$TXT Created by                   CHEY20.FO-BAYPINES.DOMAIN.EXT  (KIDS) on Tuesday, 04/14/15 at 12:33
=============================================================================
Run Date: AUG 13, 2015                     Designation: ICD*18*79
Package : ICD - DRG GROUPER                   Priority: Mandatory
Version : 18        SEQ #75                     Status: Released
                  Compliance Date: SEP 12, 2015
=============================================================================

Associated patches: (v)ICD*18*64   <<= must be installed BEFORE `ICD*18*79'
                    (v)ICD*18*74   <<= must be installed BEFORE `ICD*18*79'
                    (v)ICD*18*77   <<= must be installed BEFORE `ICD*18*79'

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)INC000001105357 - DRG discrepancy between VistA & Quantim
 2)INC000000771778 - Applications-VistA
 3)INC000000916658 - DRG Miscalculation
      duplicate:
      INC000001018850 - DRG Grouper - Other:
 4)INC000000819435 - DRG Miscalculation
      duplicate:
      INC000000908911 - DRG Grouper - Other:
 5)INC000000825825 - DRG Grouper - Other:
 6)INC000000511613 - DRG in Quantim is different than Vista
      duplicate:
      INC000001000524 - DRG Grouper - Other:
 7)INC000000592003 - DRG not calculating correctly 
 8)INC000000774522 - Applications-VistA
 9)INC000000741767 - Upload from Quantim to VIP, the DRG changes
      duplicate:
      INC000001015130 - DRG Grouper - Other: DRG Miscalculation
 10)INC000000755085 - DRG discrepancy between VistA & Quantim
 11)INC000000764939 - MSDRG205 in Quantim crossed over as MSDRG 11
                      in VIP Workplace and VistA   
 12)INC000000772736 - DRG discrepancy between VistA & Quantim
 13)INC000000858724 - DRG Grouper - Other:
 14)INC000000871227 - DRG Grouper - Other:
 15)INC000000885620 - DRG Discrepancy between VistA & Quantim
 16)INC000000985792 - DRG Calculations error
 17)INC000000988808 - DRG Grouper - Other: Miscalculation
      duplicate:
      INC000001042341 - DRG Grouper - Other:
 18)INC000001107006 - DRG Grouper - Other:
 19)INC000000745802 - DRG not calculating correctly
      duplicates:
      INC000000761494 - DRG Discrepancy
      INC000000775800 - DRG discrepancy between VistA & Quantim
      INC000000812450 - MAS - DRG:
      INC000000866709 - DRG Grouper - Other:
      INC000000888977 - DRG discrepancy between VistA & Quantim
      INC000001015135 - DRG Grouper - Other: DRG Miscalculation
 20)INC000001107007 - DRG Grouper - Other:
 21)INC000001043553 - DRG Grouper - Other:
 22)INC000001115186 - DRG Grouper - Other:
      duplicate:
      INC000001225092 - DRG CALCULATION
 23)INC000001221164 - DRG Grouper - Other:
      duplicates:
      INC000001248229 - DRG Grouper - Other:Quantim DRG is different  
                        than Vista
      INC000001248458 - DRG Discrepancy
      INC000001288113 - MAS - DRG:
      INC000001255789 - DRG Grouper - Other:  receiving two different DRGs 
                        on a patient.
  
 ASSOCIATED NSR's:
 =================
 N/A
           
        
 PARTICIPATING TEST SITES:
 =========================
 Louisville VAMC
 Upstate New York HCS
 VA Pacific Islands HCS (Honolulu)
           
        
 REMEDY OVERVIEW:
 ================
 1) INC000001105357 - DRG discrepancy between VistA & Quantim
   
        Problem:
        ========
        DRG 65 incorrectly calculating to DRG 64 in VistA.
         
        Solution:
        =========
        Updated routine ICDTBL0G to account for correct diagnosis
        codes.
   
   
 2) INC000000771778 - Applications-VistA
   
        Problem:
        ========
        DRG 3 incorrectly calculating to DRG 4 in VistA.
         
        Solution:
        =========
        Updated the MAJOR O.R. PROCEDURE (#20) field for procedure
        codes 31.29 OTHER PERM TRACHEOSTOMY and 39.65 EXTRACORPOREAL
        MEMBRANE OXYGEN.
   
   
 3) INC000000916658 - DRG Miscalculation
      
        Problem:
        ========
        DRG 4 incorrectly calculating to DRG 3 in VistA.
         
        Solution:
        =========
        Updated the MAJOR O.R. PROCEDURE (#20) field for procedure
        codes 31.1 TEMPORARY TRACHEOSTOMY.
      
      
 4) INC000000819435 - DRG Miscalculation
      
        Problem:
        ========
        DRG 132 incorrectly calculating to DRG 134 in VistA.
         
        Solution:
        =========
        Updated the DRG GROUPER EFFECTIVE DATE (#.01) sub-field of 
        the DRG GROUPER (#71) field for procedure code 76.76 - OPEN
        REDUCT MANDIBLE FX.
      
      
 5) INC000000825825 - DRG Grouper - Other:
         
        Problem:
        ========
        DRG 131 incorrectly calculating to DRG 133 in VistA.
         
        Solution:
        =========
        Updated the DRG GROUPER EFFECTIVE DATE (#.01) sub-field of 
        the DRG GROUPER (#71) field for procedure codes 76.74 - OPEN
        REDUCT MAXILLARY FX, 76.79 - OPEN REDUCT FACE FX NEC and 
        76.92 - SYN IMPLANT TO FACE BONE.
           
                
 6) INC000000511613 - DRG in Quantim is different than Vista
          
        Problem:
        ========
        DRG 281 incorrectly calculating to DRG 282 in VistA.
           
        Solution:
        =========
        Updated routines ICDTBL2C, ICDTBL2D, ICDTBL2E, ICDTBL2F 
        and ICDTBL2G to account for correct diagnosis codes. 
          
          
 7) INC000000592003 - DRG not calculating correctly
        
        Problem:
        ========
        This ticket addresses multiple issues:
        
        A) DRG 981 incorrectly calculating to DRG 208 in VistA.
    
        B) DRG 243 incorrectly calculating to DRG 259 in VistA.
         
        Solution:
        =========
        Updated routines ICDTBL2C, ICDTBL2D, ICDTBL2E, ICDTBL2F 
        and ICDTBL2G to account for correct diagnosis codes.
    
    
 8) INC000000774522 - Applications-VistA
        
        Problem:
        ========
        This ticket addresses multiple issues:
        
        A) DRG 222 incorrectly calculating to DRG 224 in VistA.
    
        B) DRG 223 incorrectly calculating to DRG 225 in VistA.
     
        Solution:
        =========
        Updated routines ICDTBL2C, ICDTBL2D, ICDTBL2E, ICDTBL2F and
        ICDTBL2G to account for correct diagnosis codes.
   
   
 9) INC000000741767 - Upload from Quantim to VIP, the DRG changes
        
        Problem:
        ========
        DRG 291 incorrectly calculating to DRG 286 in VistA.
    
        Solution:
        =========
        Updated routines ICDTBL2D, ICDTBL2E, ICDTBL2F and
        ICDTBL2G to account for correct diagnosis codes.
   
   
 10) INC000000755085 - DRG discrepancy between VistA & Quantim
        
        Problem:
        ========
        DRG 219 incorrectly calculating to DRG 216 in VistA.
         
        Solution:
        =========
        Updated routines ICDTBL2D, ICDTBL2E, ICDTBL2F and ICDTBL2G
        to account for correct diagnosis codes.
   
   
 11) INC000000764939 - MSDRG205 in Quantim crossed over as MSDRG 11
                         in VIP Workplace and VistA
        
        Problem:
        ========
        DRG 205 incorrectly calculating to DRG 11 in VistA.
         
        Solution:
        =========
        Updated routines ICDTBL0E, ICDTBL0F and ICDTBL0G to account for
        correct diagnosis codes.
  
   
 12) INC000000772736 - DRG discrepancy between VistA & Quantim
   
        Problem:
        ========
        DRG 281 incorrectly calculating to DRG 280 in VistA.
         
        Solution:
        =========
        Updated routines ICDTBL2D, ICDTBL2E, ICDTBL2F and ICDTBL8G
        to account for correct diagnosis codes.
    
    
 13) INC000000858724 - DRG Grouper - Other:
   
        Problem:
        ========
        DRG 308 incorrectly calculating to DRG 286 in VistA.
         
        Solution:
        =========
        Updated routines ICDTBL2E, ICDTBL2F and ICDTBL2G to account
        for correct diagnosis codes.
   
   
 14) INC000000871227 - DRG Grouper - Other:
   
        Problem:
        ========
        DRG 282 incorrectly calculating to DRG 280 in VistA.
         
