What’s New Notes 16.07.12 Maintenance...

Copyright © 2016, American HealthTech, Ridgeland, MS

What’s New Notes 16.07.12

Maintenance Release

September 16, 2016

Technical Installation Information

These release notes describe version 16.07.12 of the LTC product from American HealthTech, Inc. This version supersedes LTC Version 16.03.12. Read all release notes and instructions before beginning any installation or upgrade. A complete release note library is available at the American HealthTech website: http://myhealthtech.net/whatsnew.php Please ensure you are running the most current version of CorePoint, LTCCorePointInstall_16.07.12.exe. If you find you are running an older version, please download the current version from MyHealthTech Technical Center at: http://myhealthtech.net/downloads.php. The CorePoint version must be compatible with the LTC Software version and the updates must be run together to keep both programs in sync and functioning properly.

Version 16.07.12 Copyright © 2016, American HealthTech, Ridgeland, MS

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Table of Contents

September General Release 16.07.12 ................................................................................................ 3

Regulatory Items ................................................................................................................................. 3

MDS Changes effective October 1, 2016 .......................................................................................... 3

Item Set and Legal Notice .............................................................................................................. 3

MDS Assessment Changes ............................................................................................................ 3

Section A ..................................................................................................................................... 4

Section C .................................................................................................................................... 6

Section GG.................................................................................................................................. 9

Section M .................................................................................................................................. 14

Section N .................................................................................................................................. 15

Section S ................................................................................................................................... 16

Section V ................................................................................................................................... 19

Section X ................................................................................................................................... 19

Edits and Allowable Answer changes ....................................................................................... 20

Quality Measures ............................................................................................................................. 25

Enhancement Item ............................................................................................................................ 26

Billing ............................................................................................................................................... 26

Maintenance Items ............................................................................................................................ 27

Clinical ............................................................................................................................................. 27

Resident Information ........................................................................................................................ 28

Billing ............................................................................................................................................... 28

Payroll Based Journal (PBJ) ............................................................................................................ 30

Outcomes ........................................................................................................................................ 31

Interoperability ................................................................................................................................. 31

Known Issues .................................................................................................................................... 33

Coming Soon ..................................................................................................................................... 34

Additional Education Resources ......................................................................................................... 34

APPENDIX A ...................................................................................................................................... 35


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September General Release 16.07.12

Regulatory Items

MDS Changes effective October 1, 2016

Item Set and Legal Notice

� The following item set and version code changes have been made to the MDS assessment with

an ARD equal to or greater than 10/1/2016:

1. ‘Item Set’ version code will display as follows: ‘Version 1.14.1 Effective 10/01/2016’.

2. ‘Specifications’ version code has been changed to 2.00.

Note: The transmission file will also reflect the updated ‘Item Set’ and ‘Specifications’ version

codes.

� The Legal Notice (Copyright) displayed at the end of the MDS has been updated to the following:

Legal Notice Regarding MDS 3.0 - Copyright 2011 United States of America and interRAI. This

work may be freely used and distributed solely within the United States. Portions of the MDS 3.0

are under separate copyright protections; Pfizer Inc. holds the copyright for the PHQ-9 and

©1988, 2003; Confusion Assessment Method. © 1988, 2003, Hospital Elder Life Program. All

rights reserved. Adapted from: Inouye SK et al. Ann Intern Med. 1990; 113:941-8. Both Pfizer Inc.

and the Hospital Elder Life Program, LLC have granted permission to freely use these instruments

in association with the MDS 3.0.

MDS Assessment Changes

NPE Assessment Type new

New assessment type, NPE, a nursing home, PPS Part A, end of stay assessment, is required for

residents ending a Part A stay.

The calculate RUGs link, Calculate RUGS menu item in tool bar, RUG Analysis Worksheet,

and RUG Analysis menu item (RUGS Analysis Report does not use NPE assessment for a

prior closed assessment.) are not enabled for this assessment type.

The ARD Optimizer is disabled for standalone NPE assessments.

NPE assessments are excluded from 7 Day Look-back.

The Change of Therapy (COT) scheduler allows for combined NPE assessments.


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Section A

A new question has been added to identify an MDS as a SNF PPS Part A Discharge (End of Stay)

assessment. The question is present on the ‘Add New Assessment’ screen, Section A, Correction

Request Screen, and Section X.

Figure 1: Add New Assessment grid

‘Add New Assessment’

screen

∞ Question H field is

enabled for

assessments with

ARD date =>

10/1/2016. If yes is

selected, a ‘1’ will

populate to Question

A0310H during

assessment creation.

∞ ‘Last Day of THIS

Medicare Stay’, date

field, is visible and

entry required if ‘Yes’

is answered for

question H. The date

entered will populate

to A2400C during

assessment creation.


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∞ If ‘Unplanned’ is selected for Question G and Question H is answered as ‘Yes’, a validation

message will prompt alerting ‘An End of Stay Assessment is not allowed with an Unplanned

Discharge".

Figure 2: Validation Error Message

MDS Section A

Figure 3: MDS Section A0310

Assessment Profile

box has been

updated with

Question A0310H.

Question A0310H

has been added.


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∞ Question A0310H has also been included in the following locations:

Figure 4: RUG Calculation grid

Figure 5: Assessment History Report

Notes:

1. If Question A0310H = 1 on an imported or keyed assessment, the assessment type will

display an ‘E’ denoted at the end (ex. AM5 will display as AM5E) except for NPE

assessments.

2. MDS Question A0310H will not pre-populate or re-populate.

3. The ARD Optimization process will not include Question A0310H in the question grouping.

Section C

The following items and/or instructions have been updated:

Assessment History

Report has been

updated to reflect the

A0310H value.


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� Question C1300 and C1600 have been removed and replaced with question C1310A-D.

CAMS Copyright Information has been updated in the MDS Manager (bottom) and assessments previewed

and printed to the following: ‘Confusion Assessment Method. ©1988, 2003, Hospital Elder Life Program. All

rights reserved. Adapted from: Inouye SK et al. Ann Intern Med. 1990; 113:941-8. Used with permission’.

Note: Changes will not alter RUGs or Quality Measures.

The following locations have been updated with Question C1310: ∞ CAT (Care Area Assessment) Worksheet

CAT Worksheet checkboxes have been updated accordingly to reflect C1310 or C1310A-D

instead of C1300 or C1600 as it relates to checkbox triggers. Also, the trigger formula for

Question C1310 will display when the ARD date is => 10/1/2016 when ‘include triggered

CAT Worksheets’ is selected.

∞ Smart Charting

Questions C1300 & C1600 have been retired and C1310A-D added (C1310A does not

require a DC question).

∞ MDS 3.0 Question Scheduling

Assessment Question Preference has been updated with new Section C questions:

C1310B_DC, C1310C_DC, and C1310D_DC. They are displayed when Schedule Type =

QSQD7 is selected in Available MDS Questions list.


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Smart Charting > Setup > Facility Preferences > MDS 3.0 > Select New/Edit icon, Schedule Type > ‘QSQD7’

C0500 Label Change: ‘Summary Score’ to ‘BIMS Summary Score’

C0600 Value 0 and 1 Wording Change:


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C0900F Value D Wording Change:

Section GG

Due to the IMPACT Act, CMS has introduced new data element, Section GG, effective October 1,

2016. Section GG focuses on the resident’s functional abilities and goals; assessing the resident’s

admission performance, discharge goals and performance at time of discharge.

Section GG is relevant for residents admitted into a skilled facility. Section GG is completed at the

time of admission and discharge.

The MDS contains Section GG Functional Abilities and Goals – Admission (Start of SNF PPS Stay)

and Discharge (End of SNF PPS Stay).


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Section GG: Observation Period:

Admission: The look-back period is days 1-3 of the resident’s stay beginning with the date in

A2400B and completed on the 5-day assessment.

Figure 1: Section GG (Start of SNF PPS Stay) Snippet


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Discharge: The look-back period is the last 3 days of the SNF PPS Stay.

Figure 2: Section GG (End of SNF PPS Stay) Snippet


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Re-populate MDS 3.0 Answers

‘GG’ checkbox has been added for selection in Re-Populate MDS 3.0 Answers. ‘GG’ (Start of

SNF PPS Stay) and (End of SNF PPS Stay) information will re-populate.

Reports

The following reports will contain Section GG information and the selection ability as an option

for selection criteria.

1. Clinical Trends Report – Note: ‘GG’ information will display on the report after the

completion of 2 or more assessments containing GG data.

2. Assessment Mix Report

Fixed Care Plans

Questions have been loaded to the following Care Plan Conditions for ‘ALL Stock Set Care


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Plans’. Questions must be assigned to existing Fixed Care Plans or newly created Fixed Care

Plans.

• I Centered

• Resident Centered

• Proper Name

• Basic

User Defined Assessments (UDAs)

Assessments do not come pre-loaded for UDAs, questions must be built. Please see LTC

Help Menu for additional information on ‘How to create UDAs’.

Security Rights

Security rights have been added to security setup for Section GG. Users will have the same

access to Section GG as their current access to Section G.


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Note: Section GG will not pre-populate information to MDS assessments from prior MDSs, but

information entered on UDAs and in Smart Charting will populate to the assessments. The

ability to re-populate Section GG information has been added to the MDS Assessment

Manager > Tools option.

“See ‘Additional Education Resources’ regarding IMPACT Act and Section GG”

Section M


� Section M0300

Item added: Question 2 has been added to all of the following Sections: M0300B, M0300C,

M0300D, M0300E, M0300F, and M0300G.

Skip instructions have been added to Question 1 of each of the following: M0300B, M0300C2,

M0300D2, M0300E2, M0300F2, and M0300G2.


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M0300G Title Change: “Unstageable - Deep tissue” to “Unstageable - Deep tissue injury”

M1040H Wording Change: “i.e. incontinence (IAD)” to “e.g., incontinence-associated

dermatitis (IAD)”.

Section N


N0410 Instruction Change: “Indicate the number of DAYS the resident received the following medications during the last 7 days…” to “Indicate the number of DAYS the resident received the following medications by pharmacological classification, not how it is used, during the last 7 days or since admission/entry or reentry if less than 7 days.”


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N0410E Wording Change: “warfarin to ‘e.g., warfarin”

Section Q


Q0490 Value Removed: “8. Information not available” Q0550B Value Replaced: “8. No Information source available” has been removed and replaced

with “9. None of the above”

Section S - The following items and/or instructions have been updated, state specific:

Florida Only

S0509 Question S0510 has been replaced with S0509

S0511 Label and Question Text Change:

Label - PASRR Level I Complete Date Question Text - Record PASRR Level I Completion Date

Section N Cont.


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S1002 New Question:

S1003

New Question:

S6201 New Question:

S6211 New Question:

The following questions have been retired for the state of Florida: S1000, S1001,

S6200 and S6210

Illinois Only

S1004

New Question:

S1150 New Question:


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S3310 New Question:

S3315 New Question:

S6052

S6053

S6232

S6234


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S6236

Virginia Only

S9100C Value Added: The caret [^] is an allowed item value.

Section V


V0100 Instruction change: “A0310B = 01-06’ to “A0310B = 01-05”

V0100B Removed Value: 06. Readmission/return assessment

Section X


X0600 New Item Added: X0600H

South Dakota Only

The following Sections are no longer required for quarterly assessments:

1. Question A1500

2. Question A1510

3. Section F

4. Question G0900

5. Section V


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Section Edit Changes

C1310A Edit 3609 Skip pattern – removed from

C1300A, C1300B, C1300C and C1600 and

mapped to C1310A, C1310B, C1310C, and

C1310D

Edit 3609 Skip pattern Fatal If B0100 = ‘1’,

then all active items from B0200 through F0800

must equal.

Edit 3830 Skip pattern has been removed

(C1300A through C1600 were deleted), but will

still fire for older assessments prior to

10/1/2016.

B0100 and C1310A through C1310D Allowable Answers (value):

The dash and caret [- and ^] to item values

Edit 3862 Skip pattern Fatal

a) If B0100 = (0), then all active items from

C1310A through C1310D must not be equal (^)

b) If B0100 = (-), then all active items from

C1310A through C1310D must equal (-).

Section GG Edit 3863 Consistency Warning

If A0310B = [01], then at least one of the

Discharge Goal items (GG0130A2, GG0130B2,

GG0130C2, GG0170B2, GG0170C2,

GG0170D2, GG0170E2, GG0170F2,

GG0170J2, GG0170K2, GG0170R2,

GG0170S2) should be equal to [01, 02, 03, 04 ,

05, 06].

Edit 3864 Consistency Fatal

If GG0170H1=[-], then GG0170J1 and

GG0170K1 must all be equal to [-].


If GG0170H3=[-], then GG0170J3 and

GG0170K3 must both be equal to [-].


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If GG0170Q1=[-], then the following items must

be equal to [-]: GG0170R1, GG0170R2,

GG0170RR1, GG0170S1, GG0170S2,

GG0170SS1.


a) If GG0170Q3=[0], then the following items

must be equal to [^]: GG0170R3, GG0170RR3,

GG0170S3, GG0170SS3.

b) If GG0170Q3=[1], then the following items

must be equal to [^]: GG0170R3, GG0170RR3,

GG0170S3, GG0170SS3.

c) If GG0170Q3=[0], then the following items

must be equal to [-]: GG0170R3, GG0170RR3,

GG0170S3, GG0170SS3.


a) If GG0170H1=[0], then the following items

must be equal to [^]: GG0170J1, GG0170J2,

GG0170K1, GG0170K2.

b) If GG0170H1=[1], then items GG0170J1 and

GG0170K1 must be equal to [^], and items

GG0170J2 and GG0170K2 must not be equal

to (^).

c) If GG0170H1=[2], then the following items

must not be equal to [^]: GG0170J1,

GG0170J2, GG0170K1, GG0170K2.


a) If GG0170Q1=[0], then the following items

must be equal to [^]: GG0170R1, GG0170R2,

GG0170RR1, GG0170S1, GG0170S2,

GG0170SS1.

b) If GG0170Q1=[1], then the following items

must not be equal to [^]: GG0170R1,

GG0170R2, GG0170RR1, GG0170S1,

GG0170S2, GG0170SS1.

Section GG Continued


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a) If GG0170H3=[0], then GG0170J3 and

GG0170K3 must be equal to [^].

b) If GG0170H3=[2], then GG0170J3 and

GG0170K3 must not be equal to [^].

Valid on NC, NQ, NP, NSD, NOD, ND, SP,

SSD, SOD, SD, NPE assessment types with

ARDs => 10/1/2016.


a) If A0310B=[01], then the following items

must not be equal to [^]: GG0130A1,

GG0130A2, GG0130B1, GG0130B2,

GG0130C1, GG0130C2.

b) If A0310B=[02,03,04,05,07,99], then the

following items must be equal to

[^]: GG0130A1, GG0130A2, GG0130B1,

GG0130B2, GG0130C1, GG0130C2.


a) If A0310G=[1,^] and A0310H=[1] and

A2400C - A2400B is greater than 2 and

A2100=[01,02,04,05,06,07,08,09,99,^], then

GG0130A3, GG0130B3, and GG0130C3 must

not be equal to [^].

b) If A0310G=[2] or A0310H=[0] or A2400C -

A2400B is less than or equal to 2 or

A2100=[03], then GG0130A3, GG0130B3, and

GG0130C3 must be equal to [^].


a) If A0310B=[01], then the following items

must not be equal to [^]: GG0170B1,

GG0170B2, GG0170C1, GG0170C2,

GG070D1, GG070D2, GG0170E1, GG0170E2,

GG0170F1, GG0170F2, GG0170H1,

GG0170Q1

b) If A0310B=[02,03,04,05,07,99], then the



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following items must be equal to [^]:

GG0170B1, GG0170B2, GG0170C1,

GG0170C2, GG070D1, GG070D2, GG0170E1,

GG0170E2, GG0170F1, GG0170F2,

GG0170H1, GG0170J1, GG0170J2,

GG0170K1, GG0170K2, GG0170Q1,

GG0170R1, GG0170R2, GG017RR1,

GG0170S1, GG0170S2, GG0170SS1

Edit 3874 Skip pattern – Fatal skip

a) If A0310G=[1,^] and A0310H=[1] and

A2400C - A2400B is greater than 2 and

A2100=[01,02,04,05,06,07,08,09,99,^], then the

following items must not be equal to [^]:

GG0170B3, GG0170C3, GG0170D3,

GG0170E3, GG0170F3, GG0170H3,

GG0170Q3.

b) If A0310G=[2] or A0310H=[0] or A2400C -

A2400B is less than or equal to 2 or

A2100=[03], then the following items must be

equal to [^]: GG0170B3, GG0170C3,

GG0170D3, GG0170E3, GG0170F3,

GG0170H3, GG0170J3, GG0170K3,

GG0170Q3, GG0170R3, GG0170RR3,

GG0170S3, GG0170SS3.

Section A Edit 3877 Consistency Fatal Error will occur

upon Section A complete to ensure Section GG

discharge items are completed on a physical

discharge the day SNF Part A ends or day after

if the following is not met:

IF (A0310F = 10 or 11) AND ((A2400C =

A2000) OR (A2000 - A2400C = 1)) THEN

A0310H must be equal to 1.


If A0310H=[1], then A2400C must not equal [---

-----,^]



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a) If A0200=[1] and

(A0310A=[01,02,03,04,05,06] or

A0310B=[01,02,03,04,05]) and A0310F=[99]

and A0310H=[1], then A2300 must be equal to

A2400C

b) If A0200=[2] and A0310B=[01,02,03,04,05]

and A0310F=[99] and A0310H=[1], then A2300

must be equal to A2400C.

a) If A0310F=[10,11] and A0310H=[1], then

((A2400C = A2000) or (A2000 – A2400C

= 1)).

Edit 3608 (Modified)

a) If A0200=[1] (this is a nursing home record)

and A0310E is equal to [1], then A0310A

must equal [01,02,03,04,05,06] OR A0310B

must equal [01,02,03,04,05,06] OR A0310F

must equal [10,11]. b) If A0200=[2] (this is a

swing bed record) and A0310E is equal to

[1], then A0310B must equal

[01,02,03,04,05,06] OR A0310F must equal

[10,11].

Valid in Create New Assessment/Change

Reason and Correction Request > Change

reason of assessment option. Fields are

blanked out until a valid combination is

entered.

MDS Quick Tip:

MDS assessments with an ARD of 10/1/2016 or later should not be opened until LTC General

Release Version 16.7.12 has been installed. Any MDS assessments that were opened prior to this

installation with an ARD on or after 10/1/2016 should be deleted.

Section A Continued


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Quality Measures

� New Quality Measures (QM) implemented for 2016:

Short Stay Quality Measure (QM) – Measure ID: N037.01 Percent of Residents Who Improved

Performance on Transfer, Locomotion, and Walking in the Corridor.

Long Stay Quality Measure (QM) – Measure ID: N036.01 Prevalence of antianxiety or

hypnotic medication use (long stay) during the target period.

Long Stay Quality Measure (QM) – Measure ID: N035.01 Percent of long-stay residents who

experienced a decline in independence of locomotion during the target period.

