============================================================================= Run Date: NOV 07, 2023 Designation: WEBN*1.1*32 Package : WEBN - NAT'L UTILIZATION MGMT INTEG Priority: Mandatory Version : 1.1 SEQ #32 Status: Released Compliance Date: DEC 08, 2023 ============================================================================= Subject: MS Edge/PtStay Mod/Char Limits Category: - Informational Description: ============ The National Utilization Management Integration (NUMI) WEBN*1.1*32 addresses below changes: 1. INC13085349-PatientStay Table LastModifiedBy Issue (Duplicates: INC17433679) 2. INC26263593 -Modify NUMI PUMA Review Page 3. INC28131836-Add warning to NUMI Continued Stay Review 4. INC25812466-Inactivate reason code in NUMI application 5. INC26266571-Modify character limit of NUMI Criteria Not Met Elaboration field 6. HDSO-5959-NUMI application needs to be upgraded to use Edge Browser without IE compatibility mode 7. INC25946192-NUMI User Guide Update for clarification of VistA User Name 8. INC28582414 -NUMI User Guide Update for VHA Review Process 9. Update NUMI version from 1.1.15.11 to 1.1.15.13 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.INC13085349 - PatientStay Table LastModifiedBy Issue (Duplicates: INC17433679) Problem: -------- When a user is navigating to different patient detail pages, the application is making a 'check and update' call to the system of record which unknowingly to the user will add their username as the modifier to the patient stay record if an update is found. Resolution: ----------- Fixed the issue by using the Synchronizer Account as the modifier when a user is navigating to detail pages from the PatientSelection, History, and ReviewSelection. 2. INC26263593 - Modify NUMI PUMA Review Page Problem: -------- Modify the PUMA review page (PAReview.aspx) as follows 1) Delete all current radio button selections including the "Other" function and associated "Comments" text box 2) Replace with 2 new radio button selections that say: a. Care IS clinically indicated. b. Care is NOT clinically indicated. 3) Leave the general "Comments" text block as it is at the bottom of the page Resolution: ----------- Updated NUMI PUMA review page options as per request and updated NUMI database table PhysicianAdvisorPatientReason to inactivate PhysicianAdvisorPatientReasonID = 1 through 6 and added new PhysicianAdvisorPatientReasonID = 8; PAReasonName = Care IS clinically and PhysicianAdvisorPatientReasonID = 9; PAReasonName = Care is NOT clinically indicated 3. INC28131836 - Add warning to NUMI Continued Stay Review Problem: -------- Add a warning message when conducting an Admission review on a Continued Stay day. Message should say "You are conducting an "admission" review for a continued stay. Please verify the correct review type is selected." Resolution: ----------- Updated NUMI code to add a warning message when a reviewer completes an Admission review as a Continues Stay. 4.INC25812466 - Inactivate reason code in NUMI application Problem: -------- Inactive reason codes: Admission: 8.51 No Inpatient Bed available in RLOC Continued Stay: 18.51 No bed available in inpatient RLOC Discussed with Ken Monroe, Health Systems Specialist NUMI Technical Product Manager Resolution: ----------- Modify the database table (Reason), by updating the inactive and dateinactive fields. 5.INC26266571 - Modify character limit of NUMI Criteria Not Met Elaboration field Problem: -------- Modify size of datafield PatientReview. NotMetComment to be Nvarchar(4000). The Comments field should also be Nvarchar(4000). Resolution: ----------- Modify the database stored procedure [usp_PatientReview_save] and table (PatientReview)and modified the following two files to fix the issue (PrimaryReview.aspx,PatientReviewDB.cg.cs) 6. HDSO-5959 - NUMI application needs to be upgraded to use Edge Browser without IE compatibility mode Problem: -------- a. NUMI application has been using Edge browser in IE compatibility mode due to issues with Cross-site scripting that was preventing InterQual Review Manager (CERME) pages from loading. b. Pasting text into text areas on NUMI application had an issue after upgrading to Edge browser without IE compatibility mode. c. When NUMI application is opened on an extended monitor in IE compatibility mode, opening a pop-up window (when trying to view a review) jumps to the main GFE screen. If the GFE and the extended monitor had different screen resolutions this action would alter the font on NUMI application open on the extended monitor after closing the pop-up window. d. Removed Reports URL due to IE Mode compatibility issue with Sharepoint Resolution: ----------- a. Cross-site scripting issues were handled by installing Application Request Routing 3.0 (ARR) and adding URL rewrite module rules in the Authentication section of NUMI web.config. b. Updated NUMI code to handle copy/paste issues with text areas. c. Upgrading NUMI to use Edge browser without IE compatibility mode resolved extended monitor font issues. When you open a pop-up window from the NUMI application on the extended monitor the pop-up now opens on the same screen as NUMI application. d. NUMI is now EDGE compatible so Reports URL link to Sharepoint works fine. 7.INC25946192 - NUMI User Guide Update for clarification of VistA User Name Problem: -------- User Guide needs to provide a definition of full VistA user name format that explains it is always LASTNAME,FIRSTNAME with no space after the comma. Resolution: ----------- User Guide updated per request. 8.INC28582414 - NUMI User Guide Update for VHA Review Process Problem: -------- The NUMI guide located on the UM intranet site numi_user_guide_15_11.pdf (domain.ext) needs updated language based on VHA review process SOP update. We're moving toward streamlining the VHA UM review process to align with Change HC process and now only capture in the VHA review process SOPs variances such as daily reviews. We will need this language updated the most up to date VHA review process available on the UM intranet page. Resolution: ----------- User Guide updated per request. Test Sites: ---------- VA North Florida/South Georgia VA Health Care System(Gainesville, Lake City) Gulf Coast Veterans Health Care System (Biloxi) SNOW Change Order#: ------------------- CHG0424813 Software and Documentation Retrieval Instructions: ---------------------------------------------------- Documentation describing the new functionality and/or a host file containing a build may be included in this release. Sites may retrieve the software and/or documentation directly from DOWNLOAD.VISTA.DOMAIN.EXT Documentation can also be found on the VA Software Documentation Library http://www.domain.ext/vdl/application.asp Title File Name ========================================================================== NUMI User Guide Version 15.13 numi_user_guide_V15_13.pdf NUMI Server Setup Guide Version 15.13 numi_server_setup_guide_v15_13.pdf NUMI System Management Guide Version 15.13 numi_system_management_guide_v15_13.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: ------------------------------ NA Installation Instructions: -------------------------- NUMI is a .NET based web application build. This is a centralized server promotion. No installation is required at local sites. Back-Out Plan: -------------------- Backout plan is provided as part of deployment instructions provided to AITC. Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : MAR 06, 2023 Completed By: Date Completed: NOV 07, 2023 Released By : Date Released : NOV 07, 2023 ============================================================================= Packman Mail Message: ===================== No routines included