$TXT Created by SMITH,VAUGHN at DVF.FO-SLC.MED.VA.GOV (KIDS) on Tuesday, 03/15/05 at 14:47 ============================================================================= Run Date: APR 04, 2005 Designation: PXRM*2*2 Package : PXRM - CLINICAL REMINDERS Priority: Mandatory Version : 2 SEQ #2 Status: Released Compliance Date: MAY 05, 2005 ============================================================================= Subject: GEC NATIONAL ROLLUP Category: - Routine - Other Description: ============ Description: =========== - - - - - - - - IMPORTANT!!- - - - - - - - - - - Use of GEC reminder dialogs by staff should be thoroughly tested prior to implementation to avoid GEC report roll-up inaccuracies. Testing of GEC reminder dialogs and reports in a test account should mimic the actual processes and workload capture used in the site's production environment. Informatics staff and GEC referral staff should work together to identify potential issues that arise during testing that may require modification of clinical processes and/or workload capture. Accurate capture and reporting of GEC referral health factors may require careful analysis of workload capture processes at sites that use Event Capture software. Inaccurate reporting may lead to questions from the Inspector General's office concerning funding for the patients referred to the "Home Help" type of programs. ------------------------------------------------------------------------ In December 2003 a Healthcare Inspection by the Department of Veteran Affairs Office of Inspector General was conducted on the Homemaker/Home Health Aide Program to evaluate Department of Veteran Affairs (VA) Medical facilities' compliance with the Veteran Health Administration (VHA) policy for providing services to patients that were clinically appropriate, cost effective, and met customer expectations. The outcome of that inspection revealed a lack of supportable data for placement of patients. As part of the Undersecretary for Health's commitment to complying with VA policy, the need for accurately documenting and reporting patient placements is needed. VA Geriatric Extended Care (VA GEC) Reports will serve as an interim reporting method until the national rollup of VA GEC Referral data is provided through Computerized Patient Record System Reengineered (CPRS-R). VA GEC Reports will display the percent of patients referred to select GEC programs who meet the eligibility criteria as outlined in the Under Secretary for Health's Information Letter IL 10-2003-005 and VHA Handbook 1140.2. VA GEC Reports will provide quarterly statistical reports on the following VA funded programs. Homemaker/Home Health Aide, when Funding Source=VA Adult Day Health Care, when Funding Source=VA VA In-Home Respite, when Funding Source=VA Care Coordination, when Funding Source=VA Select data from the VA Geriatric Extended Care Referral screening tool, to be released with Clinical Reminders 2.0 patch 2, will be used in calculating the criteria totals for patients screened and referred for each of the four programs listed above. *********************************** OPTIONS: ======== GEC Fiscal Quarterly Rollup [PXRM GEC2 QUARTERLY ROLLUP] This is a queuable option that will gather and send a report to Washington DC, the fiscal quarterly information described in the description section of this patch. This option should never be placed on an individual's menu. It should be scheduled for the 8th day of the first month of each quarter at any time of the facility's choosing.(e.g. April 8th at 2am) The rescheduling frequency should be set to "3M" (every three months). MAIL GROUP: ========== GEC2 NATIONAL ROLLUP When this mail group is installed it will contain the email address of the two or three individuals in Washington DC who will receive the quarterly data. These names should not be removed. Names of local individuals may be added if they desire to receive these reports. The reports will also be sent to the Clinical Reminders mail group that was set up for receiving reminder errors. Documentation: ============== Updated documentation describing the new functionality introduced by this patch is available in a new appendix for the Clinical Reminders Clinician Guide. This documentation will be in the form of an Adobe Acrobat file: PXRM_2_2_UM_APPD.PDF. This file can be retrieved in BINARY format by FTP. The preferred method is to FTP the file from download.vista.med.va.gov. This transmits the file from the first available FTP server. Sites may also elect to retrieve software 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 can also be found on the OI VDL web page: (http://www.va.gov/vdl/). 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: ;;2.0;CLINICAL REMINDERS;**PATCH LIST**;Feb 04, 2005 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== PXRMGECP 9026332 9413963 2 PXRMG2E1 NEW 8438785 2 PXRMG2E2 NEW 6303644 2 PXRMG2E3 NEW 3016812 2 PXRMG2E4 NEW 5463170 2 PXRMG2M1 NEW 4128779 2 PXRMG2R1 NEW 9225619 2 PXRMG2R2 NEW 3691279 2 PXRMG2S1 NEW 4017214 2 INSTALLATION INSTRUCTIONS: ========================== Installation will take less than 2 minutes. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. Review your mapped set. If any of the routines listed in the ROUTINE SUMMARY section are mapped, they should be removed from the mapped set at this time. 3. From the Kernel Installation and Distribution System Menu, select the Installation menu. 4. From this menu, you may elect to use the following options (when prompted for INSTALL NAME, enter PXRM*2.0*2): 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. c. Verify Checksums in Transport Global - this option will allow you to ensure the integrity of the routines that are in the transport global. d. Print Transport Global - this option will allow you to view the components of the KIDS build. 5. Use the Install Package(s) option and select the package PXRM*2.0*2. 6. When prompted 'Enter the Coordinator for Mail Group 'GEC2 NATIONAL ROLLUP': respond with a local name. 7 When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of install? YES// respond according to local policy. It isn't necessary for this patch. 8 When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES// respond 'NO' 9. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond NO. 10. If routines were unmapped as part of step 2, they should be returned to the mapped set once the installation has run to completion. 11. Schedule option 'PXRM GEC2 QUARTERLY ROLLUP' to start on the 8th day of the 1st month of the next quarter after the installation of this patch. Set the rescheduling frequency to '3M'. 12. Add local names to the mail group 'GEC2 NATIONAL ROLLUP'. 13. During the installation, four "TASKED" job numbers were displayed. If this is a re-installation of the patch, the tasked jobs will not be tasked a second time and so the numbers will not be displayed. Routine Information: ==================== Routine Name: - PXRMG2E1 Routine Checksum: Routine Name: - PXRMG2E2 Routine Checksum: Routine Name: - PXRMG2E3 Routine Checksum: Routine Name: - PXRMG2E4 Routine Checksum: Routine Name: - PXRMG2M1 Routine Checksum: Routine Name: - PXRMG2R1 Routine Checksum: Routine Name: - PXRMG2R2 Routine Checksum: Routine Name: - PXRMG2S1 Routine Checksum: Routine Name: - PXRMGECP Routine Checksum: ============================================================================= User Information: Entered By : SMITH,VAUGHN Date Entered : FEB 13, 2005 Completed By: SCHLEHUBER,PAM Date Completed: MAR 22, 2005 Released By : MONTGOMERY,ALAN Date Released : APR 04, 2005 ============================================================================= Packman Mail Message: ===================== $END TXT