$TXT Created by CHEY20.FO-BAYPINES.DOMAIN.EXT (KIDS) on Wednesday, 01/06/16 at 10:07 ============================================================================= Run Date: FEB 18, 2016 Designation: ICD*18*82 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #77 Status: Released Compliance Date: FEB 23, 2016 ============================================================================= Associated patches: (v)ICD*18*64 <<= must be installed BEFORE `ICD*18*82' (v)ICD*18*67 <<= must be installed BEFORE `ICD*18*82' (v)LEX*2*101 <<= must be installed BEFORE `ICD*18*82' Subject: FY2016 ICD-10 ANNUAL DRG UPDATES Category: - Routine - Other - Enhancement (Mandatory) Description: ============ This patch provides the annual update to the Medicare Severity Diagnosis Related Group (MS-DRG) Grouper v33.0. All changes are handled programmatically by the post-init routines ICD1882*. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ PLEASE NOTE: Be aware of the shortened compliance date. The changes included in this patch were effective as of 10/1/2015 per the Federal Register Vol. 80, No. 158, dated August 17, 2015. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ASSOCIATED NSRs: ================ N/A PARTICIPATING TEST SITES: ========================= Hunter Holmes McGuire VAMC (Richmond) Upstate New York HCS West Palm Beach VAMC ASSOCIATED REMEDY TICKET: ========================= 1) INC000001305406 - FY2016 ANNUAL DRG GROUPER UPDATE REMEDY OVERVIEW: ================ 1) INC000001305406 - FY2016 ANNUAL DRG GROUPER UPDATE The following changes are published in the Federal Register, Vol. 80, No. 158, dated August 17, 2015 with an effective date of October 1, 2015. All page references below are for this annual update and resource documents can be found at https://www.cms.gov/. Changes include: I. Revised DRGs. II. Revised DRG relative weights & average length of stay (ALOS) values for all DRGs. III. Additional DRG-related data for the new ICD codes introduced by LEX*2.0*101. IV. DRG Reclassification changes to the Grouper. This is a summary of the additions/changes made: I. Routine ICD1882X was written to update the DRG file (#80.2). NEW DRGs for FY 2016 -------------------- MS-DRG 268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC MS-DRG 269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC MS-DRG 270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC MS-DRG 271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC MS-DRG 272 OTHER MAJOR CARDIOVASCULAR PROCEDURES W/o cc/MCC MS-DRG 273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC MS-DRG 274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC INACTIVATED DRGs for FY 2016 ---------------------------- MS-DRG 237 MAJOR CARDIOVASCULAR PROCEDURES WITH MCC MS-DRG 238 MAJOR CARDIOVASCULAR PROCEDURES WITHOUT MCC II. Routine ICD1882X is used to update the finalized values for DRG relative weights and average length of stay (ALOS). III. Additional DRG-related values were taken from these Tables: Tables 6B-6M Tables 6P.1a-6P.2a (ICD-10-PCS Code Translations) For a complete description of all tables please visit the Centers for Medicare & Medicaid Services (WWW.CMS.GOV) or use the url below: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ AcuteInpatientPPS/FY2016-IPPS-Final-Rule-Home-Page-Items/ FY2016-IPPS-Final-Rule-Tables.html?DLPage=1&DLEntries= 10&DLSort=0&DLSortDir=ascending IV. DRG RECLASSIFICATION. Changes to other DRGs: ---------------------- 1. MDC 5 (p.49371) a. Effective 10/1/2015 ICD-10 procedure code 02UG3JZ (Supplement mitral valve with synthetic substitute, percutaneous approach) is assigned to new ICD-10 MS-DRGs 273 and 274 and will continue to be assigned to MS-DRGs 231 and 232 (Coronary Bypass with PTC with MCC and without MCC, respectively). 2. MDC 5 (p.49389) a. Effective 10/1/2015 cases that were previously assigned to MS-DRGs 237 or 238 will be reassigned to newly created MS-DRGs 268, 269, 270, 271 or 272. 