� Retired Quality Measures effective 10/1/2016:

Long Stay QM - N025.01 Percent of long-stay residents with low risk of losing control of their

bowel or bladder.

Long Stay QM - N030.01 Percentage of long-stay residents who have had symptoms of

depression during the 2-week period preceding the MDS 3.0 target assessment date.

Notes:

1. Retired QMs will populate to Quality Assurance Measure worksheets when ARD date is =<

10/1/2016.

2. Closed assessments will display new quality measures on Quality Measure Worksheet for

dates => 4/1/2016.

� The following locations will be affected by newly implemented measures:

Clinical - Quality Measure Worksheet

Quality Measure Reports - Quality Measure Reports (Resident Level and Facility Measure

Report)

Corporate Office - Corporate Office reports > Comp Quality Measures (CMS) (Quality Measure

Numerators, Denominators, Percentages)


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Enhancement Item

Billing Manual entry of Medicare rates is no longer needed. The system will make the necessary

calculations for each state’s Medicare rates based upon the selection of Rural or Urban Case

Mix type in AR Type Rates setup. The implemented feature alleviates the manual entry process

preventing data keying errors.

• After selecting ‘New’ to create a new table or update an existing table, the following grid will

display:

∞ Select the ‘Unique Table ID’, ‘Effective Date’ and ‘RUGS Type’ – Medicare

∞ Select the facility’s ‘Case Mix Type’ – Urban or Rural. If Urban is selected, the ‘Urban

Area’ field is enabled. A ‘View Counties’ tab has been added that will list the counties

associated with the Urban Area selection.

Billing > Setup > Case Mix Rates


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∞ Select ‘Ok’ and ‘Save’

Maintenance Items

Clinical

IV Version 1.0 Myers Stauffer 57 (Hierarchy) has been added as an option for Medicaid RUG

Version Case Mix. It has been implemented for the state of Ohio, but applies to all customers.

Mississippi RUGs will calculate based on distinct days instead of total days using Myers and

Stauffer’s software calculation for MDS RUGS ‘IV Version Myers Stauffer 48 (Index)’.

Reimbursement rates are not affected by the calculation only the CMI Points are overstated

due to overstating the RUG (a very small percentage).

Scheduled Care Task List Assistance Legend has been updated with the following wording

matching the MDS/RAI manual:

• TF = Tube Feeder has been removed

• No. 8 has been updated, ‘Activity did not occur or family and/or non-facility staff provided

care’

New Signature and date in Question X1100D is now overwriting prior signature and date when

an assessment modification is completed.


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The correct value is being updated and displayed for an MDS correction (ex. second MDS

correction will populate 02). The ability to edit X0800 for MDS corrections and re-opening an

MDS is allowed.

Signatures (person importing MDS) are not being entered/assigned when MDS is imported for

the following fields, Z0400, Z0500a, v0200b, and v0200C. The fields are now left blank.

A dash is assigned to Question A1100B (as required by CMS) when a dash has been entered

for Question A1100A – Language.

The Wound assessment transmission file contains the correct wound measurement entered on

the assessment. The measurements are no longer rounded up or down, but the actual entry

value will display (ex. 1.3 will display instead of 1).

An inactivated COT is now displaying an ‘XX’ in the MDS transmit grid instead of ‘COT OMRA’

.

The company name, American Healthtech, will no longer appear in the MDS transmission file

sent to CMS. It will be replaced with a caret (^) symbol. The replacement symbol will not

interfere with transmission or acceptance of file.

Resident Information

Resident Status Changes, Case Mix Groups will only display ‘State’ and ‘Other’ CMG Tables

that have the assigned RUG type in Case Mix Rate Setup.

Billing

Ancillary charges incurred on resident’s discharge date will be assigned Type of Bill (TOB),

third digit of 3 instead of not assigning a 3rd digit,TOB classifying resident as outpatient.

Partial Benefit Exhaust claims default Rug (AA000) will now pull after the RUG scores on the

837 electronic file for submission. Printed claims currently position the RUG scores before the

default RUG score.


