$TXT Created by VIPDEV11.AAC.DOMAIN.EXT (KIDS) on Tuesday, 09/11/18 at 17:11 ============================================================================= Run Date: NOV 14, 2018 Designation: PSD*3*84 Package : PSD - CONTROLLED SUBSTANCES Priority: Mandatory Version : 3 SEQ #71 Status: Released Compliance Date: DEC 14, 2018 ============================================================================= Associated patches: (v)PSD*3*8 <<= must be installed BEFORE `PSD*3*84' (v)PSD*3*65 <<= must be installed BEFORE `PSD*3*84' (v)PSD*3*79 <<= must be installed BEFORE `PSD*3*84' Subject: EPIP CONTROLLED SUBSTANCES REMEDIATION 1.0 Category: - Routine - Enhancement (Mandatory) - Other - Data Dictionary Description: ============ PSD*3.0*84 provides the following enhancements to VistA: - Enhances the Outpatient Rx's [PSD OUTPATIENT] option in the Pharmacist Menu [PSD TRANSACTION MENU] to require users to enter the current on-hand narcotic medication count without seeing the VistA computed count. The existing option displays the VistA narcotic medication count without asking users to enter the actual on-hand count, which does not ensure that an actual count was performed to confirm that the number shown in VistA matches the true count. The modification ensures that an actual count is performed and compares the user's input against current VistA totals. If the balances entered by the user do not match the VistA count after three attempts, then an e-mail message is sent to the new CS BALANCE DISCREPANCY mail group for further investigation. The mail group is populated by each site with pharmacy personnel who have access to the Balance Adjustments [PSD BALANCE ADJUSTMENTS] menu to address balance discrepancies. During the post-installation phase, routine PSD84P checks to see if there is a pre-existing CS BALANCE DISCREPANCY mail group. If it does not exist, the routine creates the new mail group and displays an on-screen confirmation. Routine PSD84P is deleted automatically at the end of patch installation. This modification serves as a failsafe against narcotic diversion. This patch adds the BALANCE DISCREPANCY CHECK field (#37) to the DRUG ACCOUNTABILITY STATS file (#58.8) to enable or disable use of the balance discrepancy modification. The new field is edited using the new "BALANCE DISCREPANCY CHECK:" prompt when creating or editing Master Vault dispensing sites. The prompt is accessed through the existing Create/Edit the Narcotic Area of Use [PSD NAOU EDIT] option. Users must hold the PSD PARAM security key to access this option. Entering "ON" (or "1") at the prompt will enable the discrepancy check, requiring a manual count for the dispensing site. Entering "OFF" (or "0") is designed for sites where manual counting is not practical and automated dispensing is used. The BALANCE DISCREPANCY CHECK field is delivered as a null (disabled) value for all dispensing sites at a location. A null entry in this field is the same as OFF. - Enhances the "Daily Activity Log (in lieu of VA FORM 10-2320)" [PSD DAILY LOG] option in the Production Reports [PSD PRODUCTION REPORTS] menu and the "Daily Activity Log (in lieu of VA FORM 10-2320)" [PSD DAILY LOG TECH] option in the Technician (CS Pharmacy) Menu [PSD PHARM TECH] to group all Schedule II drugs under one group name. The existing option allows a user to print all activity using the [^ALL] group selection or requires a user to manually input the name of each individual drug in the group every time a Daily Activity Log report is run. Manually inputting this information is a significant time burden and increases the possibility of data entry mistakes. This enhancement allows the user to enter one group name [^ALL CII DRUGS] that selects all Schedule II drugs instead of requiring entry of individual drug names. This group name must be typed in full; there is no shortcut or auto-complete. This modification ensures a more accurate report, thereby helping to monitor for drug diversion patterns and aiding staff in troubleshooting when the electronic supply count does not match the number of items on-hand. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- DRUG ACCOUNTABILITY STATS BALANCE DISCREPANCY New field (#58.8) CHECK (#37) Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- CS BALANCE DISCREPANCY New Options Associated: Option Name Type New/Modified/Deleted ----------- ---- --------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Parameters Associated: Parameter Name New/Modified/Deleted --------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: N/A New Service Requests (NSRs): ---------------------------- NSR20171101 Controlled Substance Narcotic Count Input NSR20171111 Pharmacy Activity Report Sched II Meds Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Problem: ------- N/A Resolution: ---------- N/A Test Sites: ---------- Milwaukee VA Medical Center, Milwaukee, WI Fargo VA Health Care System, Fargo, ND Software and Documentation Retrieval Instructions: ---------------------------------------------------- The software is released as a PackMan message and is distributed from FORUM. Software documentation describing the new functionality introduced by this patch is available for downloading. 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 documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found in the VA Software Document Library (VDL) at: https://www.domain.ext/vdl/. Title File Name FTP Mode ----------------------------------------------------------------------- Controlled Substances Pharmacist's User Manual psd_3_pharm_um_r1118.doc Binary Controlled Substances Pharmacist's User Manual psd_3_pharm_um_r1118.pdf Binary Controlled Substances Supervisor's User Manual psd_3_um_supv_r1118.doc Binary Controlled Substances Supervisor's User Manual psd_3_um_supv_r1118.pdf Binary Controlled Substances Technical Manual psd_3_tm_r1118.doc Binary Controlled Substances Technical Manual psd_3_tm_r1118.pdf Binary Patch Installation: Pre/Post Installation Overview: ------------------------------- Review the Pre-Installation Instructions provided before beginning installation of the patch. Pre-Installation Instructions: ------------------------------ This patch may be installed with users on the system, although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. Installation Instructions: ------------------------------ To install the patch: 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System (KIDS) menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL NAME, enter the patch number PSD*3.0*84. a. Verify Checksums in Transport Global - This option will help ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will enable viewing the components of the KIDS build. c. Compare Transport Global to Current System - This option will enable viewing all changes that will be made when this patch is installed. It compares all components of this patch (routines, data dictionaries, templates, etc.). d. Back up a Transport Global - This option will create a backup message of any routines exported with this patch. It will not back up any other changes such as data dictionaries or templates. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', press . 6. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', press . 7. If prompted 'Delay install (Minutes): (0-60): 0//', press . 8. If prompted 'Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// HOME (CRT)', press . Post-Installation Instructions: ------------------------------- Routine PSD84P checks to see if there is a pre-existing CS BALANCE DISCREPANCY mail group. If it does not exist, the routine creates the new mail group and displays an on-screen confirmation. Routine PSD84P is deleted automatically at the end of patch installation. After installation is complete, each site must populate this mail group with the appropriate pharmacy personnel who have access to the Balance Adjustments [PSD BALANCE ADJUSTMENTS] menu to investigate and address narcotic count discrepancies. Backout Procedure: ------------------ Backout of this patch will be performed only with the concurrence and participation of the appropriate VA site/region personnel. The decision to back out the patch will be a joint decision between VA site/region personnel and other appropriate VA personnel. Note: Due to the complexity of this patch, it is not recommended for backout, and a restore from a backup of the Transport Global should not be attempted. However, in the event that a site decides to back out this patch, the site should contact the National Service Desk (NSD) to submit a help desk ticket. The development team will need to issue one or more follow-on patches in order to comprehensively back out this patch, after coordination with the VA Project Manager and COR. Validation of Backout Procedure: -------------------------------- The Backout procedure can be verified by printing the first two lines of the PSD routines contained in this patch using the option First Line Routine Print [XU FIRST LINE PRINT]. Once the PSD routines have been backed out, the first two lines of the routines will no longer contain the designation of patch PSD*3.0*84 on line 2 in the patch list section. Note: This validation procedure only verifies that routine changes have been backed out; it does not confirm that other patch component changes have been backed out. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;CONTROLLED SUBSTANCES ;**[Patch List]**;13 Feb 97;Build 15 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSD84P Before: n/a After: B2906261 **84** Routine Name: PSDACT Before: B13793020 After: B15642875 **8,84** Routine Name: PSDACT1 Before: B32437161 After: B34237847 **10,14,30,65,84** Routine Name: PSDEN Before: B13693307 After: B14499014 **84** Routine Name: PSDNBAL Before: n/a After: B16701063 **84** Routine Name: PSDOPT Before: B86544635 After: B90223389 **10,11,15,21,30,39,48,62,69, 71,79,84** Routine list of preceding patches: 8, 65, 79 ============================================================================= User Information: Entered By : Date Entered : MAR 09, 2018 Completed By: Date Completed: NOV 09, 2018 Released By : Date Released : NOV 14, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT