$TXT Created by                   CHEY20.FO-BAYPINES.DOMAIN.EXT  (KIDS) on Wednesday, 04/01/15 at 16:52
=============================================================================
Run Date: MAY 21, 2015                     Designation: ICD*18*78
Package : ICD - DRG GROUPER                   Priority: Mandatory
Version : 18        SEQ #73                     Status: Released
                  Compliance Date: JUN 20, 2015
=============================================================================

Associated patches: (v)ICD*18*64   <<= must be installed BEFORE `ICD*18*78'
                    (v)ICD*18*74   <<= must be installed BEFORE `ICD*18*78'
                    (v)ICD*18*77   <<= must be installed BEFORE `ICD*18*78'

Subject: MULTIPLE DRG CALCULATION CORRECTIONS

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)INC000001044339 - DRG Grouper - Other: 
 2)INC000001003730 - DRG Grouper - Other:
     duplicate:
     INC000001093259 - DRG Grouper - Other:
 3)INC000000479152 - User getting the wrong DRG codes.
 4)INC000000957493 - DRG Grouper - Other:
 5)INC000000730355 - Data transmitted to Austin showing different DRG
     duplicates:
     INC000001078947 - MAS - PTF:
     INC000001083975 - MAS - PTF:
 6)INC000000747554 - problem with the DRG calculation
 7)INC000000849219 - DRG Grouper - Other: DRG 795 vs 794 
 8)INC000000592005 - DRGs not calculating correctly
 9)INC000000774553 - Applications-VistA
 10)INC000000788062 - DRG Discrepancy between VistA & Quantim   
 11)INC000000863355 - DRG Grouper - Other:
 12)INC000000908914 - DRG Grouper - Other:
 13)INC000001016139 - DRG Discrepancy between VistA and Quantim
 14)INC000000750363 - DRG Discrepancy between VistA & Quantim
 15)INC000001073829 - DRG Grouper - Other:
 16)INC000000494967 - Correct Calculation in Quantim:
     duplicate:
     INC000000757569 - DRG Miscalculation
 17)INC000000592031 - DRG not calculating correctly
     duplicates:
     INC000000745588 - Several DRG's not calculating correctly
     INC000000960100 - DRG discrepancy between Quantim and VistA
 18)INC000000976705 - DRG Grouper - Other: Miscalculations
 19)INC000001007149 - DRG discrepancy between Quantim and VistA
 20)INC000000757561 - DRG Miscalculation
 21)INC000000777150 - Applications-VistA
     duplicates:
     INC000000818476 - DRG Grouper - DRG Ungroupable:
     INC000000819436 - DRG Grouper - Other:
 22)INC000000831629 - DRG Grouper - Other:
 23)INC000000888827 - DRG Grouper - Other:
     duplicate:
     INC000001074948 - Grouping Issue-Vista has DRG 981 should
                       calculate 987
 24)INC000001016136 - DRG discrepancy between VistA and Quantim
  
  
 ASSOCIATED NSR's:
 =================
 N/A
          
       
 PARTICIPATING TEST SITES:
 =========================
 Manchester VAMC
 Upstate New York HCS
 VA Pacific Islands HCS (Honolulu)
          
       
 REMEDY OVERVIEW:
 ================
 1) INC000001044339 - DRG Grouper - Other:
  
    Problem:
    ========
    DRG 517 incorrectly calculating to DRG 983 in VistA.
        
    Solution:
    =========
    Updated routines ICDTBL9F and ICDTBL9G to account for
    the correct diagnosis and procedure code combination.
  
  
 2) INC000001003730 - DRG Grouper - Other:
     
    Problem:
    ========
    DRG 620 incorrectly calculating to DRG 614 in VistA.
        
    Solution:
    =========
    Updated routines ICDTBL6F and ICDTBL6G to account for the
    correct diagnosis codes.
     
     
 3) INC000000479152 - User getting the wrong DRG codes.
     
    Problem:
    ========
    DRG 620 incorrectly calculating to DRG 621 in VistA.
        
    Solution:
    =========
    Updated the identifier field for procedure code
    86.04 - OTHER SKIN SUBQ I D.
     
     
 4) INC000000957493 - DRG Grouper - Other:
        
    Problem:
    ========
    DRG is calculating incorrectly in VistA as 664 instead of 
    667.
        
    Solution:
    =========
    Updated the identifier field for procedure code
    60.21 - TRANSURETHRAL LASER(TULIP).
          
               
 5) INC000000730355 - Data transmitted to Austin showing
                      different DRG
         
    Problem:
    =======
    DRG 775 (VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES) is
    currently not being calculated in VistA when using primary
    diagnosis code 649.11 - OBESITY-DELIVERED.
          
    Solution:
    =========
    Updated the identifier field for diagnosis code
    649.11. 
         
