$TXT Created by MONOSKY,ALAN at CMAI.FO-BIRM.MED.VA.GOV (KIDS) on Tuesday, 06/16/09 at 10:57 ============================================================================= Run Date: OCT 07, 2009 Designation: SR*3*170 Package : SR - SURGERY Priority: Mandatory Version : 3 SEQ #164 Status: Released Compliance Date: NOV 07, 2009 ============================================================================= Associated patches: (v)SR*3*166 <<= must be installed BEFORE `SR*3*170' Subject: ICD DIAGNOSIS, CPT ENHANCEMENTS & PATIENT HEIGHT Category: - Enhancement (Mandatory) - Routine - Data Dictionary Description: ============ This patch addresses one minor issue, updates the CPT Exclusion List for NSQIP, and modifies a data element collected by NSQIP and CICSP. Each is explained in more detail. 1. The Health Insurance Portability and Accessibility Act (HIPAA) stipulates that diagnostic codes, procedure codes, and terms used for billing purposes must be the codes and terms that were applicable at the time the service was provided. In October 2003, under the Code Set Versioning Project, the code names, descriptions, inactive flags and dates were replaced by versioned data elements, each with an effective date of use. Additionally, VA software packages who utilize the ICD/CPT files were provided with Code Set Application Programmer Interfaces (APIs) to retrieve the new data and instructed to discontinue the use of the old un-versioned data elements. This patch modifies the routine SROCMPED to make use of one of the Code Set APIs to retrieve and display versioned data. 2. The CPT EXCLUSIONS file (#137) stores CPT codes that have been identified by the National Surgical Quality Improvement Program (NSQIP) as procedures that should not be risk assessed. This patch updates this file with data for fiscal year 2009. 3. The lower range for HEIGHT field (#236) in the SURGERY file (#130) collected by the National Surgical Quality Improvement Program (NSQIP) and Continuous Improvement in Cardiac Surgery Program (CICSP) has been lowered to account for post amputation height of patients with both legs amputated. Associated Remedy Ticket(s): ============================ N/A New Service Request (NSR): ========================== N/A Test Sites: =========== CENTRAL PLAINS HCS CLEVELAND, OH PHILADELPHIA, PA WHITE RIVER JUNCTION, VT Documentation Retrieval: ======================== N/A Installation Instructions: ========================== This patch should be installed during a period of low system activity with Surgery users off the system. No options need to be placed out of service. Installation time is expected to be less than 5 minutes. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may elect to use the following options (when prompted for the INSTALL NAME, enter SR*3.0*170): (a) Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as DDs or templates. (b) Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, 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. (d) Print Transport Global - this option will allow you to view the components of the KIDS build. 4. Use the Install Package(s) option and select the package SR*3.0*170. 5. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//" respond NO. 6. When prompted "Want to DISABLE Scheduled options, Menu options, and Protocols? NO//" respond NO. NOTE: This patch runs a post-installation process within the routine SR170UTL. This process removes the existing data in the CPT EXCLUSIONS file (#137) and populates the file with data for Fiscal year 2009. If routines SR170UT0 and SR170UTL are found on your system, they may be deleted upon completion of the installation. These routines are the post-install routines for this installation. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0; Surgery ;**[Patch List]**;24 Jun 93;Build 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: SR170UT0 Before: n/a After: B35596854 **170** Routine Name: SR170UTL Before: n/a After: B42909550 **170** Routine Name: SROAMEAS Before: B683336 After: B681156 **38,125,153,166,170** Routine Name: SROCMPED Before: B27790437 After: B29267321 **26,38,47,125,153,170** ============================================================================= User Information: Entered By : MONOSKY,ALAN Date Entered : MAY 01, 2009 Completed By: GREER,MIKE Date Completed: OCT 07, 2009 Released By : CONSENTINO,ALBERT Date Released : OCT 07, 2009 ============================================================================= Packman Mail Message: ===================== $END TXT