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Therapies transferred from Ancillary Tracking or entered manually are calculating when an Insurance Plan which includes ancillaries that contain either a Revenue Code Override or HCPC Override with a Dollar per Discipline per Day maximum amount and/or co-insurance is present.

Note: Fix doesn’t include therapies entered via Ancillary Batch Entry or imported using ICI.

Ancillary charges calculations whose rates were imported from a Fee Schedule that contains a markup or markdown rate will round calculations to 2 decimal places alleviating penny balances.

• The fee table will need to be re-imported to recalculate charges and remove penny balances.

• If manual adjustments were made, the effective date of the re-imported table should be the current LTC month.

Important Note: There must not be any pending charges in the Adjustment Wizard when re-

importing fee table allowing system to make adjustments to prior months.

Resident’s resource is prorated on claim when auto-populate value code 23 is selected for

Fiscal Intermediary. The proration will occur based on the below guidelines:

• Claim covers entire month, entire Share of Cost will populate

• Claim covers a portion of the month

a. If the facility’s per diem multiplied by the number of days on the claim is less than the

share of cost, display share of cost (FL39) equal the facility per diem by the number of

days on the claim.

b. If the facility’s per diem multiplied by the number of days on the claim is greater than the

share of cost, display entire share of cost (FL39).

• All claims created afterwards will use same calculation until share of cost is depleted.

a. The following claim preference was added to prevent value code 23 from populating to

the claim when the Share of Cost has been reached:


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Billing > Setup > FI/Insurance Carriers > Select FI, Claim Setup button and Claim Type – All Institutional

Payroll Based Journal (PBJ)

An employee record will not be submitted to CMS if a submission file contains a corrected hire

date and the file has been previously submitted with a hire and termination date included. A

message will prompt notifying submitter: ‘This hire date correction won’t be submitted to CMS

because the termination date has already been submitted.’

An error message will not display when Job Title and Pay Type is being edited to the same as

a default entry. Message will only display in add mode (not edit mode).

Error message: ‘Column ‘cono, federal_fiscal_year, federal_fiscal_quarter,

week_within_quarter, emp_id, job_title_code, pay_type_code’’ is constrained to be unique.’


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Outcomes

The following categories are included when the Outcomes report contains the measure,

‘Admit/Discharged back to Hospital < 30 days with DX’: See Appendix A for ICD-10 codes

included for Acute MI, CHF/Heart Failure, Pneumonia, COPD, Total Knee Replacement, and

Total Hip Replacement.

1. COPD

2. Total Knee Replacement

3. Total Hip Replacement

Note: ICD-9 codes will display if the report date is =< 9/30/2015.

Interoperability

Resident’s correct status of ‘readmit’ and ‘discharge’ status is now being included in PVI-14 transmission to COMs.

Substitution Orders LTC has implemented logic to calculate and assign the Start Date/Time to be equal to the next scheduled administration date/time for substitution orders processed in the E-Link queue.

The system will alert the user if a start date/time is not determinable (next administration date is not available) and require the manual entry of the Start Date/Time. The 2 following scenarios can exist and an alert message will display:

Scheduled orders that have prior administration records, but no future administration scheduled or PRN medications. The last administered date/time will also be included in the message.


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Scheduled orders that have no prior or future administration records because they may have never been administered. The Start Date/Time of the original order will also be included in the message.

Pharmacy Centric Incoming Pharmacy Centric orders were failing prior to being transmitted to the E-Link queue

when the Prescriber Order Number (PON) was not recognized by LTC. This has been

corrected by allowing the system to ignore the PON if it is not recognized and import the

message into LTC.

The following criteria must be met:

1. If an Inbound message is received that contains a PON that the system does not recognize AND the ‘Ignore Dispense Orders that didn’t originate electronically from LTC’ check box is not selected in External Provider Setup, LTC will ignore the PON and the message will be transmitted to the E-Link queue with a message to create a new order.