3. MDC 8 (p.49406) a. Effective 10/1/2015 the titles for ICD-10 MS-DRGs 456 through 458 will be: MS-DRG 456 (Spinal Fusion Except Cervical with Spinal Curvature/Malignancy/Infection or Extensive Fusion with MCC) MS-DRG 457 (Spinal Fusion Except Cervical with Spinal Curvature/Malignancy/Infection or Extensive Fusion with CC) MS-DRG 458 (Spinal Fusion Except Cervical with Spinal Curvature/Malignancy/Infection or Extensive Fusion without CC/MCC) 4. Surgical Hierarchies (P.49412) a. Ranking of surgical DRGs has changed as follows: MDC 5 - remove MS-DRGs 237 and 238 - MS-DRGs 268 & 269 above MS-DRG 270, 271 & 272 - MS-DRGs 270, 271 & 272 above MS-DRG 239 - MS-DRGs 273 & 274 above MS-DRG 246 ASSOCIATED CA SERVICE DESK TICKETS: =================================== 1) I5933949FY16 VIP (Nuance/EPS/DSS Product) error - 897 Ungroupable Duplicates: I5939118FY16 For Coding getting DRG :"Ungroupable" when using an ICD10 code. I5976339FY16 NCH DRG issue R5993379FY16 Another DRG issue I6203894FY16 No DRG code assigned to ICD F10.20 Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 2) I5945062FY16 CPRS issue with ICD10 Problem: ======== DRG miscalculation 793, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 3) R5993038FY16 ICD10 DRG 894 VS 999 Problem: ======== DRG miscalculation 999, correct DRG is 894. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 4) R5993262FY16 DRG 895 S 999 Problem: ======== DRG miscalculation 999, correct DRG is 895. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 5) R5993433FY16 DRG 945 Problem: ======== DRG miscalculation 945, correct DRG is 312. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 6) R5993551FY16 DRG 573 document Duplicate: I6287865FY16 DRG MISCALCULATION -OF 573 IN VISTA AND SHOULD BE 603 Problem: ======== DRG miscalculation 573, correct DRG is 603. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 7) R5995073FY16 DRG 735 vs 743 Problem: ======== DRG miscalculation 735, correct DRG is 743. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 8) R5996399FY16 DRG 897 VS 999 Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 9) R6002595FY16 DRG 057 Problem: ======== DRG miscalculation 945, correct DRG is 57. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 10) I6011617FY16 Mahsem, Lynne is reporting some issue with PTS and DRG code.... Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 11) I6015823FY16 PTF Codes Issues Problem: ======== DRG miscalculation 793, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 12) R6017915FY16 VistA is showing DRG calculating at 945. Correct calculation is 069 Problem: ======== DRG miscalculation 945, correct DRG is 69. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 13) R6018066FY16 VistA DRG calculating to 946 - correct DRG is 195 Problem: ======== DRG miscalculation 946, correct DRG is 195. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 14) R6018375FY16 VistA calculating to 946 - correct calculation is 373 Problem: ======== DRG miscalculation 946, correct DRG is 373. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 15) I6021309FY16 FRE-Staff reporting DRG 999 ungroupable error Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 16) R6051966FY16 DRG 557 vs 945 Problem: ======== DRG miscalculation 945, correct DRG is 557. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 17) I6056014FY16 DRG Calculations Problem: ======== DRG miscalculation 999, correct DRG is 519. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 18) R6063536FY16 Request New AccessPermissions - ID-4324 Problem: ======== DRG miscalculation 999, correct DRG is 895. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 19) R6063561FY16 Request New AccessPermissions - ID-4323 Problem: ======== DRG miscalculation 999, correct DRG is 894. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 20) I6082554FY16 vista ungrouper errors Problem: ======== DRG miscalculation 999, correct DRG is 894. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 21) I6082559FY16 grouping errors in vista Problem: ======== DRG miscalculation 793, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 22) I6082578FY16 ungroupable errors in vista. Problem: ======== DRG miscalculation 999, correct DRG is 982. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 23) I6090418FY16 Incorrect DRG CalculatioN Problem: ======== DRG miscalculation 793, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 24) R6093349FY16 Incorrect DRG Calculation. VistA calculating at 945. Problem: ======== DRG miscalculation 945, correct DRG is 052. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 25) R6093540FY16 Incorrect DRG calculation - VistA calculating 945 Problem: ======== DRG miscalculation 945, correct DRG is 638. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 26) I6095199FY16 DRG 999 ungroupable error Diagnosis: F10.32, F14.10 Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 27) I6103025FY16 AEu is reporting an error 894, 895 and 897 is not being Problem: ======== DRG miscalculation 999, correct DRG is 895. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 28) I6115363FY16 DRG calculating in Vista as 486, shd be 549 Problem: ======== DRG miscalculation 486, correct DRG is 549. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 29) R6130120FY16 Incorrect DRG Calculation - VistA showing 945; Nuance 887 Problem: ======== DRG miscalculation 945, correct DRG is 887. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 30) R6133186FY16 DRG 945 REHAB WITH CC/MCC SHOULD BE 315 OTHER CIR Problem: ======== DRG miscalculation 945, correct DRG is 315. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 31) R6133899FY16 DRG 999 should be 897 alcohol/drug abuse or dependence witho... Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 32) R6149985FY16 x85490 DRG calculating incorrectly in VistA. VistA showing 945 Problem: ======== DRG miscalculation 945, correct DRG is 690. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 33) R6175086FY16 x85490 VistA DRG calculating incorrectly. VistA DRG 945 Nuance 56... Problem: ======== DRG miscalculation 945, correct DRG is 560. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 34) R6175180FY16 VISTA DRG calculating incorrectly. VistA DRG 999 - Nuance D... Problem: ======== DRG miscalculation 999, correct DRG is 896. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 35) I6205985FY16 DRG Calculates to 617 - Should be 240. Problem: ======== DRG miscalculation 617, correct DRG is 240. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 36) I6206621FY16 DRG Calculates to 286 - should be 193 Problem: ======== DRG miscalculation 286, correct DRG is 193. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 37) I6206734FY16 DRG Calculates to 945 - should be 949 Problem: ======== DRG miscalculation 945, correct DRG is 949. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 38) I6207241FY16 DRG Calculates to 999 - should be 641 Problem: ======== DRG miscalculation 999, correct DRG is 641. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 39) I6207375FY16 DRG Calculates to 999 - should be 520 Problem: ======== DRG miscalculation 999, correct DRG is 520. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 40) I6207539FY16 DRG Calculates to 999 - should be 471 Problem: ======== DRG miscalculation 999, correct DRG is 471. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 41) I6207577FY16 DRG Calculates to 999 - should be 473 Problem: ======== DRG miscalculation 999, correct DRG is 473. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 42) I6207617FY16 DRG Calculates to 999 - should be 897 Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 43) I6207658FY16 DRG Calculates to 999 - should be 473 Problem: ======== DRG miscalculation 999, correct DRG is 473. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 44) I6208304FY16 DRG Calculates to 999 - should be 483 Problem: ======== DRG miscalculation 999, correct DRG is 483. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 45) I6208482FY16 DRG Calculates to 999 - should be 897 Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 46) I6208602FY16 DRG Calculates to 999 - should be 897 Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 47) I6208686FY16 DRG Calculates to 999 - should be 897 Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 48) I6208742FY16 DRG Calculates to 999 - should be 473 Problem: ======== DRG miscalculation 999, correct DRG is 473. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 49) I6208775FY16 DRG Calculates to 999 - should be 520 Problem: ======== DRG miscalculation 999, correct DRG is 520. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 50) I6208824FY16 DRG Calculates to 999 - should be 897 Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 51) I6208892FY16 DRG Calculates to 999 - should be 982 Problem: ======== DRG miscalculation 999, correct DRG is 982. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 52) I6208948FY16 DRG Calculates to 999 - should be 473 Problem: ======== DRG miscalculation 999, correct DRG is 473. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 53) I6208992FY16 DRG Calculates to 999 - should be 897 Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 54) R6230542FY16 224-610-5490 DRG is calculating incorrectly in VISTA. Problem: ======== DRG miscalculation 945, correct DRG is 371. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 55) R6238129FY16 DRG ungroupable Problem: ======== DRG miscalculation 999, correct DRG is 473. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 56) I6261363FY16 DRG VISTA MAINTENANCE- Incorrect DRG giving ungroupable 999 Problem: ======== DRG miscalculation 999, correct DRG is 897. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 57) I6261995FY16 DRG ERROR- VISTA HAS 945 REHAB AND NUANCE IS SHOWING 255 Problem: ======== DRG miscalculation 945, correct DRG is 255. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 58) I6262745FY16 DRG ERROR IN VISTA WITH REHAB VISTA HAS 945 AND IT SHOULD BE Problem: ======== DRG miscalculation 945, correct DRG is 559. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 59) R6265363FY16 DRG Miscalculation: High Impact: Please sent to National! ... Problem: ======== DRG miscalculation 982, correct DRG is 439. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 60) I6287865FY16 DRG MISCALCULATION -OF 573 IN VISTA AND SHOULD BE 603 Problem: ======== DRG miscalculation 573, correct DRG is 603. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 61) R6320331FY16 DRG calculating incorrectly. Nuance 561 VistA = 946 Problem: ======== DRG miscalculation 946, correct DRG is 561. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). 62) I6325684FY16 ICD 10 DRG MISCALCULATION 988 instead of 167 ** Problem: ======== DRG miscalculation 988, correct DRG is 167. Solution: ========= Updated the DRG Grouper software with the new data provided by CMS (Centers for Medicare & Medicaid Services). Software and Documentation Retrieval Instructions: -------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch are available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany: domain.ext Hines: domain.ext Salt Lake City: domain.ext Host File File Name SFTP Protocol ------------------- ---------------- ------------ Data Host File ICD_18_82.GBL ASCII Patch Installation Overview: ============================ This patch requires the import global ^ICDLD82 to be installed prior to installation of the patch. The ^ICDLD82 global is delivered in the data file ICD_18_82.GBL. User will be asked questions prior to installing the patch. The installation process of the patch runs the routine ICD1882A, which begins the DRG data update. PLEASE NOTE: During the installation it is possible that there are various ICD Codes required to be in the DRG load file that were removed from the Lexicon globals. These codes will cause the following messages to appear: Starting File #80 AUG 31, 2015@12:15:39 ICD Code: H40.141 not in file #80 .... These are not error messages, but rather audit messages showing that expired codes are not in the Lexicon and can be ignored. Pre-Installation Instructions: ------------------------------ 1a) This patch requires installation of the following data file: ICD_18_82.GBL which contains the ^ICDLD82 global. 1b) The following globals must be backed up during initial installation of this patch and as well as every time it has to be re-installed after the following patch: LEX*2.0*101. ICD DIAGNOSIS File (#80) ^ICD9 ICD OPERATION/PROCEDURE File (#80.1) ^ICD0 DRG File (#80.2) ^ICD NOTE: Please refer to Sections 2-6 for instructions on retrieving the file, backing up the existing files and installing the new file. 1c) It is recommended that this patch be installed during non-peak hours to minimize potential disruption to users as extensive changes are made to existing files ICD DIAGNOSIS File (#80), ICD OPERATION/PROCEDURE File (#80.1) and DRG File (#80.2). 1d) All steps leading up to the KIDS Installation may be done with the users on the system. Administrative Users Only must be off of the system during the KIDS installation. Applications, particularly Admission Discharge Transfer (ADT), Integrated Billing (IB) and Diagnosis Related Grouper (DRG), could encounter significant errors if exercised during the install. 1e) Installation of ICD*18*82 should NOT be performed at the time frame when IB MT NIGHT COMP is running. Since installation of ICD*18*82 can take from 1 to 5 hours it is recommended to run it before the IB MT NIGHT COMP job: - Make all preparations ahead - perform steps 3, 5 and 6 of the Pre-Installation Instructions. This might take 2 hours and can be done during normal working hours, - Determine the time when IB nightly job is scheduled to run in the system, - Count 5 hours back from this time to determine the time when ICD*18*82 installation can be started. 1f) Do not Interrupt the Installation - If the pre-install runs and deletes the ICD files and the post-install does not run, the site may be left with either missing or incomplete ICD files. 1g) Do not Queue this Installation. If it is queued, it may hang and not install. 1h) Do not install if Windows Updates are Scheduled/Pending - Check with local network support that no Windows updates are scheduled for the period of the ICD-10 install. Also, check the toolbar and see if there is a Windows Update icon for a pending Windows update from a previous push. A Windows update will disrupt the session and the KIDS installation. 1i) The average install time for this patch is approximately 1-5 hours based on each site's mirror and production environment configuration, number of users on the system and background processes running at the time of the installation. 2) Global backup and installation timing: Backup -------------- ICD DIAGNOSIS ^ICD9 258 MB 10 to 25 minutes ICD PROCEDURE ^ICD0 209 MB 6 to 15 minutes DRG ^ICD 4 MB 1 to 5 minutes Total Backup 471 MB 17 to 45 minutes Data Host File -------------- SFTP ICD_18_82.GBL 66 MB 24 to 60 minutes Global Restore ^%GI ^ICDLD82 20 MB 4 to 10 minutes Total Data 86 MB 28 to 70 minutes 3) Create a backup of the following global files before continuing: ICD DIAGNOSIS File (#80) ^ICD9 ICD OPERATION/PROCEDURE File (#80.1) ^ICD0 DRG File (#80.2) ^ICD Make sure space is available before proceeding. It should take from 17 to 45 minutes to create the backup files. When you are creating a backup of non-subscripted globals, you are saving the entire global. You should use the utility ^%GO for non-subscripted globals, and when prompted for a global, enter the global root (global name only, no open parenthesis, no file number and no commas, as shown below). If you are working in an environment where %GO will not run (usually due to sharing of globals between environments) please use %GOGEN. Example with %GO: >D ^%GO Global output Device: xxxxxx:[yyyyyy]ICD9.GBL where xxxxxx and yyyyyy specify your home folder for example: USER$:[USERNAME] Parameters? "WNS" => (Skip) Description (^ for self-loading): All Globals? No => No Global ^ICD9 Global ^ (Skip) 1 global selected from 638 available globals. ICD9 1 global written Example with %GOGEN: >D ^%GOGEN Device: xxxxxx:[yyyyyy]ICD9.GEN where xxxxxx and yyyyyy specify your home folder for example: USER2$:[USERNAME] Parameters? "WNS" => (Skip) Warning: Use a "V" format to avoid problems with control characters. Global ^ICD9 -- NOTE: translation in effect Global ^ (Skip) Enter To create a Backup copy of: ------ --------------------------- ICD9 ICD DIAGNOSIS File ICD0 ICD OPERATION/PROCEDURE File ICD DRG File 4) Set up user and IO variables (D ^XUP) for programmer access. 5) Transfer the ICD_18_82.GBL file from the SFTP server to your folder in the environment in which you are installing. 6) Install the data from the global host file ICD_18_82.GBL. This file contains the import global ^ICDLD82. This global is approximately 66 megabytes in size. Make sure there is sufficient space available to load this global. The loading of the global should take from 24 to 60 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: USER$:[USERNAME]ICD_18_82.GBL Parameters? "RS" => Globals were saved on 21 JUL 2015 3:55 PM Cache with description: Data file for ICD*18.0*82 installation Input option: a ^ICDLD82 7) Also, verify the system is currently running the current version of Cache in order to ensure the patch installs properly. At the programmer prompt, enter the following and confirm the current version is 2014.1.3: W $$VERSION^%ZOSV Installation Instructions: -------------------------- 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following option. When prompted for the INSTALL enter the patch # (ICD*18.0*82): a. 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. b. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all components of this patch (routines, DD's, templates, etc.). c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. Enter ICD*18.0*82. 