============================================================================= Run Date: OCT 22, 2007 Designation: PX*1*184 Package : PX - PCE PATIENT CARE ENCOUNTER Priority: Mandatory Version : 1 SEQ #143 Status: Released Compliance Date: NOV 22, 2007 ============================================================================= Associated patches: (v)PX*1*158 <<= must be installed BEFORE `PX*1*184' (v)SD*5.3*495 <<= must be installed BEFORE `PX*1*184' Subject: AUTOMATED SERVICE CONNECTED DESIGNATION - PX Category: - Routine - Informational - Enhancement (Mandatory) Description: ============ I M P O R T A N T ************************************************************************* This Patient Care Encounter (PCE) patch PX*1.0*184, along with the Scheduling Application System patch, SD*5.3*495, and the Hospital Inquiry (HINQ) patch, DVB*4.0*58, is being released in a single KIDS software distribution (host file) DVB_4_P58.KID. This patch description includes only the Informational portion of PX*1.0*184. Also as part of this project are patches PRCA*4.5*250 and IB*2.0*369. These patches must be installed before the host file DVB_4_P58.KID. Please refer to the "Software Retrieval" and "Installation Instructions" sections of the DVB*4.0*58 patch description for instructions on how to acquire, install, and implement the patch software. ************************************************************************* This patch addresses the Automated Service Connected Designation (ASCD) project which will automate the Service Connected (SC) decision for outpatient encounters using mapped ICD9/Rated Disability Codes at the time the clinician enters the ICD9 code for the encounter within the Patient Care Encounter (PCE) and Scheduling packages ONLY. In the current clinical work environment providers are requested to designate, at the point of care, if a specific patient care encounter is service connected based on available disability rating information. This software will computerize the clinician's process at each encounter, i.e. mark the encounter service connected (SC) or non-service connected (NSC) as appropriate via the PCE & Scheduling packages. Thus, when a provider or clinician chooses the diagnosis code within one of these packages for the encounter, the system will automatically determine if the diagnosis is related to the veteran's established SC conditions, and will likewise automatically make the proper SC/NSC determination. Additionally, the Class III Service Connection Objective Update Tool (SCOUT) software has been converted and implemented as Class I Automated Service Connected Designation (ASCD). This software recognizes potentially billable encounters for SC veterans that cannot be automatically matched to rated disability codes as well as potentially non-billable encounters which were designated NSC but should be SC. These encounters are displayed in reports for coders and/or utilization review staff to review the patient visit information and change the incorrect SC/NSC designation so they can be billed appropriately. Patch PX*1.0*184 addresses the following changes/enhancements: o Modifications were made to the outpatient encounter checkout process to determine if the encounter needs additional review for final service connected designation. o Modifications were made to check-out screen under the section "Patient's Service Connection and Rated Disabilities:" to display the VBA DX CODE number before the Rated Disabilities (VA) name. o Modifications were made to PCE Encounter Data Entry - Supervisor [PXCE ENCOUNTER ENTRY SUPER] option to allow users to change the ASCD value which will be displayed as the default. This will allow users to access encounters that are not set for review and are not accessible via the ASCD review options. Technical: ---------- o Routine PXBAPI22 was modified to call the Scheduling API routine, SDSCAPI, to determine the response to the question "Was treatment for SC Condition?" after each diagnosis code entry. o Routine PXCEVFI1 was modified to capture the IEN of the diagnosis code that the user has entered in a local variable. It is used to make the SC determination for each diagnosis code. o Routine PXCEVFI2 was modified to add the VBA DX CODE number to be displayed before the Rated Disabilities (VA) name. o Routine PXBAPI21 was modified to correct a problem identified during testing where the classification questions were being asked when entering a standalone encounter for a non-count clinic or an inpatient. Functional: ----------- o The encounter diagnosis code data entry process has been automated to determine the response to the question "Was treatment for SC Condition?" after each diagnosis code entry. o The VBA DX CODE number will be displayed before the Rated Disabilities (VA) name as follows:- Rated Disabilities: 6260 TINNITUS (10%-SC) ---- o The classification questions are no longer asked for a non-count clinic or inpatient standalone encounter. This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- Request ID: 20050705 Request Name: Automated Service Connected Designation Product Name: SCOUT and VBA/ICD mapping This patch addresses the following Remedy Ticket(s): ---------------------------------------------------- There are no Remedy tickets associated with this patch. Components Sent With Patch: --------------------------- ROUTINE, OPTION ROUTINE SUMMARY: ================ The following is a list of the routines included in this patch. The second line of each of these routines now looks like: ;;1.0;PCE PATIENT CARE ENCOUNTER;**[patch list]**;Aug 12, 1996 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== PXBAPI21 8609388 9824355 130,147,124,184 PXBAPI22 3285419 3919367 1,26,184 PXCEVFI1 6639573 6657584 23,73,112,136,143 124,184 PXCEVFI2 11685175 11855313 22,73,95,96,124 158,184 Number of Routines = 4 Total number of routines modified: 4 CHECK1^XTSUMBLD results (new method) Routine name Before Patch After Patch Patch List ============ ============ =========== ========== PXBAPI21 21580661 26895110 130,147,124,184 PXBAPI22 5337007 6873783 1,26,184 PXCEVFI1 18089090 18122138 23,73,112,136,143 124,184 PXCEVFI2 33922278 34344095 22,73,95,96,124 158,184 Number of Routines = 4 Total number of routines modified: 4 The following is a list of options included in this patch: Option Name Type New/Modified ----------- ---- ------------ PXCE ENCOUNTER ENTRY SUPER SEND TO SITE Modified Test Sites: Alpha Beta ----------- ----- ---- Bedford, MA X Bronx, NY X Fargo, ND X North Texas, TX X Puget Sound, WA X Tampa, FL X ================INSTALLATION INSTRUCTIONS ================= The following options need to be disabled before patch installation: PCE Encounter Data Entry [PXCE ENCOUNTER DATA ENTRY] PCE Encounter Data Entry and Delete [PXCE ENCOUNTER ENTRY & DELETE] PCE Encounter Data Entry without Delete [PXCE ENCOUNTER ENTRY NO DELETE] PCE Encounter Data Entry - Supervisor [PXCE ENCOUNTER ENTRY SUPER] PCE Encounter Viewer [PXCE ENCOUNTER VIEWER] Please refer to the "Software Retrieval" and "Installation Instructions" sections of the DVB*4.0*58 patch description for instructions on how to acquire, install, and implement the patch software. Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PXBAPI21 Before: B21580661 After: B26895110 **130,147,124,184** Routine Name: PXBAPI22 Before: B5337007 After: B6873783 **1,26,184** Routine Name: PXCEVFI1 Before: B18089090 After: B18122138 **23,73,112,136,143,124,184** Routine Name: PXCEVFI2 Before: B33922278 After: B34344095 **22,73,95,96,124,158,184** Routine list of preceding patches: 26, 158 ============================================================================= User Information: Entered By : MORRISON,JENNIFER Date Entered : DEC 12, 2006 Completed By: WOEHRLE,MARGARET Date Completed: OCT 03, 2007 Released By : BENBOW,PHYLLIS O Date Released : OCT 22, 2007 ============================================================================= Packman Mail Message: ===================== No routines included