============================================================================= Run Date: DEC 20, 2016 Designation: ICD*18*89 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #80 Status: Released Compliance Date: JAN 19, 2017 ============================================================================= Associated patches: (v)ICD*18*82 <<= must be installed BEFORE `ICD*18*89' Subject: DRG RE-DESIGN Category: - Data Dictionary - Routine - Other - Enhancement (Mandatory) Description: ============ This patch, the DRG Re-Design Project, creates new data files and routines to calculate a Diagnostic Related Group (DRG) value for a patient record coded with International Classification of Diseases, Tenth Revision (ICD-10) diagnostic and procedure codes. NOTE: Sites will encounter a LEX10CS subscript error when executing the DRG Calculation [DG DRG Calculation] option using an effective date prior to October 1, 2016. This is a known issue within the Lexicon package and will be addressed with a future Lexicon patch (LEX*2.0*110). Patch Components ================ Files & Fields: This patch creates and populates eleven new data files. All data is stored in the new ICDD global. DRG MDC CATEGORY (#83) FIELD FIELD NUMBER NAME .01 MDC-CAT ID (RF), [0;1] .02 MDC ID (F), [0;2] .03 CATEGORY ID (NJ4,0), [0;3] .04 CATEGORY TYPE (S), [0;4] .05 MDC NAME (F), [0;5] .06 CATEGORY NAME (F), [0;6] DRG MDC CATEGORY DRG (#83.1) .01 DRG (RP80.2'), [0;1] .02 MDC-CAT (RP83'), [0;2] .03 UNIT (RNJ4,0), [0;3] .04 CATEGORY TYPE (S), [0;4] .05 AGE (NJ3,0), [0;5] .06 SEX (S), [0;6] .07 MCC REQUIRED (S), [0;7] .08 CC REQUIRED (S), [0;8] .09 SPECIAL (S), [0;9] .1 CASE/SET NAME (F), [0;10] 10 MDC CASE (Multiple-83.1001), [10;0] .01 EFFECTIVE (MRD), [0;1] .02 INACTIVE (D), [0;2] .03 MDC CASE (RP83.2'), [0;3] DRG MDC CATEGORY DRG ORDER FILE (#83.11) .01 EFFECTIVE (RD), [0;1] .02 INACTIVE (D), [0;2] 10 MDC DRG LIST (Multiple-83.1101), [10;0] .01 MDC DRG (MRP83.1'), [0;1] DRG MDC CATEGORY CASE (#83.2) .01 MDC CASE ID (RNJ7,0), [0;1] 10 MDC CODE SET (Multiple-83.2001), [10;0] .01 MDC CODE SET (MP83.3'), [0;1] .02 SPECIAL (S), [0;2] DRG MDC CATEGORY CODE SETS (#83.3) .01 MDC CODE SET ID (RNJ6,0), [0;1] .02 MDC-CAT (P83'), [0;2] .03 CODE TYPE (RS), [0;3] .04 SET TYPE (S), [0;4] .05 SPECIAL (S), [0;5] .06 COMPUTED (S), [0;6] .07 LINKED SETS (F), [0;7] .08 CODE SET NAME (F), [0;8] DRG DIAGNOSIS (#83.5) .01 DIAGNOSIS (RP80'), [0;1] 10 ATTRIBUTES (Multiple-83.5001), [10;0] .01 EFFECTIVE (MRD), [0;1] .02 INACTIVE (D), [0;2] .03 PDX EXCLUSION (F), [0;3] .04 MCC OF ITS OWN (S), [0;4] .05 CC OF ITS OWN (S), [0;5] .06 MCC IF ALIVE (S), [0;6] .07 MCC (S), [0;7] .08 CC (S), [0;8] 20 MDC CODE SET (Multiple-83.5002), [20;0] .01 EFFECTIVE (MD), [0;1] .02 INACTIVE (D), [0;2] .03 MDC CODE SET (P83.3'), [0;3] 30 HAC CODE SET (Multiple-83.5003), [30;0] .01 EFFECTIVE (MD), [0;1] .02 INACTIVE (D), [0;2] .03 HAC CODE SET (RP83.71'), [0;3] DRG PDX EXCLUSION GROUPS (#83.51) .01 PDX EXCLUSION ID (RF), [0;1] .02 PRINCIPAL DIAGNOSIS (RP80'), [0;2] .03 EFFECTIVE (RD), [0;3] .04 INACTIVE (D), [0;4] DRG PROCEDURE (#83.6) .01 PROCEDURE (RP80.1'), [0;1] 10 ATTRIBUTES (Multiple-83.6001), [10;0] .01 EFFECTIVE (MD), [0;1] .02 INACTIVE (D), [0;2] .03 PROCEDURE TYPE (S), [0;3] 20 MDC CODE SETS (Multiple-83.6002), [20;0] .01 EFFECTIVE (MD), [0;1] .02 INACTIVE (D), [0;2] .03 MDC CODE SET (P83.3'), [0;3] .04 CLUSTER (P83.61'), [0;4] 30 HAC CODE SET (Multiple-83.6003), [30;0] .01 EFFECTIVE (MD), [0;1] .02 INACTIVE (D), [0;2] .03 HAC CODE SET (RP83.71'), [0;3] DRG PROCEDURE GROUPS (#83.61) .01 PROCEDURE CLUSTER ID (RF), [0;1] .02 PROCEDURE TYPE (S), [0;2] .03 CLUSTER TYPE (S), [0;3] 10 PROCEDURES (Multiple-83.6101), [10;0] .01 PROCEDURE (MP80.1'), [0;1] DRG HAC GROUPS (#83.7) .01 HAC ID (RF), [0;1] .02 HAC NAME (F), [0;2] DRG HAC CODE SETS (#83.71) .01 HAC CODE SET ID (RNJ4,0), [0;1] .02 HAC GROUP (RP83.7'), [0;2] .03 CODE TYPE (RS), [0;3] .04 SET TYPE (S), [0;4] .05 HAC CASE (NJ3,0), [0;5] Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (#) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: ----------------------- N/A New Service Requests (NSRs): ============================ N/A Patient Safety Issues (PSIs): ============================= N/A Remedy Ticket(s) & Overviews: ============================= N/A Test Sites: =========== Salt Lake City HCS Montana HCS N. Florida/S. Georgia HCS VISN2 Documentation and Software Retrieval: ===================================== 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 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 File Name Content FTP Protocol ------------------- ---------------- ------------ ICD_18_89.ZIP KIDS build and Binary documentation ------------------------------------------------------------------ Files included in ICD_18_89.ZIP: ICD_18_89.KID KIDS file ASCII DRG_18_TM.PDF Technical Manual/ Security Guide Binary DRG_Re-Design_VDD Version Description Document Binary Documentation can also be found on the VA Software Documentation Library: http://www4.domain.ext/vdl/ Pre-Installation Instructions ----------------------------- Before installing this patch, you should save a copy of the existing ICDDRG routine. The general strategy for back-out and rollback procedures for the DRG Re-Design project is to first contact the VA Help Desk at 1-888-596-4357 for support or assistance. Based on the severity of the issue reported, it may be necessary for both the application sustainment team and the DRG Re-Design project team to be involved in providing direct support and technical solutions for a site's unique problem. This may also include issuance of an emergency patch to correct or remove software components and to perform restoration of data with a database clean-up process. If it becomes necessary to roll back the patch, you will re-install the pre-ICD*18*89 copy of the ICDDRG routine in order to go back to the pre-patch approach to calculating DRGs. Here is an example of saving the ICDDRG routine using the OUTPUT ROUTINES [XUROUTINE OUT] option which is located on the Routine Tools [XUPR-ROUTINE-TOOLS] menu. Select Routine Tools Option: OUTPUT ROUTINES Routine output (please use %ROMF for object code output) Routine(s): ICDDRG Routine(s): Description: Backup of ICDDRG for ICD*18*89 Output routines to Device: Parameters? "WNS" => Printer Format? No => No Installation Instructions ------------------------- Users may remain on the system, but installation should be done during off-peak hours. Installation will take from 75 - 100 minutes. 1. Use the 'LOAD A DISTRIBUTION' option. The Host File name is ICD_18_89.KID. Answer YES to the question: "Want to Continue with Load? YES//" 2. The patch has now been loaded into a Transport global on your system. You now need to install the Transport global. [Optional] On the KIDS menu, under the 'Installation' menu, use the following options: Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Backup a Transport Global 3. From the 'Installation Menu' of the KIDS menu, run the option 'Install Package(s)' Select the package 'ICD*18.0*89' and proceed with install. 4. When prompted 'Want KIDS to INHIBIT LOGONs during the install No//', respond NO. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond YES Place the following options out of order: 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 MENU Enter options you wish to mark as 'Out Of Order': Enter protocols you wish to mark as 'Out Of Order': (NOTE: There are no protocols to mark as "Out of Order".) 5. If prompted 'Delay Install (Minutes): (0 - 60): 0//', respond 0. 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. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;Oct 20, 2000;Build 9 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1889P Before: n/a After: B6543207 **89** Routine Name: ICDDRG Before: B61462104 After: B63337295 **2,7,10,14,20,31,37,57,64,89** Routine Name: ICDJC Before: n/a After: B14003979 **89** Routine Name: ICDJC1 Before: n/a After: B56485540 **89** Routine Name: ICDJC2 Before: n/a After: B50437415 **89** Routine Name: ICDJC3 Before: n/a After: B51705763 **89** Routine list of preceding patches: 64 ============================================================================= User Information: Entered By : Date Entered : JUN 01, 2016 Completed By: Date Completed: DEC 20, 2016 Released By : Date Released : DEC 20, 2016 ============================================================================= Packman Mail Message: ===================== No routines included