2. If an Inbound message is received that contains a PON that the system does not recognize AND the ‘Ignore Dispense Orders that didn’t originate electronically from LTC’ check box is selected in External Provider Setup, LTC will not import the message.

Important Note: If the LTC Pharmacy Interface Update (available August 12, 2016) was applied to your server, confirm E-link messages were correctly processed and audit any substituted orders using the Substitution History report for any potential incorrect substitutions.


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Known Issues

The below issue has been identified and will be addressed in a future release:

Smart Charting

The below run time error message occurs when accessing the ‘Alternate Language Translation’. This

issue does not affect current setup or the displaying or answering buttons in the translated language.

It only prevents the translation of language for new buttons.

‘Alternate Language Setup’ Error Message

Smart Charting > Setup > Alternate Language Translation


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Additional Education Resources

CMS

CMS IMPACT Act Downloads and Videos:

• https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-

Care-Quality-Initiatives/IMPACT-Act-of-2014/IMPACT-Act-Downloads-and-Videos.html

CMS Quality Measures and the IMPACT Act presentation:

• https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-

Care-Quality-Initiatives/Downloads/2016-07-07-IMPACT-Act-Presentation.pdf

AHT Resources

Countdown to Impact: MDS Section GG Webinar

• https://webinars.on24.com/AHT/MDSSectionGG

MDS Section GG – Symposium Presentation

• http://new.myhealthtech.net/filephotos/1/Symposium/Symposium16/handouts/MDS-Section-

GG.pdf

‘Monthly’ Interval Codes

A new setup for ‘Monthly’ Interval Codes will allow clinicians the ability to

make the correct clinical decision when ‘Monthly’ Interval Codes are setup

with one of the last 4 days of the month. If a month does not contain the

day setup, a new calendar feature consisting of 28, 29, 30, and 31 Day tabs

allows for selection of the day the order will need to fire.


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APPENDIX A

1. The following ICD-10 codes will be included in the numerator for Acute Myocardial Infarction (MI):

• I21.09

• I21.11

• I21.19

• I21.29

• I21.3

• I21.4

2. The following ICD-10 codes will be included in the numerator for CHF/Heart Failure:

• I50.1

• I50.20

• I50.21

• I50.22

• I50.23

• I50.30

• I50.31

• I50.32

• I50.33

• I50.40

• I50.41

• I50.42

• I50.43

• I50.9

• I09.81

• I11.0

• I13.0

• I13.2

3. the following ICD-10 codes will be included in the numerator for Pneumonia:

• A48.1

• J11.0

• J12.0

• J12.1

• J12.81

• J12.89


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• J12.9

• J13

• J14

• J15.0

• J15.1

• J15.20

• J15.211

• J15.29

• J15.3

• J15.4

• J15.5

• J15.6

• J15.7

• J15.8

• J15.9

• J16.0

• J16.8

• J18.0

• J18.1

• J18.9

4. The following ICD-10 codes will be included in the numerator for COPD:

• J41.8

• J42

• J43.9

• J44.0

• J44.1

• J44.9

• J80

• J96.00

• J96.20

• J96.90

• R09.2

5. The following ICD-10 codes will be included in the numerator for Total Knee Replacement:

• 0SRC07Z

• 0SRC0JZ

• 0SRC0KZ


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• 0SRD07Z

• 0SRD0JZ

• 0SRD0KZ

• 0SRT07Z

• 0SRT0JZ

• 0SRT0KZ

• 0SRU07Z

• 0SRU0JZ

• 0SRU0KZ

• 0SRV07Z

• 0SRV0JZ

• 0SRV0KZ

• 0SRW07Z

• 0SRW0JZ

• 0SRW0KZ

6. The following ICD-10 codes will be included in the numerator for Total Hip Replacement:

• 0SR90J9

• 0SR90JA

• 0SR90JZ

• 0SRB0J9

• 0SRB0JA

• 0SRB0JZ

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