| DESCRIPTION OF ENHANCEMENTS |
This patch provides the VASQIP 2011 Increment 1 to the Veterans Health
I. General Surgery Updates:
ANESTHESIA AGENTS Multiple (#130.47) of the ANESTHESIA TECHNIQUE
Multiple (#130.06)
- DOSE field (#.1) of the TEST DOSE Multiple (#130.48) of the
ANESTHESIA TECHNIQUE Multiple (#130.06)
9. The Clean Wound Infection Summary Report is updated to include
the ORGAN/SPACE SSI field (#488) in the algorithm for calculating the
clean wound infection rates. For cardiac assessed cases,
ENDOCARDITIS field (#386) and MEDIASTINITIS field (#388) will be
included in the algorithm for calculating the clean wound infection
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rates.
10. The Perioperative Occurrences Report, under the Morbidity & Mortality
Reports [SROMM] option, will be modified to allow three selections as
follows:
1-Intraoperative Occurrences
2-Postoperative Occurrences
3-Intraoperative and Postoperative Occurrences
1. All options under the Quarterly Report Menu [SROQ MENU] are retired
II. Non-Cardiac Module Updates:
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1. A new 30 DAY DEATH field (#342.1) has been added to the
SURGERY file (#130). This field is added to the Patient
Demographics (Enter/Edit) [SROA DEMOGRAPHICS] option and it will
indicate operative death has occurred within 30 days of surgery. This
field will be auto populated based on an entry into the DATE OF DEATH
field (#342). If Date of Death occurs within 30 days or less of
the date in the DATE OF OPERATION field (#.09), then this field is
automatically updated to "Yes" when the Date of Death is saved. If the
except the Admissions Within 14 Days of Outpatient Surgery [SROQADM]
Date of Death is greater than 30 days from the Date of Operation then
this field is automatically updated to "No" when the Date of Death is
saved.
2. The data dictionary of the PREOPERATIVE SLEEP APNEA field (#237.1)
of the SURGERY file (#130) has been changed to allow for an entry of
"N" for "NONE" on the Preoperative Information (Enter/Edit)
[SROA PREOP DATA] option.
3. Update the printed Assessment to now include the field ASSESSMENT
option, the Report of Missing Quarterly Report Data [SROQ MISSING DATA]
COMPLETED BY field (#272.1) of the SURGERY file (#130).
III. Cardiac Module Updates:
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1. The field name "Myectomy for IHSS" is changed to "Myectomy" in the
option for the Cardiac Procedures Operative Data (Enter/Edit)
[SROA CARDIAC PROCEDURES] option and the the Print Assessment Report.
2. The data dictionary of the BRIDGE TO TRANSPLANT/DEVICE field
option and Deaths Within 30 Days of Surgery [SROQD], which are
(#481) is modified from the current values of "Yes" and "No" to "None",
"Bridge to Transplant", and "Destination Therapy"
3. The existing field, WOUND CLASSIFICATION (#1.09), is added to the
Operative Risk Summary Data (Enter/Edit) [SROA CARDIAC OPERATIVE RISK]
option. This field has been added to the Cardiac Print Assessment
Report.
4. The current WOUND DISRUPTION field (#404) of the Surgery file (#130)
is added to the Outcome Information (Enter/Edit)[SROA CARDIAC-OUTCOMES]
relocated under the Management Reports [SRO-CHIEF REPORTS] menu.
option. This information will appear on the Printed Assessment
Report and added to the Cardiac Transmission.
5. The Clinical Information (Enter/Edit)[SROA CLINICAL INFORMATION] option
is updated to allow a response of "N" or "NO" at the prompt to update
all the fields to a negative value except Height, Weight, FEV1,
Functional Status, Angina, and CHF.
IV. Transplant Module Updates:
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1. HLA Typing fields in the SURGERY TRANSPLANT ASSESSMENTS file (#139.5)
across all four organ types are updated to allow entry of 4 digits
(#,#,#,#). The Transplant Transmission is also updated.
2. The C-PEPTIDE AT TIME OF LISTING field (#136) of the SURGERY
TRANSPLANT ASSESSMENTS file (#139.5) has been changed to allow for a
value less than 1. When the value is less than 1, it will be displayed
with a leading zero (i.e., 0.6).
2. Remove references to "NSQIP" and "CICSP" in field labels and field
3. The POST-TX PROPHYLAXIS - TB field (#92) of the SURGERY TRANSPLANT
ASSESSMENTS file (#139.5) has been updated to allow a value to be
entered of "N/A". This information is added to the Transmission.
4. The COLD ISCHEMIA TIME FOR ORGAN field (#87) and WARM ISCHEMIA TIME FOR
ORGAN field (#85) of the SURGERY TRANSPLANT ASSESSMENTS file (#139.5)
has been added to page #1 of the Enter/Edit Transplant Assessments [SR
TRANSPLANT ENTER/EDIT] option and to the Print Transplant Assessment
[SRTP PRINT ASSESSMENT] option for VA and Non-VA heart transplants.
definitions. When the text is not in the header of a definition, the
Information Systems and Technology Architecture (VistA) Surgery package in
terms "NSQIP" and "CICSP" are replaced with "VASQIP".
The complete list of these fields is listed in the Release Notes
manual.
3. Addition of Scheduling Date fields
The following new fields are added to the SURGERY file (#130):
- ORIGINAL DESIRED PROCEDURE DATE field (#612)
- D/T OF DESIRED PROCEDURE DATE ENTRY field (#613)
- ORIGINAL SCHEDULED DATE field (#614)
support of the VA Surgery Quality Improvement Program (VASQIP). The
- D/T OF SCHEDULED DATE ENTRY field (#615)
- DESIRED PROCEDURE DATE field (#616)
- SCHEDULED DATE field (#617)
4. Add Time Out Verified Utilizing Checklist
(a) The following new fields are added to the SURGERY file (#130):
- CONFIRM PATIENT IDENTITY field (#600)
- PROCEDURE TO BE PERFORMED field (#601)
- SITE OF PROCEDURE field (#602)
- VALID CONSENT FORM field (#603)
updates include the addition of new data fields, changes to existing
- CONFIRM PATIENT POSITION field (#604)
- MARKED SITE CONFIRMED field (#605)
- PREOPERATIVE IMAGES CONFIRMED field (#606)
- CORRECT MEDICAL IMPLANTS field (#607)
- ANTIBIOTIC PROPHYLAXIS field (#608)
- APPROPRIATE DVT PROPHYLAXIS field (#609)
- BLOOD AVAILABILITY field (#610)
- AVAILABILITY OF SPECIAL EQUIP field (#611)
- CHECKLIST COMMENT field (#85)
fields, changes to data entry screens, changes to reports, changes to the
(b) The VALID ID/CONSENT CONFIRMED BY field (#.69) has been renamed to
CHECKLIST CONFIRMED BY.
(c) All the above new fields are added to the new Time Out Verified
Utilizing Checklist option [SROMEN-VERF], which has been added to the
Operation Menu [SROPER].
(d) The existing ensuring correct surgery fields (MARKED SITE CONFIRMED
field (#73), PREOPERATIVE IMAGING CONFIRMED field (#72), TIME OUT
VERIFIED field (#71), MARKED SITE COMMENTS field (#84), IMAGING
Surgery Risk Assessment transmissions, and changes to Transplant
CONFIRMED COMMENTS field (#83), TIME OUT VERIFIED COMMENTS field
(#82), and VALID ID/CONSENT CONFIRMED BY field (#.69)) will be
removed from the following Operation Menu options:
- Operation Startup [SROMEN-START]
- Operation [SROMEN-OP]
- Operation (Short Screen) [SROMEN-OUT]
- Nurse Intraoperative Report [SRONRPT]
(e) The existing ensuring correct surgery fields in the Nurse
components of the VistA Surgery application.
Intraoperative Report are replaced with the new Time Out Verified
Utilizing Checklist fields (the fields listed in item "a" and "b" of
this section are added).
5. OR Cancellation Report
- The pre-existing reasons have been inactivated and will not be
editable but can be viewed.
- A new selection list for Cancellation Reasons has been added.
- The SURGERY CANCELLATION REASON file (#135) will be locked with
this patch so it will no longer be editable at sites.
- The Update Site Configurable Files [SR UPDATE FILES] option has been
updated to remove the Surgery Cancellation Reasons from the Site
Configurable Files.
6. The CPT Code Exclusion list for 2011 has been updated so that the
surgical package can accurately calculate the VASQIP eligible list
(affecting the CPT EXCLUSIONS file (#137) and the Workload Report/List
#9).
7. Two pre-existing fields for the SURGERY file (#130), PRINC
ANESTHETIST field (#.31) and ANESTHESIOLOGIST SUPVR field (#.34), have
been added to the Non-OR Procedure report.
8. This patch updates the Anesthesia Report and the Nurse Intraoperative
Report to display values of less than 1 for the fields below with a
leading zero in reports they are displayed.
- DOSE field (#1) of the MEDICATIONS multiple (#130.33)
- TIME ADM field (#1) of the TIME ADM multiple (#130.34)
- DOSE field (#1) and the ANESTHESIA AGENTS field (#.01) of the
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