$TXT Created by ANWER,MOHAMED at MNTVAA.FO-BIRM.MED.VA.GOV (KIDS) on Monday, 01/12/04 at 14:32 ============================================================================= Run Date: MAY 13, 2004 Designation: PSX*2*50 Package : PSX - CMOP Priority: Mandatory Version : 2 SEQ #46 Status: Released Compliance Date: JUN 14, 2004 ============================================================================= Associated patches: (v)PSX*2*41 <<= must be installed BEFORE `PSX*2*50' (v)PSO*7*157 <<= must be installed BEFORE `PSX*2*50' Subject: COMBAT VETERANS PHASE II PROJECT Category: - Routine Description: ============ ***********************************NOTE*********************************** This patch does NOT conflict with CoreFLS and can be installed at CoreFLS sites. ************************************************************************** PATCH OVERVIEW The Chief Business Office (CBO) is requesting modifications to several Veterans Health Information Systems and Technology Architecture (VistA) packages to support implementation of VHA Directive 2002-049 - "Combat Veterans Are Eligible For Medical Services For 2-Years After Separation From Military Service Notwithstanding Lack Of Evidence For Service Connection", which iterates VA's policy to provide medical care and other medical services to combat veterans despite the absence of proof of service connection. Software to support the Combat Veteran (CV) initiative is being developed and introduced in a phased implementation strategy. The reason for this type of deployment is due to the complexity of the functionality and the number of product line dependencies. Phase I: Combat Veteran Interim Solution (CVIS) was a VistA only solution that involved development in the Integrated Billing (IB) and Registration/Enrollment product lines. It provided the logic to identify those veterans who met the criteria for the combat veteran eligibility and provided billing reports cross-referenced against this identifier to aid in the copayment billing process. Phase II of this initiative will involve multiple product lines and additional VistA only development. The main goals of Phase II will be to fully automate the copayment billing processing of combat vets based on episode of care by providing the appropriate questions at check-out as supplied by CPRS. Product lines that have a stake in Phase II development include Enrollment/Registration (VistA), IB, Outpatient Pharmacy, Consolidated Mail Outpatient Pharmacy (CMOP), CPRS/TIU, Patient Care Encounter (PCE), Ambulatory Care, Event Capture, Scheduling and PTF. The National Patient Care Database (NPCD) will also require modifications to capture workload reporting. The patches are listed below in the order that they must be installed: Outpatient Pharmacy PSO*7*157 PSX*2*50 PCE/PTF/Event Capture/Scheduling - PIMS Host file PX*1.0*130 SD*5.3*325 DG*5.3*565 EC*2.0*54 Integrated Billing IB*2.0*247 CPRS OR*3.0*190 Product Features There are three main areas addressed by this enhancement: a. Identification/Notification of a CV Status veteran seeking medical care - The clinical applications shall obtain the CV Status for those veterans who qualify as such per the directive. - The CV Status identification shall be displayed to the appropriate audience (pharmacist, clinician providing care, intake personnel, schedulers, etc.). - Provider shall be able to identify whether care provided CV veteran was for a condition potentially related to combat service in the same manner as identification of exposure related care; care for SC conditions, etc. b. Assistance in the communication of a treatment being determined as Combat Related - Provide a means for the billing and pharmacy software package to identify these patients and services provided care for a combat related condition. c. Automatically precludes inpatient and outpatient medical care, prescription and Long-term care copayments for CV Status veterans whose treatment/service has been deemed combat related by provider or unless changed by pharmacist. This is the Consolidated Mail Outpatient Pharmacy (CMOP) patch PSX*2*50, that provides the functionality changes to accommodate the new copay classification called "Combat Veteran". As part of the Combat Veteran II project, Outpatient Pharmacy V. 7.0 patch PSO*7*157, introduced the COMBAT VETERAN field (#122) to the PRESCRIPTION file (#52). This new COMBAT VETERAN field (#122) of the PRESCRIPTION file (#52) stores the data related to the copay exemption question, "Is this Rx potentially for treatment related to Combat?". During CMOP transmission of prescriptions, if a prescription is deemed "Billable", the software does a check on the following copay exemption fields of the PRESCRIPTION file (#52): 117 MILITARY SEXUAL TRAUMA 118 AGENT ORANGE EXPOSURE 119 IONIZING RADIATION EXPOSURE 120 ENVIRONMENTAL CONTAMINANT 121 HEAD AND/OR NECK CANCER 122 COMBAT VETERAN If the prescription is identified as copay exempt, the software will transmit "Not Billable" to CMOP. Associated NOIS: ================ N/A Test Sites: =========== ALTOONA, PA HEARTLAND-WEST, KS MADISON, WI NEW YORK HARBOR HCS, NY NORTH TEXAS HCS, TX GREATER LOS ANGELES HCS, CA EL PASO, TX Routine Summary: ================ The following routines are included in this patch. The second line of the routines now look like: ;;2.0;CMOP;**[patch list]**;11 Apr 97 CHECK^XTSUMBLD results Routine Name Before Patch After Patch Patch List ------------ ------------ ----------- --------- PSXBLD 17772839 17904423 3,23,29,28,43,41,50 Documentation Retrieval: ======================== The VISTA documentation is available on the ANONYMOUS.SOFTWARE directory at one of the following Office of Information (OI) Field Offices. Sites may retrieve documentation in one of the following ways: (1) The preferred method is to FTP the files from download.vista.med.va.gov, which will transmit the files from the first available FTP server. (2) Sites may also elect to retrieve documentation directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov The documentation distribution includes: FILE NAME DESCRIPTION PSO_7_P157_and_PSX_2_P50_RN.PDF CV Release Notes Phase II (3) Documentation can also be retrieved from VISTA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. Installation Instructions: ========================== This patch can be installed with users on the system. Installation will take less than 1 minute. There should be no transmissions being processed during the installation. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. Review your mapped set. If the routines are mapped, they should be removed from the mapped set at this time. Currently there are no routines that are recommended by the package to be placed into the mapped set. 3. From the Kernel Installation & Distribution System menu, select the Installation menu. 4. From this menu, you may select to use the following options (when prompted for INSTALL NAME, enter PSX*2.0*50): 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 ensure the integrity of the routines that are in the transport global. 5. Use the Install Package(s) option and select the package PSX*2.0*50. 6. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" respond NO. 7. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//" respond NO. 8. If any routines were unmapped as part of step 2, they should be returned to the mapped set once the installation has run to completion. Routine Information: ==================== Routine Name: - PSXBLD Routine Checksum: ============================================================================= User Information: Entered By : WHITLEY,HAL Date Entered : DEC 15, 2003 Completed By: COSTELLO,KELLY ANNE Date Completed: MAY 12, 2004 Released By : KIMBLE,BRUCE Date Released : MAY 13, 2004 ============================================================================= Packman Mail Message: ===================== $END TXT