        Solution:
        =========
        Updated routines ICDTBL2E, ICDTBL2F and ICDTBL2G to account
        for correct diagnosis codes.
    
    
 15) INC000000885620 - DRG Discrepancy between VistA & Quantim
   
        Problem:
        ========
        DRG 238 incorrectly calculating to DRG 237 in VistA.
         
        Solution:
        =========
        Updated routines ICDTBL2E, ICDTBL2F and ICDTBL2G to account
        for correct diagnosis codes.
   
    
 16) INC000000985792 - DRG Calculations error
   
        Problem:
        ========
        DRG 222 incorrectly calculating to DRG 224 in VistA.
         
        Solution:
        =========
        Updated routines ICDTBL2F and ICDTBL2G to account for
        correct diagnosis codes.
   
   
 17) INC000000988808 - DRG Grouper - Other: Miscalculation
   
        Problem:
        ========
        DRG 309 incorrectly calculating to DRG 287 in VistA.
         
        Solution:
        =========
        Updated routines ICDTBL2F and ICDTBL2G to account for
        correct diagnosis codes.
  
  
 18) INC000001107006 - DRG Grouper - Other:
   
        Problem:
        ========
        DRG 981 incorrectly calculating to DRG 208 in VistA.
         
        Solution:
        =========
        Updated routine ICDTBL2G to account for correct diagnosis codes.
  
  
 19) INC000000745802 - DRG not calculating correctly
  
        Problem:
        ========
        DRG 291 incorrectly calculating to DRG 293 in VistA.
         
        Solution:
        =========
        Updated routines ICDTBL2F and ICDTBL2G to account for correct
        diagnosis codes.
  
  
 20) INC000001107007 - DRG Grouper - Other:
  
        Problem:
        ========
        DRG 262 incorrectly calculating to DRG 293 in VistA.
         
        Solution:
        =========
        Updated routine ICDTBL2G to account for correct diagnosis
        codes.
   
   
 21) INC000001043553 - DRG Grouper - Other:
  
        Problem:
        ========
        DRG 98 incorrectly calculating to DRG 23 in VistA.
         
        Solution:
        =========
        Updated the IDENTIFIER (#1.2) field of the ICD DIAGNOSIS (#80)
        file for diagnosis code 288.60 - LEUKOCYTOSIS NOS.
  
  
 22) INC000001115186 - DRG Grouper - Other:
  
        Problem:
        ========
        DRG 462 incorrectly calculating to DRG 470 in VistA.
         
        Solution:
        =========
        Updated routine ICDTBL4G to account for Bilateral or Multiple Major
        Joint Procedures of the Lower Extremities.
  
  
 23) INC000001221164 - DRG Grouper - Other:
  
        Problem:
        ========
        DRG 484 should not be active after FY 2014.
         
        Solution:
        =========
        Inactivated DRG 484 for FY2015.
  
  
 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*79):
            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*79.
        
        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 ^ICD1879P and ^ICD1879S can be removed 
            after the successful installation of ICD*18.0*79.  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 6

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

Routine Name: ICD1879P
    Before:       n/a   After:   B852134  **79**
Routine Name: ICD1879S
    Before:       n/a   After: B20537391  **79**
Routine Name: ICDDRG8
    Before: B32166933   After: B32166768  **1,2,10,20,24,31,77,79**
Routine Name: ICDTBL0E
    Before: B23895138   After: B25030279  **65,62,71,74,79**
Routine Name: ICDTBL0F
    Before: B24417174   After: B25559023  **72,74,79**
Routine Name: ICDTBL0G
    Before: B24417183   After: B26412213  **77,79**
Routine Name: ICDTBL2C
    Before: B51015005   After: B52038834  **50,49,54,55,61,62,64,79**
Routine Name: ICDTBL2D
    Before: B49902612   After: B56204226  **56,55,61,62,64,79**
Routine Name: ICDTBL2E
    Before: B49902881   After: B59221942  **65,64,79**
Routine Name: ICDTBL2F
    Before: B50198543   After: B59892518  **72,79**
Routine Name: ICDTBL2G
    Before: B51747313   After: B61465625  **77,79**
Routine Name: ICDTBL4G
    Before: B29278562   After: B30232913  **77,79**
 
Routine list of preceding patches: 64, 74, 77

=============================================================================
User Information:
Entered By  :                               Date Entered  : JAN 15, 2015
Completed By:                               Date Completed: AUG 10, 2015
Released By :                               Date Released : AUG 13, 2015
=============================================================================


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

$END TXT