         
 6) INC000000747554 - problem with the DRG calculation
       
    Problem:
    ========
    DRG 774 incorrectly calculating to DRG 775 in VistA.
        
    Solution:
    =========
    Updated the identifier field for diagnosis code 655.71 -
    DECR FETAL MOV DELIVERED.
   
   
 7) INC000000849219 - DRG Grouper - Other: DRG 795 vs 794
       
    Problem:
    ========
    DRG 794 incorrectly calculating to DRG 795 in VistA.
        
    Solution:
    =========
    Updated the identifier field for diagnosis code 755.59 -
    UPPER LIMB ANOMALY NEC.
  
  
 8) INC000000592005 - DRGs not calculating correctly
       
    Problem:
    ========
    This ticket contains two issues:
       
       A) DRG 839 incorrectly calculating to DRG 838 in VistA.
   
       B) DRG 823 incorrectly calculating to DRG 840 in VistA.
   
    Solution:
    =========
    Updated routines ICDTBL8C, ICDTBL8D, ICDTBL8E, ICDTBL8F and
    ICDTBL8G to account for correct diagnosis codes.
  
  
 9) INC000000774553 - Applications-VistA
       
    Problem:
    ========
    This ticket contains two issues:
       
       A) DRG 829 incorrectly calculating to DRG 826 in VistA.
  
       B) DRG 839 incorrectly calculating to DRG 847 in VistA.
        
    Solution:
    =========
    Updated routines ICDTBL8D, ICDTBL8E, ICDTBL8F and ICDTBL8G
    to account for correct diagnosis codes.
  
  
 10) INC000000788062 - DRG Discrepancy between VistA & Quantim
       
     Problem:
     ========
     DRG 843 incorrectly calculating to DRG 844 in VistA.
        
     Solution:
     =========
     Updated routines ICDTBL8E, ICDTBL8F and ICDTBL8G to account for
     correct diagnosis codes.
  
  
 11) INC000000863355 - DRG Grouper - Other:
  
     Problem:
     ========
     DRG 846 incorrectly calculating to DRG 843 in VistA.
        
     Solution:
     =========
     Updated routines ICDTBL8E, ICDTBL8F and ICDTBL8G to account for
     correct diagnosis codes.
   
   
 12) INC000000908914 - DRG Grouper - Other:
  
     Problem:
     ========
     DRG 853 incorrectly calculating to DRG 867 in VistA.
        
     Solution:
     =========
     Updated routines ICDTBL8E, ICDTBL8F and ICDTBL8G to account for
     correct diagnosis codes.
  
  
 13) INC000001016139 - DRG Discrepancy between VistA and Quantim
  
     Problem:
     ========
     DRG 825 incorrectly calculating to DRG 842 in VistA.
        
     Solution:
     =========
     Updated routines ICDTBL8F and ICDTBL8G to account for correct
     diagnosis codes.
   
   
 14) INC000000750363 - DRG Discrepancy between VistA & Quantim
  
     Problem:
     ========
     DRG 856 incorrectly calculating to DRG 862 in VistA.
        
     Solution:
     =========
     Updated the identifier field for procedure code 84.81 -
     REV INTERSPINE DEVICE.
  
   
 15) INC000001073829 - DRG Grouper - Other:
  
     Problem:
     ========
     DRG 853 incorrectly calculating to DRG 871 in VistA.
        
     Solution:
     =========
     Updated the identifier field for procedure code 34.91 -
     THORACENTESIS.
  
  
 16) INC000000494967 - Correct Calculation in Quantim:
  
     Problem:
     ========
     DRG 976 incorrectly calculating to DRG 974 in VistA.
        
     Solution:
     =========
     Updated routines ICDTBL9C, ICDTBL9D, ICDTBL9E, ICDTBL9F and
     ICDTBL9G to account for correct diagnosis codes.
   
  
 17) INC000000592031 - DRG not calculating correctly
  
     Problem:
     ========
     DRG 975 incorrectly calculating to DRG 974 in VistA.
        
     Solution:
     =========
     Updated routines ICDTBL9D, ICDTBL9E, ICDTBL9F and ICDTBL9G
     to account for correct diagnosis codes.
   
  
 18) INC000000976705 - DRG Grouper - Other: Miscalculations
  
     Problem:
     ========
     DRG 958 incorrectly calculating to DRG 957 in VistA.
        
     Solution:
     =========
     Updated routines ICDTBL9F and ICDTBL9G to account for correct
     diagnosis codes.
   
  
 19) INC000001007149 - DRG discrepancy between Quantim and VistA
  
     Problem:
     ========
     DRG 927 incorrectly calculating to DRG 928 in VistA.
        
     Solution:
     =========
     Updated routine ICDDRG0 to account for correct diagnosis and
     procedure codes.
   
  
 20) INC000000757561 - DRG Miscalculation
  
     Problem:
     ========
     DRG 958 incorrectly calculating to DRG 963 in VistA.
        
     Solution:
     =========
     Updated routines ICDTBL9D, ICDTBL9E, ICDTBL9F and ICDTBL9G
     to account for correct diagnosis codes.
   
  
 21) INC000000777150 - Applications-VistA
  
     Problem:
     ========
     This ticket contains two issues:
  
       A) DRG 928 incorrectly calculating to DRG 934 in VistA.
      
       B) DRG 929 incorrectly calculating to DRG 934 in VistA.
   
     Solution:
     =========
     Updated the identifier field for the following
     diagnosis codes:
     508.2 - RESP COND DT SMOKE INHAL
     518.0 - PULMONARY COLLAPSE (CC)
     518.51 - AC RESP FLR FOL TRMA/SRG (Major CC)
     518.52 - OT PUL INSUF FOL TRM/SRG (Major CC)      
  
  
 22) INC000000831629 - DRG Grouper - Other:
  
     Problem:
     ========
     DRG 981 not calculating correctly in VistA.
        
     Solution:
     =========
     Updated the identifier field for procedure code
     34.06 - THORAC DRAIN PLEURL CAV.
  
  
 23) INC000000888827 - DRG Grouper - Other:
  
     Problem:
     ========
     DRG 988 incorrectly calculating to DRG 982 in VistA.
        
     Solution:
     =========
     Updated the identifier field for procedure code
     51.23 - LAPAROSCOPIC CHOLECYSTECTOMY.
  
  
 24) INC000001016136 - DRG discrepancy between VistA and Quantim
  
     Problem:
     ========
     DRG 987 incorrectly calculating to DRG 981 in VistA.
        
     Solution:
     =========
     Updated the identifier field for procedure code
     64.92 - INCISION OF PENIS.
  
  
 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*78):
           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*78.
       
       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.
  
       8.  The post install routines ^ICD1878P and ^ICD1878S can be removed 
           after the successful installation of ICD*18.0*78.  Use the VistA
           option Delete Routines [XTRDEL] to remove the routines.

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;18.0;DRG Grouper;**[Patch List]**;Oct 20, 2000;Build 15

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: ICD1878P
    Before:       n/a   After:   B657962  **78**
Routine Name: ICD1878S
    Before:       n/a   After: B13904449  **78**
Routine Name: ICDDRG0
    Before: B61340898   After: B61557400  **1,2,7,10,14,17,20,24,27,30,
                                           31,32,33,37,45,50,53,56,65,72,
                                           77,78**
Routine Name: ICDTBL6C
    Before: B10167522   After: B10258963  **50,49,55,78**
Routine Name: ICDTBL6D
    Before: B11043717   After: B11135210  **56,55,69,70,78**
Routine Name: ICDTBL6E
    Before: B13348555   After: B13440100  **65,69,70,74,78**
Routine Name: ICDTBL6F
    Before: B13348564   After: B13888324  **72,74,78**
Routine Name: ICDTBL6G
    Before: B13348573   After: B13897475  **77,78**
Routine Name: ICDTBL7D
    Before: B14226602   After: B14513885  **56,61,78**
Routine Name: ICDTBL7E
    Before: B14226989   After: B14514275  **65,74,78**
Routine Name: ICDTBL7F
    Before: B15080280   After: B15373045  **72,74,78**
Routine Name: ICDTBL7G
    Before: B16745831   After: B17049274  **77,78**
Routine Name: ICDTBL8C
    Before: B25174597   After: B26826477  **50,49,54,61,64,78**
Routine Name: ICDTBL8D
    Before: B25677376   After: B27339282  **56,61,62,64,78**
Routine Name: ICDTBL8E
    Before: B25715742   After: B30890639  **65,64,78**
Routine Name: ICDTBL8F
    Before: B25476870   After: B30650057  **72,78**
Routine Name: ICDTBL8G
    Before: B25476879   After: B30650066  **77,78**
Routine Name: ICDTBL9C
    Before:  B4895199   After:  B6457681  **50,54,64,78**
Routine Name: ICDTBL9D
    Before:  B5269928   After:  B7315200  **56,69,64,78**
Routine Name: ICDTBL9E
    Before:  B5179109   After:  B7203347  **65,69,64,78**
Routine Name: ICDTBL9F
    Before:  B5060420   After:  B7795828  **72,78**
Routine Name: ICDTBL9G
    Before:  B5060429   After:  B7795981  **77,78**
 
Routine list of preceding patches: 64, 74, 77

=============================================================================
User Information:
Entered By  :                               Date Entered  : OCT 29, 2014
Completed By:                               Date Completed: MAY 14, 2015
Released By :                               Date Released : MAY 21, 2015
=============================================================================


Packman Mail Message:
=====================

$END TXT