============================================================================= Run Date: MAY 29, 2003 Designation: DG*5.3*512 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #447 Status: Released Compliance Date: JUN 29, 2003 ============================================================================= Associated patches: (v)DG*5.3*493 <<= must be installed BEFORE `DG*5.3*512' Subject: MODIFY PTF TRANSMISSION TO ALLOW MT EQUAL U Category: - Routine Description: ============ NOTE: This patch is being released as part of a HOST file distribution. The primary patch for this distribution is SD*5.3*296. This patch addresses two of the changes requested in an Executive Decision Memo sponsored by the VHA Chief Business Office (CBO) regarding Veteran Financial Assessments. In response to Policy Board (NLB) comment on the VHA Veterans Equitable Resource Allocation (VERA) process, the CBO requests the removal of: (1) the current restriction that blocks transmission of outpatient encounters (ACRP) and inpatient episodes of care (PTF) to the National Patient Care Database (NPCD) if a veteran's updated financial assessment (Means Test) information is not complete, and (2) the restriction that blocks the ability to schedule future appointments for veterans whose financial assessments need updating. Current policy establishes a requirement to block transmission of outpatient encounters (ACRP) and inpatient episodes of care (PTF) to the National Patient Care Database if the patient's current Means Test status equals "Required." This leads to under-reported workload and inaccurate information in national databases. Although this change will remove the restriction, site personnel are encouraged to have the patient complete Means and Copay Tests when applicable. Software has been implemented which blocks the ability to schedule future appointments for veterans whose financial assessment needs updating. VHA Directive 2002-019, dated April 4, 2002, provided guidance to facilities on the implementation of the appointment blocking software. If a veteran's financial assessment needs updating, the software prevents the ability to make future appointments for the veteran. This restriction shall also be removed at the request of the CBO. The provision of veterans' clinical care should be separated from the administrative requirement placed on staff to obtain updated financial data from the veteran. Changing the policies and implementing these software changes will lead to rapid improvements in correcting the under-reporting of workload to Austin, decrease the risk of veterans not receiving clinically-required future appointments, maximize revenue collection and improve the accuracy of corporate-level data. When a PTF record is closed out, the record is validated for closeout and transmission to Austin. As of 7/1/1989, a means test indicator of "U" (Means Test Required) was not valid for discharges and generated a 101 MEANS TEST error on closeout. This prevented the PTF record from being transmitted. This patch removes this validation check per the business rules being implemented above. This will allow a PTF record for a patient with a means test status of "Required" to be closed and transmitted to Austin. This patch addresses the following E3R(s): ------------------------------------------ There are no E3Rs associated with this patch This patch addresses the following NOIS message(s): --------------------------------------------------- There are no NOIS messages associated with this patch Test Sites: ----------- Boston VAMC El Paso VAMC Madison VAMC Files Required for Installation and Implementation ================================================== This patch is included as a transport global in the primary patch SD*5.3*296 HFS Distribution. See patch SD*5.3*296 for instructions on downloading the KIDS HFS file. ================INSTALLATION INSTRUCTIONS ================= 1. This patch is being released as part of an HFS KIDS build. The primary patch for this build is SD*5.3*296. Please see the patch installation instructions for patch SD*5.3*296 to install this build. 2. COMPONENTS SENT WITH PATCH ------------------------ ROUTINE SUMMARY: ================ The following is a list of the routine(s) included in this patch. The second line of each of these routine(s) will look like: ;;5.3;Registration;**[patch list]**;Aug 13, 1993 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== DGPTFVC1 15620125 14426166 52,58,79,114,164 400,342,466,415,493 512 Total number of routines - 1 **** Routine Information: ==================== Routine Name: - DGPTFVC1 Before ====== I DGRTY=1,DGV("FEE") D MT ; I 'DGV("FEE"),$P(DGV(101),"^",10)="U",'DGV(701)!(+DGV(701)>2890700) S DGERR=1 W !,"101 MEANS TEST",?23," value 'U' - not valid for discharges as of 7/1/ 1989",!?42,"per MAS VACO policy" ; I $D(^DPT(DFN,57)),$P(^(57),"^",4)>0 S S0=$P(^(57),"^",4),DGDX=$S(S0=1!( S0=3):"344.1",1:"344.0"),DGSCI="" F DGX=0:0 S DGX=$O(^DGPT(PTF,"M",DGX)) Q:DGX'>0 S DGNODE=^(DGX,0),DGSCI="" D SCI After ===== I DGRTY=1,DGV("FEE") D MT ; ; DG*512, sck/Remove 101-Means Test indocator = 'U' xmit block ;I 'DGV("FEE"),$P(DGV(101),"^",10)="U",'DGV(701)!(+DGV(701)>2890700) S DGERR=1 W !,"101 MEANS TEST",?23," value 'U' - not valid for discharges as of 7/1 /1989",!?42,"per MAS VACO policy" ; I $D(^DPT(DFN,57)),$P(^(57),"^",4)>0 S S0=$P(^(57),"^",4),DGDX=$S(S0=1!( S0=3):"344.1",1:"344.0"),DGSCI="" F DGX=0:0 S DGX=$O(^DGPT(PTF,"M",DGX)) Q:DGX'>0 S DGNODE=^(DGX,0),DGSCI="" D SCI Routine Checksum: ============================================================================= User Information: Entered By : KOPECKY,STEPHEN C Date Entered : APR 16, 2003 Completed By: RUDINGER,NANCY L Date Completed: MAY 29, 2003 Released By : KOVACH,STUART Date Released : MAY 29, 2003 ============================================================================= Packman Mail Message: ===================== No routines included