The release of Traumatic Brain Injury (TBI) System (TBI) Build 2.0.2 ============================================================================= Run Date: AUG 10, 2012 Designation: TBI*2*1 Package : TBI - TRAUMATIC BRAIN INJURY Priority: Mandatory Version : 2 SEQ #1 Status: Released Compliance Date: SEP 10, 2012 ============================================================================= Subject: Build 2.0.2 Informational Patch Category: - Informational Description: ============ This is to announce that Traumatic Brain Injury Build 2.0.2 will be released into production the week of August 6-12, 2012. ************************************************************************** RELEASE INFORMATION: =================== The release of Traumatic Brain Injury (TBI) System (TBI) Build 2.0.2 incorporates the required TBI*2.0*4 upgrades to the TBI application: Issue 1: Log what is sent to MDWS There is no way to troubleshoot MDWS issues when sending TBI notes back to VistA CPRS. Solution 1: The application maintains a MDWS log for all requests to VistA, with the following information: date/time stamp of each outgoing transaction a copy of the function being sent to VistA a copy of the data arguments being sent to Vist The log files will be retained for 30 days online. Issue 2: Log what MDWS returns There is no way to troubleshoot what MDWS returns from a call to VistA CPRS. Solution 2: The application maintains a log file and maintains the following information: date/time stamp of each incoming transaction a copy of the data being returned to the Registry. The log files will be retained for 30 days online. Issue 3: MPAI Instrument The Mayo-Portland Adaptability Inventory (MPAI) was designed: to assist in the clinical evaluation of people during the postacute (posthospital) period following acquired brain injury (ABI), to assist in the evaluation of rehabilitation programs designed to serve these people, and to better understand the long-term outcomes of acquired brain injury (ABI). Evaluation and rating of each of the areas designated by MPAI-4 items assures that the most frequent and important sequelae of ABI are considered for rehabilitation planning or other clinical interventions. MPAI-4 items represent the range of physical, cognitive, emotional, behavioral, and social problems that people may encounter after ABI. MPAI-4 items also provide an assessment of major obstacles to community integration which may result directly from ABI as well as problems in the social and physical environment. Periodic re-evaluation with MPAI-4 during postacute rehabilitation or other intervention provides documentation of progress and of the efficacy and appropriateness of the intervention. Solution 3: The MPAI-4 instrument was developed as an additional clinical assessment instrument for use in the rehabilitation evaluation of patients with suspected TBI. In Inc 4, this instrument is a standalone instrument for the providers. The results of the MPAI-4 can be sent back to CPRS to be signed by the provider. The MPAI-4 is scored according to the guidelines provided in the "Manual for the Mayo-Portland Adaptability Inventory". Issue 4: TBI Care Plan The TBI/Polytrauma Rehabilitation and Reintegration plan either provides for, or formally links with key components of care that address the lifelong needs of individuals with impairments resulting from TBI or Polytrauma. Such services include, but are not limited to: inpatient rehabilitation, outpatient rehabilitation, transitional rehabilitation, day programs, and community re-entry programs. This includes ongoing follow up and treatment, case management, coordination of services, monitoring the implementation of the treatment plan, overseeing the quality and intensity of VA and non-VA services, and providing education and support for patients and caregivers. Solution 4: The TBI care plan instrument was developed as an additional clinical assessment instrument for use in the rehabilitation evaluation of patients with suspected TBI. The results of the care plan can be sent back to CPRS to be signed by the provider. Issue 5: Standardize Follow-up form to be more like Comprehensive TBI Evaluation form In order to implement a common user interface, the original TBI Comprehensive and Follow-up Evaluation forms were updated to display on screen consistent with how the new instruments were done. This will provide a consistent look-n-feel to all of the instruments and provides the user with a standard experience. Solution 5: Redisplay the questions in the same fashion as the two new instruments listed above. There was a clear difference in how these instruments appeared and by changing how the questions are displayed improves the user experience SOFTWARE: ========= TBI is a web-based application. Changes will be applied to the national production servers and will be immediately available to the users. No changes at the local site are required for this patch. SYSTEM REQUIREMENTS: ==================== No change. SOFTWARE RETRIEVAL: ================== n/a DOCUMENTATION ================ Documentation included with this patch: TBIUM.PDF User manual TBITM.PDF Technical manual TBIINSUM.PDF User manual TBIPTUM.PDF User manual TBIIG.PDF Install Guide Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : AUG 09, 2012 Completed By: Date Completed: AUG 09, 2012 Released By : Date Released : AUG 10, 2012 ============================================================================= Packman Mail Message: =====================