INSTALLATION NOTES FOR BGP - IHS Clinical Reporting System V8.0 Patch 2 =================================================================== PREFIX: BGP – IHS Clinical Reporting System CURRENT VERSION: 8.0 PATCH#: 2 =================================================================== *******NOTE************NOTE************NOTE************NOTE******** READ THE ENTIRE NOTES FILE PRIOR TO ATTEMPTING ANY INSTALLATION ******************************************************************* 1. GENERAL INFORMATION This patch fixes the following: 1.Key Changes for Version 8.0 Patch 2 Key enhancements and revisions include the following: * New Executive Order (EO) Quality Transparency Measures Report: Added this new report that is needed to meet the Federal mandates of transparency of quality measurement report as per Executive Order 13410. This report includes a hard-coded option that uses preset report parameters that are the same as the National GPRA Report (e.g. report period is hard coded to July 1, 2007 – June 30, 2008) and a user-defined option where the user provides all report parameters. * Other National Measures Report: (1) Added functionality for user to run the hard-coded report or the user-defined report. The hard-coded option uses preset report parameters that are the same as the National GPRA Report (e.g. report period is hard coded to July 1, 2007 – June 30, 2008) and a user-defined option where the user provides all report parameters. (2) Added the Tobacco Cessation topic to this report that includes new, developmental GPRA logic. This logic is more effective at identifying a current tobacco user and will be analyzed and may become the GPRA logic for 2009 reporting. (3) Added third export file that is produced when the Area ONM Report is run. * New functionality for excluding demo/test patients from all CRS reports: (1) Added option for creating and editing a search template of demo/test patients. (2) Added site parameter for excluding from all CRS reports demo/test patients that are included in the specified demo/test patients search template. * Comprehensive National GPRA Export for 2007-2008: Updated CRS 2007 Version 7.0 (not CRS 2008 Version 8.0), National GPRA Reports menu by adding ,menu option “XP8” that will be used for creating a comprehensive export of National GPRA Report data for GPRA years 2007 and 2008. This data will be based on logic contained in CRS 2007 Version 7.0. This data is in support of the quality improvement initiative IHS is participating in along with colleagues from Harvard Medical School. * Updated CRS Graphical User Interface: The GUI contains all functionality included in CRS 2008 Version 8.0, including the updated CRS 2007 Version 7.0 for the Comprehensive National GPRA Export for 2007-2008. Logic changes to GPRA measures reported to Congress include: * Diabetes: Glycemic Control: Added CPT codes 3044F and 3045F to documented A1c definition and CPT 3044F to Ideal Control definition. * Diabetes: Blood Pressure Control: (1) For BP documented definition, expanded CPT II range from 3077F, 3080F to 3074F-3080F for BP documented definition and added logic requiring CPT codes to be documented on non-ER visit. (2) For Controlled BP definition, added new logic for CPT II codes, which are required to be documented on non-ER visits. * Adult Immunizations: Influenza: Added CPT codes 90661 and 90662 to influenza definition. * Childhood Immunizations: (1) Added CPT 90696 to DTaP and IPV definitions. (2) Added text clarifying logic only requires 1 contraindication for immunizations that require multiple doses (vs. requiring 1 contraindication for each dose). * Colorectal Cancer Screening: Revised numerator descriptions that use FOBT to include FIT (fecal immunochemical test) as well. There are no separate codes for this test but the text was revised so sites know they can include this test in their site-populated taxonomy for occult blood. * Tobacco Cessation: (1) Added CPT codes 99406 and 99407 to tobacco users and tobacco cessation counseling definitions. (2) Removed ADA code 1320 from tobacco users definition. (3) Clarified when identifying a tobacco user, CRS looks back anytime prior to Report Period for health factors, diagnoses, and CPT codes and looks at the last documented for each. * Alcohol Screening (FAS Prevention): (1) Added CPT codes 99408, 99409, G0396, G0397, and H0049 to alcohol screening definition. (2) Added V Measurements in PCC or BH of AUDT, AUDC, and CRFT to alcohol screening definition. * Depression Screening: Added V Measurements in PCC or BH of PHQ2 and PHQ9 to Depression Screening definition. * Comprehensive CVD-Related Assessment: (1) Added V Measurements in PCC or BH of PHQ2 and PHQ9 to depression screening definition. (2) Expanded CPT II range from 3077F, 3080F to 3074F-3080F for BP documented definition and added logic requiring CPT codes to be documented on non-ER visit. (3) Added CPT codes 99406, 99407, G0375 (old code), and G0376 (old code) to tobacco screening definition. * HIV Screening: (1) Renamed topic from Prenatal HIV Testing. (2) Added ICD-9 079.53 to HIV diagnosis definition. (3) Clarified that logic for refusals of HIV screening includes a refusal of any lab test in site-populated taxonomy BGP HIV TEST TAX. Logic changes to GPRA Measure Forecast Patient List include: * Diabetes: Blood Pressure Control, Tobacco Cessation, Alcohol Screening (FAS Prevention), and Comprehensive CVD-Related Assessment: Updated section of list that describes what is counted for GPRA to include the new codes added to these topics. Other key logic changes to non-GPRA measures include: * Diabetes Comprehensive Care: (1) For BP documented definition, expanded CPT II range from 3077F, 3080F to 3074F-3080F and added logic requiring CPT codes to be documented on non-ER visit. (2) For Controlled BP definition, added new logic for CPT II codes, which are required to be documented on non-ER visits. (3) Added CPT codes 3044F and 3045F to documented A1c definition. * Adolescent Immunizations: (1) Added CPT 90650 to HPV definition. (2) Added text clarifying logic only requires 1 contraindication for immunizations that require multiple doses (vs. requiring 1 contraindication for each dose). * Tobacco Use and Exposure Assessment: (1) Removed ADA code 1320 from tobacco users and smokers definitions. (2) Added CPTs 99406 and 99407 to tobacco screening, tobacco users, and smokers definitions. (3) Added old CPT codes G0375 and G0376 to tobacco screening, tobacco users, and smokers definitions. * Alcohol Screening and Brief Intervention (ASBI) in the ER: (1) Added CPT codes 99408, 99408, G0396, and G0397 to ER screening, positive screen and BNI definitions. (2) Added new V measurements of AUDT, AUDC, and CRFT to ER screening and positive screening definitions. * Cardiovascular Disease and Blood Pressure Control: For BP documented definition, expanded CPT II range from 3077F, 3080F to 3074F-3080F and added logic requiring CPT codes to be documented on non-ER visit. * Controlling High Blood Pressure: For BP documented definition, expanded CPT II range from 3077F, 3080F to 3074F-3080F and added logic requiring CPT codes to be documented on non-ER visit. * HIV Screening: (1) Renamed topic from Prenatal HIV Testing. (2) Removed counseling/patient education numerator. (3) Added denominator for User Population ages 13-64. (4) Added numerator for counts of HIV screening for UP patients (no age range). (5) Added ICD-9 079.53 to HIV diagnosis definition. (3) Clarified that logic for refusals of HIV screening includes a refusal of any lab test in site-populated taxonomy BGP HIV TEST TAX. * HIV Quality of Care: Added ICD-9 079.53 to HIV diagnosis definition. * Sexually Transmitted Infection (STI) Screening: Added ICD-9 079.53 to HIV/AIDS definition. * Asthma Quality of Care: Updated all four medication taxonomies with HEDIS 2008 taxonomies. * Asthma and Inhaled Steroid Use: Added inhaled steroid combinations to medication taxonomy. * Prediabetes/Metabolic Syndrome: (1) Added V Measurement codes in PCC or BH of PHQ2 and PHQ9 to depression screening definition. (2) For BP documented definition, expanded CPT II range from 3077F, 3080F to 3074F-3080F and added logic requiring CPT codes to be documented on non-ER visit (3) Added CPTs 99406, 99407, and old codes G0375 and G0376 to tobacco screening definition. 2. CONTENTS OF DISTRIBUTION a) bgp_0800.02k Patch kids file b) bgp_0800.02n Patch Install Notes File c) bgp_0800.02o.pdf Administrator Manual Addendum d) bgp_0800.02u.pdf User Manual Addendum e) bgp_0800.02client.zip - GUI software 3. REQUIREMENTS a) VA Kernel V 8.0 or later b) VA FileMan V 21.0 or later c) IHS Clinical Reporting System Version 8.0 through patch 1 4. INSTALLATION INSTRUCTIONS In all UCIs running the IHS Clinical Reporting System (CRS): 1) Save off all BGP* routines as a backup. 2) Load the Distribution into KIDS using option 1 on the KIDS Installation menu. The distribution was released in a file named bgp_0800.02k. 3) Verify the load using option 2 on the KIDS Installation menu. 4) Consider using options 3 and 4 on the KIDS Installation menu to print and compare the Transport global. 5) Install the distribution using option 6 on the Installation menu. 6) For results, use the KIDS "Install File Print" option to view/print the "BGP*8.0*2" entry. ---------------------------------------------------------------------- Instructions for installing the Visual CRS (GUI): On any PC where Visual CRS has been installed do the following: 1. Unzip bgp_0800.02client.zip into a directory of your choice on the client's PC. You will have 2 files: bgp80.msi and bgp_0800.02setup.exe 2. Double Click bgp_0800.02setup.exe that was distributed with Visual CRS. 3. Follow the prompts on the Visual CRS Setup Screens, taking the defaults. 5. POINT OF CONTACT OIT User Support(IHS) Fax: 505-248-4297 Web: http://www.ihs.gov/GeneralWeb/HelpCenter/Helpdesk/index.cfm Email: support@ihs.gov