============================================================================= Run Date: JUL 09, 2015 Designation: PXRM*2*43 Package : PXRM - CLINICAL REMINDERS Priority: Mandatory Version : 2 SEQ #41 Status: Released Compliance Date: AUG 09, 2015 ============================================================================= Subject: VA-MST (Military Sexual Trauma) Category: - Routine Description: ============ This patch releases one updated National VHA reminder to the field, without any changes to routines, data dictionaries, or other package functions - "content" only. REVISIONS ---------- The revised MST Clinical Reminder aims to (a) Standardize the MST screening and referral process nationwide (b) Facilitate Veteran comfort and disclosure at the time of screening, or at a later date when services are desired (c) Provide multiple opportunities for Veteran and provider education regarding the definition of MST and the availability of free MST-related care (d) Identify Veterans who request MST-related care (e) Rescreen Veterans who are re-deployed or otherwise returned to military service and did not previously have an MST experience DIALOGUE -------- The following dialogue and functionality changes are made to the existing national MST Clinical Reminder (MST CR) (VA-MST SCREENING): 1. Addition of an introduction: The introduction informs Veterans that screening is conducted in order to offer free care for all MST-related services. The introduction also indicates that Veterans may decline the MST screen or simply respond with 'yes' or 'no'. Veterans who decline the initial screen are re-screened in one year. 2. Revisions to MST screening questions: Minor changes to the screening language of both questions to increase behavioral specificity and to provide examples of experiences such as coercion or inability to consent. Addition of the adjectives 'repeated' and 'threatening' to the first screening question to better reflect the language in Public Law 106-117, Section 115. Revision of the abbreviation 'i.e.' in the first screening question to the more accurate abbreviation 'e.g.' 3. Addition of a mental health care referral question following a positive response to the screening questions to assess a Veteran's desire for mental health services. FUNCTIONALITY: -------------- 1. Addition of a link to a printable MST Factsheet for Veterans. 2. Addition of text that will auto-populate the progress note associated with the MST CR. Auto-populated text provides further information for the provider about MST and free MST-related care. 3. Revision of the reminder definition to rescreen upon entry of a new DD214 among Veterans who do not already have a positive screen, in recognition that Veterans who are re-deployed or otherwise returned to military service are at risk for new MST experiences. Associated Remedy Tickets: ========================== 1. INC000000778340 - VA-MST Screening Dialog Associated NSR(s): ================== N/A Participating Test Site(s): =========================== Northport VAMC Palo Alto HCS Puget Sound HCS REMEDY OVERVIEW: ================= 1. INC000000778340 - VA-MST Screening Dialog Problem: ------------ The VA -MST Screening Reminder Dialog should be initiated and used for screening Veterans for MST related care. Resolution: --------------- This patch, PXRM*2*43, contains two routines, PXRMP43E and PXRMP43I. They are init tasks that add new entries to the REMINDER EXCHANGE (#811.8) file and the contents of these entries are installed during the post-init. These routines can be deleted after the install. Build Components: ================= N/A Data Dictionary: ================ N/A Software & Documentation Retrieval Instructions: ================================================ This patch is being distributed as a host file. The name of the host file is PXRM_2_0_43.KID. This file should be downloaded in ASCII format. The preferred method for obtaining these files is to use File Transfer Protocol (FTP) to download them from: ftp://download.vista.domain.ext/. This transmits the files from the first available FTP server. Sites may also elect to retrieve the files directly from a specific server as follows: Albany ftp.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext The Install and Setup Guide is also available on the above servers. It is available as .pdf format. This file should be downloaded in BINARY format. File Name: Description: Protocol: ========== ============ ========= PXRM_2_0_43_IG.PDF PXRM*2.0*43 Install BINARY and Setup Guide PXRM_2_0_43.KID PXRM*2.0*43 Host File ASCII Documentation can also be found on the VistA Documentation Library (VDL) at: http://www.domain.ext/vdl/ Installation: ============= This patch can be loaded with users on the system. Installation will take ten to fifteen minutes. Refer to the Install and Setup Guide, PXRM_2_0_43_IG.PDF, for complete details. 1. Use the "Load a Distribution" option on the KIDS installation menu. When prompted to enter a host file type in PXRM_2_0_43.KID 2. On the KIDS menu under the 'INSTALLATION' menu, use the following options, as desired: Print Transport Global Compare Transport Global to Current System Verify checksums in Transport Global Backup a Transport Global 3. On the KIDS menu under the 'INSTALLATION' menu, use the following option to install the patch: Install Package(s) When prompted for INSTALL NAME, use PXRM*2.0*43 4. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//," respond 'NO'. 5. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// respond 'NO'. 6. After successful installation, the following init routines may be deleted PXRMP43E PXRMP43I Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;CLINICAL REMINDERS;**[Patch List]**;Feb 04, 2005;Build 211 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PXRMP43E Before: n/a After: B706290 **43** Routine Name: PXRMP43I Before: n/a After: B2485163 **43** ============================================================================= User Information: Entered By : Date Entered : FEB 14, 2014 Completed By: Date Completed: JUL 09, 2015 Released By : Date Released : JUL 09, 2015 ============================================================================= Packman Mail Message: ===================== No routines included