============================================================================= Run Date: JUN 10, 2020 Designation: WEBN*1.1*12 Package : WEBN - NAT'L UTILIZATION MGMT INTEG Priority: Mandatory Version : 1.1 SEQ #13 Status: Released Compliance Date: JUL 11, 2020 ============================================================================= Subject: NUMI 15.9 Category: - Informational Description: ============ The National Utilization Management Integration (NUMI) patch, WEBN*1.1*12 addresses the following issues: - Issues with the "Patient Selection Worklist" - PUMA reviews expiration date - Incorrect display of the Episode Day of Care - Update usernames in NUMI - Patient admission and discharge days - 508 updates to the application Patch Components: ----------------- N/A Files & Fields Associated: File Name (Number) Field Name (Number) 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 (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1. INC6803032 - Reminder Date Duplicate: INC8363404 - Reminder Date Problem: ------- The NUMI Reminder Date value disappears when the user leaves the Patient Selection/Worklist page. Resolution: ---------- The parameter was commented out so that it resets upon form submission. 2. INC7671008 - Modify PUMA Expiration Time Problem: ------- Currently, pending Physician Utilization Management Advisor (PUMA) reviews expire after 15 days. The business owner has requested that the PUMA review timeframe expires in 7 days. Resolution: ---------- The procedure [usp_PhysicianAdvisorPatientReview_AutoExpire] has been modified to reflect the correct number of days. 3. INC4808678 - Episode Day of Care Display Correction Problem: ------- The Patient Selection Worklist table incorrectly displays the Episode Day of Care (EDOC) values as 0 or 1, regardless of the actual value. Resolution: ---------- Added a new column to the PatientReview table called, EDOC, to capture correct Episode Day of Care, as the current NUMI database column that captures Episode Day of Care was designed to capture only a single integer value (1-9). Also, updated the NUMI application to use the value from this new EDOC column across the NUMI application. 4. INC8320214 - Update the Username in NUMI when it doesn't match the VistA name Problem: ------- NUMI Users/Site Admins are unable to edit a NUMI username when it has been updated in VistA. Resolution: ---------- Updated NUMI code to update the NUMI database with the correct username when a user successfully logs into NUMI using STS or Access/Verify code. 5. Rational Defect #1229876 - Patient stay less than a day. Problem: ------- Patients admitted and discharged the same day who stayed at least 12 hours are not being represented correctly on the Patient Selection Worklist. They are showing as, "Reviews up to date", in green rather than "Reviews need attention", in blue. Resolution: ---------- Updated stored procedure for this edge case. 6. Rational Defect #1142928 - Section 508 Compliance, Timeout alert Problem: ------- When the timeout alert is created, other content on the page continues to receive focus through a keyboard interface. In addition, paragraph structures conveyed by headings cannot be read by a screen reader. Resolution: ---------- When a key is pressed, the timeout alert window disappears. Patient Selection and other headers have been updated to have corresponding header tags so that screen readers will be able to read the headers. 7. Rational Defect #1142933 - Section 508 Compliance, Color Contrast Issue Problem: ------- The, "Skip to Main Content" link, found on the main navigation menu across the NUMI application, and the, "NUMI Access Sites", found under Admin -> Users section have a color contrast ratio less than 4.5:1, making it 508 non-compliant. Resolution: ---------- Updated CSS to fix color contrast ratio and updated the "Skip to Main Content" width, so it doesn't overlap with the white background. 8. Rational Defect #1142941 - Section 508 Compliance, Dismissal Behavior on Treating Specialty Configuration page Problem: ------- When users use the Job Access With Speech (JAWS) screen reader, upon entering the Dismissal Behavior Treating specialty list boxes, JAWS reader does not read the entire Treating specialty information associated with the Dismissal Behavior that has focus. Resolution: ---------- Added a tooltip that includes Treating specialty description for Dismissal Behavior dropdown for Section 508 compliance. Test Sites: ---------- Gainesville (NFSG) Omaha VAMC Software and Documentation Retrieval Instructions: ---------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch are available. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from DOWNLOAD.VISTA.DOMAIN.EXT. Documentation can also be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/application.asp?appid=184 Title File Name FTP Mode ========================================================================== NUMI User Guide v15.9 binary numi_15_9_userguide.pdf NUMI Server Setup Guide v15.9 binary numi_15_9_ServerSetupGuide.pdf NUMI System Management Guide v15.9 binary numi_15_9_Sysmtguide.pdf Patch Installation: ------------------- Austin Information Technology Center (AITC) performs patch installation on a centralized web server. Pre/Post Installation Overview: ------------------------------- N/A Pre-Installation Instructions: ------------------------------ NUMI application users need to be notified of the patch installation window after confirming the final release date and time with Austin Information Technology Center (AITC). A maintenance page is displayed on the NUMI Web application while installation and smoke testing are performed. Back-Out Plan: -------------------- A back-out plan will be sent to Austin Information Technology Center (AITC) and attached to the installation change order (CO) in a separate document. Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : AUG 12, 2019 Completed By: Date Completed: JUN 08, 2020 Released By : Date Released : JUN 10, 2020 ============================================================================= Packman Mail Message: ===================== No routines included