INSTALLATION NOTES FOR IHS CLINICAL REPORTING SYSTEM V18.0 PATCH 1 ================================================================= PREFIX: BUD - IHS/RPMS UNIFORM DATA SYSTEM CURRENT VERSION: 18.0 PATCH 1 PRIORITY: MANDATORY DATE: APRIL 2018 ================================================================= **** NOTE ***** NOTE **** NOTE **** NOTE **** NOTE **** NOTE **** ***************************************************************** *READ THE ENTIRE NOTES FILE PRIOR TO ATTEMPTING ANY INSTALLATION! ***************************************************************** **** NOTE ***** NOTE **** NOTE **** NOTE **** NOTE **** NOTE **** 1. GENERAL INFORMATION a) Print all notes/readme files. b) It is recommended that the terminal output during the installation is captured. This will insure a printed audit trail if any problems should arise. c) Key Changes in v18.0 patch 1 Logic Changes to National GPRA/GPRAMA Report Measures GPRA Developmental Measures: Removed the following GPRA Developmental measure topics: Comprehensive Cancer Screening Visit Statistics Updated codes and/or logic in the following measures: Access to Dental Service; Adult Immunizations; Childhood Immunizations; Colorectal Cancer Screening (Revised Logic #2-HEDIS); Weight Assessment and Counseling for Nutrition and Physical Activity; Chlamydia Testing; Concurrent Use of Opioids and Benzodiazepines. Diabetes: Glycemic Control: Added three measures with User Pop Diabetic denominator and removed three measures with Active Diabetic denominator. Diabetes: Blood Pressure Control: Added one measure with User Pop Diabetic denominator and removed one measure with Active Diabetic denominator. Statin Therapy to Reduce Cardiovascular Disease Risk in Patients with Diabetes: Added hypercholesterolemia to denominator definition. Added rhabdomyolysis to adverse reaction to statin definition. Added Hepatitis A and Hepatitis B to denominator exclusions. Added Atherosclerosis and Peripheral Arterial Disease to CVD definition. Added Carotid Intervention to CVD definition. Added ICD-9 codes 436, 437.1, 438.*, V12.54 and ICD-10 codes G46.3-G46.8, I69.*, Z86.73 to Ischemic Stroke or TIA definition. Added ICD-9 code 429.79 to AMI definition. Added ICD-10 codes O91.03, O91.13, O91.23, O92.03, O92.13, O92.5, O92.70, O92.79 to breastfeeding definition. Added liver disease to denominator exclusions. Added SNOMED codes to the following subsets: PXRM BGP HEPATITIS B, PXRM BGP HYPERCHOLESTEROLEMIA, PXRM BGP RHABDOMYOLYSIS, PXRM BGP ARTERIAL DISEASE, PXRM BGP ISCHEMIC STROKE TIA, PXRM BGP IVD, PXRM BGP AMI, PXRM BGP CABG, PXRM BGP CAROTID INTERVENTION, PXRM BGP PCI, PXRM BGP LIVER DISEASE. Changed pregnancy logic to only require one visit during the report period and clarified that pregnancy code on the problem list must be active and added in the past 20 months. In pregnancy definition, removed exclusion of miscarriage and abortion codes and added them to pregnancy definition. Updated codes in pregnancy definition. Added six measures with User Pop Diabetic denominator and removed six measures with Active Diabetic denominator. Diabetic Retinopathy: Added ICD-10 codes H54.0* to bilateral blindness definition. Added CPT 2021F and Procedure codes 95.02 and 95.03 to diabetic eye exam definition. Added denominator exclusion of bilateral eye enucleation. Added three measures with User Pop Diabetic denominator and removed three measures with Active Diabetic denominator. Influenza: Added CPT 90756 to Influenza definition. Added one measure with User Pop denominator and removed four measures with Active Clinical denominator. Adult Immunizations: Added CPT 90756 to Influenza definition. Updated Zoster logic to include either one Zostavax vaccine or two Shingrix vaccines. Added CVX code 188 to Zostavax definition. Added 26 measures with User Pop denominator and removed 27 measures with Active Clinical denominator. Childhood Immunizations: Added CVX code 189 to Hepatitis B definition. Added seven measures with User Pop denominator and removed seven measures with Active Clinical denominator. Cancer Screening: Pap Smear Rates: Added three measures with User Pop Diabetic denominator and removed three measures with Active Diabetic denominator. Colorectal Cancer Screening: Added one measure with User Pop Diabetic denominator and removed one measure with Active Diabetic denominator. Tobacco Use and Exposure Assessment Added six measures with User Pop denominator and removed six measures with Active Clinical denominator. Tobacco Cessation: Added 35 measures with User Pop denominator and removed 35 measures with Active Clinical denominator. Added Tobacco: Electronic Nicotine Delivery Systems (ENDS) health factors (Current ENDS user and Cessation ENDS user) to Tobacco User/User in Cessation definition. Added Previous (former) ENDS user to Quit Tobacco Use definition. Updated tobacco cessation counseling definition to include patient education codes containing SNOMED codes in data set PXRM BPG TOBACCO TOPICS. Alcohol Screening: Added two measures with User Pop denominator and removed two measure s with Active Clinical denominator. Screening, Brief Intervention, and Referral to Treatment (SBIRT): Added seven measures with User Pop denominator and removed seven measures with Active Clinical denominator. Intimate Partner (Domestic) Violence Screening: Added three measures with User Pop denominator and removed three measures with Active Clinical denominator. Depression Screening: Added 22 measures with User Pop denominator and removed 22 measures with Active Clinical denominator. Antidepressant Medication Management: Removed topic from report. Controlling High Blood Pressure - Million Hearts: Changed pregnancy logic to only require one visit during the report period and clarified that pregnancy code on the problem list must be active and added in the past 20 months. In pregnancy definition, removed exclusion of miscarriage and abortion codes and added them to pregnancy definition. Updated codes in pregnancy definition. Statin Therapy for the Prevention and Treatment of Cardiovascular Disease: Added hypercholesterolemia to denominator definition. Added rhabdomyolysis to adverse reaction to statin definition. Added Hepatitis A and Hepatitis B to denominator exclusions. Added Atherosclerosis and Peripheral Arterial Disease to CVD definition. Added Carotid Intervention to CVD definition. Added ICD-9 codes 436, 437.1, 438.*, V12.54 and ICD-10 codes G46.3-G46.8, I69.*, Z86.73 to Ischemic Stroke or TIA definition. Added ICD-9 code 429.79 to AMI definition. Added ICD-10 codes O91.03, O91.13, O91.23, O92.03, O92.13, O92.5, O92.70, O92.79 to breastfeeding definition. Added liver disease to denominator exclusions. Added SNOMED codes to the following subsets: PXRM BGP HEPATITIS B, PXRM BGP HYPERCHOLESTEROLEMIA, PXRM BGP RHABDOMYOLYSIS, PXRM BGP ARTERIAL DISEASE, PXRM BGP ISCHEMIC STROKE TIA, PXRM BGP IVD, PXRM BGP AMI, PXRM BGP CABG, PXRM BGP CAROTID INTERVENTION, PXRM BGP PCI, PXRM BGP LIVER DISEASE. Changed pregnancy logic to only require one visit during the report period and clarified that pregnancy code on the problem list must be active and added in the past 20 months. In pregnancy definition, removed exclusion of miscarriage and abortion codes and added them to pregnancy definition. Updated codes in pregnancy definition. HIV Screening: Clarified that pregnancy code on the problem list must be active and added in the past 20 months. Updated codes in pregnancy definition. Breastfeeding Rates: Added eight measures with User Pop denominator and removed eight measures with Active Clinical denominator. For key logic changes to non-GPRA measures, please refer to the CRS 2018 (Version 18.0 patch 1) Selected Measures Report Performance Measure List and Definitions document located on the CRS Web site at http://www.ihs.gov/crs/includes/themes/newihstheme/display_objects/documents /crsv18/SelectedMeasuresV180p1.pdf. 2. CONTENTS OF DISTRIBUTION a) bgp_1800.01k - Patch Routines b) bgp_1800.01n - This Notes file c) bgp_1800.01client.zip - GUI Client d) bgp_1800.01u.pdf - Updated User Manual 3. REQUIREMENTS a) Kernel v 8.0 or later b) FileMan v 22 c) IHS Clinical Reporting v18.0 4. INSTALLATION INSTRUCTIONS In all UCI's running Taxonomy: 1) Load the Distribution into KIDS using option 1 on the KIDS Installation menu. The distribution was released in a file named bgp_1800.01k. 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*18.0*1" entry. ---------------------------------------------------------------------- Instructions for installing the CRS v18.0 patch 1 GUI Client: On any PC where the Clinical Reporting System client has been installed do the following: 1. Unzip bgp_1800.01client.zip into a directory of your choice on the client's PC. You will have 2 files: bgp_1800.01.msi and bgp_1800.01setup.exe 2. Double Click bgp_1800.01setup.exe that was distributed with the Clinical Reporting System client. 3. Follow the prompts on the Clinical Reporting System Setup Screens, taking the defaults. 5. POINT OF CONTACT OIT HELP DESK      Phone:  (888) 830-7280     Web: http://www.ihs.gov/Helpdesk/ Email: support@ihs.gov