$TXT Created by DEVESS.DOMAIN.EXT (KIDS) on Wednesday, 07/16/14 at 11:48 ============================================================================= Run Date: AUG 29, 2014 Designation: PSU*4*19 Package : PSU - PHARMACY BENEFITS MANAGEMENT Priority: Mandatory Version : 4 SEQ #18 Status: Released Compliance Date: SEP 29, 2014 ============================================================================= Associated patches: (v)PSU*4*15 <<= must be installed BEFORE `PSU*4*19' (v)LEX*2*80 <<= must be installed BEFORE `PSU*4*19' (v)ICD*18*57 <<= must be installed BEFORE `PSU*4*19' Subject: PBM ICD-10 Remediation Category: - Routine - Enhancement (Mandatory) - Other Description: ============ IMPORTANT INFORMATION Please read the Overview Guide (ICD-10_Prod_Overview_Guide_Groups_5_6_7.pdf) posted on the Anonymous directory for installation order. This is critical for proper functionality of the ICD-10 Software. The International Classification of Diseases, Tenth Revision (ICD-10) Class 1 Software Remediation project replaces the 30-year-old set of diagnosis and procedure codes (ICD-9-CM) that medical personnel use. Dates of service, or dates of discharge for inpatients, that occur on or after the ICD-10 Activation Date will use the ICD-10 code set. Clinical Modification (ICD-10-CM) diagnosis codes increase from about 13,000 ICD-9 codes to more than 68,000. Procedure Coding System (ICD-10-PCS) procedure codes increase from about 3,800 ICD-9 codes to nearly 87,000. Both systems also expand the number of characters allotted to seven alpha-numeric characters. This value does not include the decimal point, which follows the third character for the ICD-10-CM code set. There is no decimal point in the ICD-10-PCS code set. These code sets have the potential to reveal more about quality of care, so that data can be used in a more meaningful way to better understand complications, better design clinically robust algorithms, and better track the outcomes of care. ICD-10-CM also incorporates greater specificity and clinical detail to provide information for clinical decision making and outcomes research. PSU*4*19 modifies Pharmacy Benefits Management (PBM) routines which extract ICD code data for inpatient and outpatient activity. These routines have been modified to use new Lexicon utilities replacing old Lexicon utilities and direct ICD global reads. A Code Set Indicator has been added to both inpatient and outpatient extract records as well. Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------- -------------- -------------------- N/A 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): ----------------------------- NSR 20070902, ICD-10-CM Conversion Patient Safety Issues (PSIs): ------------------------------ N/A Remedy Ticket(s) & Overviews: ----------------------------- N/A Test Sites: ----------- Minneapolis VA Medical Center, Minneapolis, MN Orlando VA Medical Center, Orlando, Fla Coatesville VA Medical Center, Coatesville, PA Documentation Retrieval Instructions: ------------------------------------- Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to FTP the files from ftp://download.vista.domain.ext/. This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext The documentation will be in the form of Adobe Acrobat files. Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ File Description File Name (FTP Mode) --------------------------------------------------------------------- PBM User Manual PSU_4_UM_R0714.pdf (Binary) PBM User Manual PSU_4_P19_UM_CP.pdf Change Pages (Binary) PBM Technical Manual/ PSU_4_TM_R0714.pdf Security Guide (Binary) PBM Technical Manual/ PSU_4_P19_TM_CP.pdf Security Guide Change Pages (Binary) PBM Release Notes ICD-10_RN_PSU_4_19.pdf (Binary) Production Overview Guide ICD-10_Prod_Overview_Guide_ (Binary) Groups_5_6_7.pdf Patch Installation: Pre/Post Installation Overview ------------------------------ This patch consists of only three operational routines and no file changes. 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. Periods when PSU background reports are being called should be avoided. This patch should take less than 5 minutes to install. Pre-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 # (PSU*4.0*19): 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 PSU*4.0*19. 5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', respond NO. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond NO. 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', respond NO. 8. If prompted 'Delay Install (Minutes): (0 - 60): 0//', respond 0. Post-Installation Instructions ------------------------------ There are no Post-install routines. Routine Information: ==================== The second line of each of these routines now looks like: ;;4.0;PHARMACY BENEFITS MANAGEMENT;**[Patch List]**;MARCH, 2005;Build 28 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSUDEM2 Before: B20686228 After: B24836351 **15,19** Routine Name: PSUDEM8 Before: B17454400 After: B36485136 **19** Routine Name: PSUDEM9 Before: B7601492 After: B13080794 **19** Routine list of preceding patches: 15 ============================================================================= User Information: Entered By : Date Entered : FEB 14, 2012 Completed By: Date Completed: AUG 29, 2014 Released By : Date Released : AUG 29, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT