============================================================================= Run Date: DEC 16, 2010 Designation: PSO*7*358 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #306 Status: Released Compliance Date: JAN 16, 2011 ============================================================================= Associated patches: (v)PSO*7*225 <<= must be installed BEFORE `PSO*7*358' (v)PSO*7*276 <<= must be installed BEFORE `PSO*7*358' (v)PSO*7*290 <<= must be installed BEFORE `PSO*7*358' (v)PSO*7*298 <<= must be installed BEFORE `PSO*7*358' (v)PSO*7*324 <<= must be installed BEFORE `PSO*7*358' Subject: ePharmacy Tricare Active Duty Category: - Data Dictionary - Routine - Enhancement (Mandatory) Description: ============ This patch has enhancements which extend the capabilities of the Veterans Health Information Systems and Technology Architecture (VistA) electronic pharmacy (ePharmacy) billing system. Below is a list of all the applications involved in this project along with their patch number: APPLICATION/VERSION PATCH -------------------------------------------------------------- OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*358 INTEGRATED BILLING (IB) V. 2.0 IB*2*434 ELECTRONIC CLAIMS MANAGEMENT ENGINE (ECME) V. 1.0 BPS*1*9 The three patches (PSO*7*358, IB*2*434 and BPS*1*9) are being released in the Kernel Installation and Distribution System (KIDS) multi-build distribution BPS PSO IB BUNDLE 5.0. For more specific instructions please refer to the installation steps provided in each of the patches. The combined build will allow the processing and release of prescriptions for TRICARE active duty patients. This specific patch contains functionality for the following: 1. A bypass function has been created to circumvent ePharmacy processing for TRICARE eligible inpatients. 2. An override function was created to continue processing of prescriptions for non-billable products for TRICARE eligible outpatients. From the reject notification screen, two new options were added. The user is able to [Quit] and send the prescription to the worklist or [Ignore] the rejection and continue processing if the user has the PSO TRICARE security key. 3. Create an override function to process TRICARE eligible prescriptions that reject. From the reject notification screen, added two new options. The user is able to [Quit] and send the prescription to the worklist or [Ignore] the rejection and continue processing if the user has the PSO TRICARE security key. 4. Create a new security key, PSO TRICARE, which will be required for certain access to the new functionality. 5. Create a new file, PSO TRICARE AUDIT LOG, which will capture bypass and override audit information. 6. Create a new menu option, TRICARE BYPASS/OVERRIDE REPORT, which will reside on the ePharmacy Menu. 7. Create a new report, TRICARE BYPASS/OVERRIDE REPORT, which will be invoked by the new menu option, TRICARE BYPASS/OVERRIDE REPORT. 8. Modify Local Mail and CMOP to print prescriptions from suspense that have been processed through the new bypass or override functionality. 9. Added the [Ignore] option to the Worklist when a Tricare Prescription is selected, [Ignore] can now be used on released prescriptions. The [Fill] option will now only be available for prescriptions that have not been released. 10. Created a new security key, PSO TRICARE MGR, which will be required to access the new option, TRICARE BYPASS/OVERRIDE REPORT. This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- There are no NSR associated with this patch. This patch addresses the following Remedy Tickets: ---------------------------------------------------- 1. HD0000000423742 Error generated in Third Party Payer Rejects - Worklist, for a TRICARE prescription that had rejected. Overview of Remedy Tickets: --------------------------- 1. HD0000000423742 Error generated in Third Party Payer Rejects - Worklist, for a TRICARE prescription that had rejected. Problem: -------- VA Eastern Kansas HCS reported they Received a $STACK error when they tried to resubmit a claim for a rejected TRICARE prescription. $ZE= SEND+22^PSOREJP3 *RFL 8/23/2010 10:57:37 AM . Q:$$STATUS^PSOBPSUT(RX,RFL)'["PAYABLE" Last Global Ref: ^DD(52,100,0) Resolution: ----------- Incorrect variable name "RFL" was replaced with "FILL" in SEND+22^PSOREJP3. Components Sent With Patch -------------------------- The following is a list of files included in this patch: UP SEND DATA DATE SEC. COMES SITE RSLV FILE # NAME DD CODE W/FILE DATA PTS -------------------------------------------------------------------- 52 PRESCRIPTION YES YES NO 52.87 PSO TRICARE AUDIT LOG YES YES NO The PSO TRICARE AUDIT LOG file (#52.87) is a new file being exported with this patch. The following is a list of fields included in this patch: Field Name (Number) File Name (Number) ------------------- ------------------ COORDINATION OF BENEFITS (27) PRESCRIPTION (52) subfile REJECT INFO (52.25) The following is a list of options included in this patch: Option Name Type New/Modified ----------- ---- ------------ PSO EPHARMACY MENU MENU Modified PSO IGNORED REJECTS REPORT RUN ROUTINE Modified PSO NDC VALIDATE RUN ROUTINE Modified PSO PMP ACTION Modified PSO PMP SITE PREFERENCES ACTION Modified PSO REJECTS VIEW/PROCESS RUN ROUTINE Modified PSO REJECTS WORKLIST RUN ROUTINE Modified PSO TRICARE OVERRIDE REPORT RUN ROUTINE New PSO ePHARM SITE PARAMETERS ACTION Modified The following is a list of security keys included in this patch: PSO TRICARE PSO TRICARE MGR The following is a list of protocols included in this patch: PSO REJECT DISPLAY IGNORE ATTACH TO MENU PSO REJECT TRICARE MENU USE AS LINK FOR MENU ITEMS Documentation Retrieval: ------------------------ Sites may retrieve documentation in one of the following ways: 1. The preferred method is to FTP the files from download.vista.med.va.gov, which will transmit the files from the first available FTP server. 2. Sites may also elect to retrieve documentation directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov 3. Documentation can also be retrieved from the VistA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. The documentation distribution includes: FILE NAME DESCRIPTION --------------------------------------------------------------------- PSO_7_P358_RN.PDF Release Notes PSO_7_MAN_UM_R1110.PDF Manager User Manual PSO_7_PHAR_UM_R1110.PDF Pharmacist User Manual PSO_7_P358_TM_CP.PDF Technical Manual Change Pages PSO_7_TM_R1110.PDF Technical Manual Test Sites: ----------- Louisville Loma Linda Tampa Heartland West Phoenix Pre/Post Installation Overview ------------------------------ There are no Pre/Post Installation routines associated with this patch. ================INSTALLATION INSTRUCTIONS ================= To avoid disruptions, these patches should be installed when users are not on the system and during non-peak hours. Of particular concern would be the items below. 1. Do not queue this installation to run at a later time because you will be prompted to enter information during the installation. 2. Do not install the patch when ECME claims are being generated by the BPS Nightly Background Job option [BPS NIGHTLY BACKGROUND JOB]. Wait for this job to finish or complete the installation before this job starts. 3. Do not install the patch when prescriptions are being transmitted to CMOP. Wait for the CMOP transmission to finish or complete the installation before the transmission starts. Check with Pharmacy Service or your pharmacy Automated Data Processing Application Coordinator (ADPAC) to find out when CMOP transmissions occur. 4. If installed during the normal workday, it is recommended that the following selection(s) in the OPTION (#19) file, and all of their descendants be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. ECME [BPSMENU] Potential TRICARE Claims Report [BPS COB RPT TRICARE CLAIMS] Process Secondary/TRICARE Rx [BPS COB PROCESS SECOND to ECME TRICARE] Third Party Payer Rejects - Worklist [PSO REJECTS WORKLIST] Print from Suspense File [PSO PNDLBL] Pull Early from Suspense [PSO PNDRX] Patient Prescription Processing [PSO LM BACKDOOR ORDERS] Install Time - Less than 5 minutes 1. OBTAIN PATCHES -------------- Obtain the host file BPS_1_9_PSO_IB.KID, which contains the following three patch installs: BPS*1.0*9 PSO*7.0*358 IB*2.0*434 Sites can retrieve VistA software from the following FTP addresses. The preferred method is to FTP the files from: download.vista.med.va.gov This will transmit the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov The BPS_1_9_PSO_IB.KID host file is located in the anonymous.software directory. Use ASCII Mode when downloading the file. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu option [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: Installation --- Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global Select Installation Option: 3. LOAD TRANSPORT GLOBAL FOR MULTI-BUILD ------------------------------------- From the Installation menu, select the Load a Distribution option. When prompted for "Enter a Host File:", enter the full directory path where you saved the host file BPS_1_9_PSO_IB.KID (e.g., SYS$SYSDEVICE:[ANONYMOUS]BPS_1_9_PSO_IB.KID). When prompted for "OK to continue with Load? NO//", enter "YES." The following will display: Loading Distribution... BPS PSO IB BUNDLE 5.0 BPS*1.0*9 PSO*7.0*358 IB*2.0*434 Use INSTALL NAME: BPS PSO IB BUNDLE 5.0 to install this Distribution. 4. RUN OPTIONAL INSTALLATION OPTIONS FOR MULTI-BUILD ------------------------------------------------- From the Installation menu, you may select to use the following options (when prompted for the INSTALL NAME, enter BPS PSO IB BUNDLE 5.0): 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. 5. INSTALL MULTI-BUILD ------------------- This is the step to start the installation of this KIDS patch. This will need to be run for the BPS PSO IB BUNDLE 5.0. a. Choose the Install Package(s) option to start the patch install. b. When prompted for the "Select INSTALL NAME:", enter BPS PSO IB BUNDLE 5.0. c. For the BPS*1*9 patch, enter the correct name when prompted "Enter the Coordinator for Mail Group 'BPS TRICARE':". Please contact your Medical Care Cost Recovery (MCCR) business department prior to installation to determine who will be the coordinator for this new mail group. This mail group will be used by the BPS Nightly Background Job. Its members will receive bulletins about electronic claims. d. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//" enter YES unless your system does this in a nightly TaskMan process. e. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//" enter NO. f. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//" enter YES only if installing this patch during the normal workday. g. If prompted "Enter options you wish to mark as 'Out of Order':" please enter the following options: ECME [BPSMENU] Potential TRICARE Claims Report [BPS COB RPT TRICARE CLAIMS] Process Secondary/TRICARE Rx [BPS COB PROCESS SECOND to ECME TRICARE] Third Party Payer Rejects - Worklist [PSO REJECTS WORKLIST] Print from Suspense File [PSO PNDLBL] Pull Early from Suspense [PSO PNDRX] Patient Prescription Processing [PSO LM BACKDOOR ORDERS] h. If prompted "Enter protocols you wish to mark as 'Out of Order':" please press . i. If prompted "Delay Install (Minutes): (0-60): 0//" please enter an appropriate number of minutes to delay the installation in order to give users enough time to exit the disabled options before the installation starts. j. When prompted "DEVICE: HOME//" respond with the correct device. Routine Information: ==================== The second line of each of these routines now looks like: ;;7.0;OUTPATIENT PHARMACY;**[Patch List]**;DEC 1997;Build 35 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSOBORP0 Before: n/a After: B11739758 **358** Routine Name: PSOBORP1 Before: n/a After:B107834737 **358** Routine Name: PSOBORP2 Before: n/a After: B20686173 **358** Routine Name: PSOBORP3 Before: n/a After:B186304557 **358** Routine Name: PSOBPSU1 Before: B49118971 After: B53851823 **148,260,281,287,303,289,290,358** Routine Name: PSOBPSU2 Before: B47974509 After: B48423091 **260,287,289,341,290,358** Routine Name: PSOBPSUT Before: B54217211 After: B54958775 **148,247,260,281,287,289,358** Routine Name: PSOCAN4 Before: B42375050 After: B43086462 **20,24,27,63,88,117,131,259, 268,225,358** Routine Name: PSOHLD Before: B49467898 After: B50785311 **1,16,21,24,27,32,55,82,114, 130,166,148,268,281,298,358** Routine Name: PSON52 Before: B62786416 After: B64423774 **1,16,23,27,32,46,71,111,124, 117,131,139,157,143,219,148, 239,201,268,260,225,303,358** Routine Name: PSOORED2 Before: B71834106 After: B73436344 **2,51,46,78,102,114,117,133, 159,148,247,260,281,289,276, 358** Routine Name: PSOORED7 Before: B22904608 After: B23964642 **148,247,281,289,358** Routine Name: PSOR52 Before: B33266390 After: B34697297 **10,22,27,181,148,201,260,281,358** Routine Name: PSOREJP1 Before: B70021673 After: B82556492 **148,247,260,281,287,289,290,358** Routine Name: PSOREJP2 Before: B71497801 After: B86681161 **148,247,260,287,289,358** Routine Name: PSOREJP3 Before: B50535626 After: B79304493 **260,287,289,290,358** Routine Name: PSOREJU1 Before: B57825084 After: B72644745 **148,247,260,287,289,358** Routine Name: PSOREJU2 Before: B49121705 After: B49455422 **148,260,287,341,290,358** Routine Name: PSOREJU3 Before: B42508132 After: B68089605 **287,290,358** Routine Name: PSOREJU4 Before: B26048995 After: B31223921 **289,290,358** Routine Name: PSOREJUT Before: B46867326 After: B48633596 **148,247,260,287,289,290,358** Routine Name: PSORN52 Before: B46208991 After: B47667744 **1,11,27,37,46,79,71,100,117, 157,143,219,148,239,201,225, 303,358** Routine Name: PSORXL1 Before: B50241379 After: B49207569 **36,46,148,260,274,287,289,358** Routine Name: PSOSUPOE Before: B64269285 After: B65674762 **8,21,27,34,130,148,281,287, 289,358** Routine Name: PSOSUPRX Before: B46093260 After: B46405696 **8,36,130,185,148,287,358** Routine Name: PSOTRI Before: n/a After: B15159690 **358** Routine Name: PSOVER1 Before: B56428439 After: B57808886 **32,46,90,131,202,207,148,243, 268,281,324,358** Routine list of preceding patches: 276, 290, 298, 324 ============================================================================= User Information: Entered By : FAWCETT,CYNTHIA Date Entered : MAY 28, 2010 Completed By: CONQUEST,KENNETH Date Completed: DEC 15, 2010 Released By : VECE,VIRGINIA Date Released : DEC 16, 2010 ============================================================================= Packman Mail Message: ===================== No routines included