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 and enter the following menu options to disable: Enter options you wish to mark as 'Out Of Order': ICD DRG GROUPER Enter options you wish to mark as 'Out Of Order': DG DRG CALCULATION Enter options you wish to mark as 'Out Of Order': LOAD/EDIT PTF DATA Enter options you wish to mark as 'Out Of Order': IBT EDIT TRACKING ENTRY Enter options you wish to mark as 'Out Of Order': IB EDIT BILLING INFO Enter options you wish to mark as 'Out Of Order': DG PTF DRG INFORMATION OUTPUT Enter options you wish to mark as 'Out Of Order': (Enter) Enter protocols you wish to mark as 'Out Of Order': (Enter) 7. If prompted 'Delay Install (Minutes): (0 - 60): 0//', respond 0. The KIDS install should take from 1 to 5 hours. Post-Installation Instructions: ------------------------------- 1. Following installation of this patch, it is necessary to run the Update Transfer DRGs 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. 2. The Post-Install routines ICD1882A and ICD1882B should be deleted using the KERNEL option 'Delete Routines' [XTRDEL] upon completion of the installation. 3. Post-Install routine ICD1882P will be deleted automatically by the build. 4. Also, please verify the following globals to ensure patch ICD*18.0*82 installed properly: IRM should perform an ^%G lookup on several files. The following instructions will show the zero node of the files, and the third piece of the node contains the total number of entries in that file. The count should match the entries listed below. From the programmer prompt enter the following: D ^%G Device: Right margin: 80 => Screen size for paging (0=nopaging)? 24 => For help on global specifications DO HELP^%G Global ^ICDRS(0) -- NOTE: translation in effect ^ICDRS(0)="DRG SURGICAL HIERARCHY^80.5D^1^1" Global ^ICDHAC(0) -- NOTE: translation in effect ^ICDHAC(0)="DRG HAC^80.6^12^12" Global ^ICDID(0) -- NOTE: translation in effect ^ICDID(0)="DRG DIAGNOSIS IDENTIFIER CODES^82^273^273" Global ^ICDIP(0) -- NOTE: translation in effect ^ICDIP(0)="DRG PROCEDURE IDENTIFIER CODES^82.1^223^223" Global ^ICDIDD(0) -- NOTE: translation in effect ^ICDIDD(0)="DRG DIAGNOSIS CODE COMBINATIONS^82.12P^2^2" Global ^ICDIDP(0) -- NOTE: translation in effect ^ICDIDP(0)="DRG PROCEDURE CODE COMBINATIONS^82.11P^34^34" Global ^ICDCCEX(0) -- NOTE: translation in effect ^ICDCCEX(0)="DRG CC EXCLUSIONS^82.13^1490^1490" ***Verify the information listed above matches the information found in the sites TEST and PRODUCTION accounts. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;Oct 20, 2000;Build 21 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD10TB2 Before: B18222140 After: B18058052 **64,82** Routine Name: ICD10TB4 Before: B9167308 After: B8872895 **64,82** Routine Name: ICD10TB8 Before: B7326303 After: B8641752 **64,82** Routine Name: ICD1882A Before: n/a After:B164569535 **82** Routine Name: ICD1882B Before: n/a After: B85768283 **82** Routine Name: ICD1882F Before: n/a After: B57686037 **82** Routine Name: ICD1882G Before: n/a After: B63064849 **82** Routine Name: ICD1882H Before: n/a After: B59090507 **82** Routine Name: ICD1882I Before: n/a After: B57502638 **82** Routine Name: ICD1882J Before: n/a After: B59944026 **82** Routine Name: ICD1882K Before: n/a After: B62951725 **82** Routine Name: ICD1882O Before: n/a After: B2720636 **82** Routine Name: ICD1882P Before: n/a After: B236433 **82** Routine Name: ICD1882X Before: n/a After: B74155132 **82** Routine Name: ICDDG010 Before: B87527545 After: B87506701 **64,82** Routine Name: ICDDRGX Before: B28133843 After: B28133255 **1,2,5,7,10,14,20,24,27,31,64,82** Routine Name: ICDDRGX2 Before:B156836573 After:B103632057 **64,82** Routine Name: ICDDRGX3 Before: B25217688 After: B57991156 **64,82** Routine Name: ICDEXD2 Before: B52729540 After: B50967420 **57,67,82** Routine Name: ICDEXLK2 Before:B167936583 After:B168140554 **57,67,82** Routine Name: ICDEXLK3 Before: B98059988 After:B102652955 **57,67,82** Routine Name: ICDEXLK4 Before: B25474563 After: B27639305 **57,67,82** Routine Name: ICDEXLK5 Before: B69728185 After: B70506378 **57,67,82** Routine list of preceding patches: 64, 67 ============================================================================= User Information: Entered By : Date Entered : JUL 13, 2015 Completed By: Date Completed: FEB 17, 2016 Released By : Date Released : FEB 18, 2016 ============================================================================= Packman Mail Message: ===================== $END TXT