 After: B10223674 **65,69,74** Routine Name: ICDTBL1F Before: B9971146 After: B10223873 **72,74** Routine Name: ICDTBL3E Before: B9236898 After: B10012928 **65,69,71,74** Routine Name: ICDTBL3F Before: B9156224 After: B9932254 **72,74** Routine Name: ICDTBL6E Before: B13576530 After: B13348555 **65,69,70,74** Routine Name: ICDTBL6F Before: B13576539 After: B13348564 **72,74** Routine Name: ICDTBL7E Before: B14226611 After: B14226989 **65,74** Routine Name: ICDTBL7F Before: B15079902 After: B15080280 **72,74** Routine list of preceding patches: 70, 71, 72 ============================================================================= User Information: Entered By : Date Entered : JAN 09, 2014 Completed By: Date Completed: JUN 12, 2014 Released By : Date Released : JUN 19, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT