BGPMUHD6.m

BGPMUHD6 ; IHS/MSC/SAT - Delimited MU measure VTE3 and VTE4;07-Apr-2011 13:15;DU

 ;;14.1;IHS CLINICAL REPORTING;**1**;MAY 29, 2014;Build 2

 ;Delimited output

 ; STK2^BGPMUHD1   = delimited routine for 0435 STK-2 Antithrombolytic Therapy at discharge

 ; STK3^BGPMUHD1   = delimited routine for 0436 STK-3 Anticoagulation Therapy at discharge

 ; STK4^BGPMUHD2   = delimited routine for 0437 STK-4 thrombolytic therapy within 3 hours

 ; STK5^BGPMUHD2   = delimited routine for 0438 STK-5 Antithrombolytic Therapy by end of day 2

 ; STK6^BGPMUHD3   = delimited routine for 0439 STK-6 Statin Medicine at Discharge

 ; STK8^BGPMUHD3   = delimited routine for 0440 STK-8 Educational Materials at discharge

 ; STK10^BGPMUHD4   = delimited routine for 0441 STK-10 Rehabilitation Service at discharge

 ;

 ; VTE1^BGPMUHD5 = delimited routine for 0371 VTE-1 Prophylaxis within 24 hours

 ; VTE2^BGPMUHD5 = delimited routine for 0372 VTE-2 Prophylaxis for ICU pts

 ; VTE3^BGPMUHD6 = delimited routine for 0373 VTE-3 Anticoagulation overlap therapy

 ; VTE4^BGPMUHD6 = delimited routine for 0374 VTE-4 Platelet monitoring for UFH

 ; VTE5^BGPMUHD7 = delimited routine for 0375 VTE-5 VTE discharge instructions

 ; VTE6^BGPMUHD7 = delimited routine for 0376 VTE-6 Potentially preventable VTE

 ;Delimited output for VTE Measure 0373

VTE3 ;EP

 D P1B

 K ^TMP("BGPMU0373",$J)

 Q

P1B ;Write individual measure

 N BGPPTYPE,X,Y,Z,DEN,NUM,PC,STRING1,STRING2,PRD,PRN,PRD1,PRD6,PRN1

 S BGPPROV=""

 S BGPPTYPE="D"

 S STRING1=$$373^BGPMUHP7("C")

 S STRING2=$$373^BGPMUHP7("P")

 S STRING3=$$373^BGPMUHP7("B")

 D SUM373

 S PRD1=$P(STRING1,U,1)-$P(STRING2,U,1)

 S PRD2=$P(STRING1,U,5)-$P(STRING2,U,5)

 S PRD3=$P(STRING1,U,5)-$P(STRING3,U,5)

 S PRD4=$P(STRING1,U,6)-$P(STRING2,U,6)

 S PRD5=$P(STRING1,U,6)-$P(STRING3,U,6)

 I $P(STRING3,U,1)'=0 S PRD6=$$ROUND^BGPMUA01(($P(STRING1,U,1)/$P(STRING3,U,1)),3)*100

 E  S PRD6=0

 S X=U_"REPORT PERIOD"_U_"%"_U_"PREV YR PERIOD"_U_"%"_U_"CHG FROM PREV YR"_U_"BASE YR"_U_"%"_U_"CHG FROM BASE %"

 D S^BGPMUDEL(X,1,1)

 S X="# Discharges for Pts w/confirmed VTE"_U_$P(STRING1,U,1)_U_U_$P(STRING2,U,1)_U_U_U_$P(STRING3,U,1)_U_U

 D S^BGPMUDEL(X,1,1)

 S X="# Excluded (Exc)"_U_$P(STRING1,U,4)_U_U_$P(STRING2,U,4)_U_U_U_$P(STRING3,U,4)

 D S^BGPMUDEL(X,1,1)

 S X="# Discharges for Pts w/confirmed VTE Less Exc"_U_($P(STRING1,U,1)-$P(STRING1,U,4))_U_U_($P(STRING2,U,1)-$P(STRING2,U,4))_U_U_U_($P(STRING3,U,1)-$P(STRING3,U,4))

 D S^BGPMUDEL(X,1,1)

 S X="# w/overlap therapy at discharge"_U_$P(STRING1,U,2)_U_$J($P(STRING1,U,5),5,1)_U_$P(STRING2,U,2)_U_$J($P(STRING2,U,5),5,1)_U_$FN(PRD2,",+",1)_U_$P(STRING3,U,2)_U_$J($P(STRING3,U,5),5,1)_U_$FN(PRD3,",+",1)

 D S^BGPMUDEL(X,2,1)

 S X="# w/o overlap therapy at discharge"_U_$P(STRING1,U,3)_U_$J($P(STRING1,U,6),5,1)_U_$P(STRING2,U,3)_U_$J($P(STRING2,U,6),5,1)_U_$FN(PRD4,",+",1)_U_$P(STRING3,U,3)_U_$J($P(STRING3,U,6),5,1)_U_$FN(PRD5,",+",1)

 D S^BGPMUDEL(X,1,1)

 I $D(BGPLIST(BGPIC)) D TC

 Q

TC ;Do the Details

 N PT,NODE,NAME,BP

 S X="**** CONFIDENTIAL PATIENT INFORMATION COVERED BY PRIVACY ACT ****" D S^BGPMUDEL(X,2,1)

 S X="This measure assesses the number of patients diagnosed with confirmed VTE who" D S^BGPMUDEL(X,2,1)

 S X="received an overlap of parenteral (intravenous [IV] or subcutaneous [subcu])" D S^BGPMUDEL(X,1,1)

 S X="anticoagulation and warfarin therapy.  For patients who received less than 5 days" D S^BGPMUDEL(X,1,1)

 S X="of overlap therapy, they must be discharged on both medications.  Overlap therapy" D S^BGPMUDEL(X,1,1)

 S X="must be administered for at least 5 days with an international normalized" D S^BGPMUDEL(X,1,1)

 S X="ratio (INR) >= 2 prior to discontinuation of the parenteral anticoagulation therapy" D S^BGPMUDEL(X,1,1)

 S X="or the patient must be discharged on both medications, if any." D S^BGPMUDEL(X,1,1)

 S X="Patients who do not meet the numerator criteria are listed first (NM:), followed by patients who do meet the numerator criteria (M:).  Excluded patients are listed last."

 D S^BGPMUDEL(X,2,1)

 S X="The following are the abbreviations used in the denominator and numerator columns:"

 D S^BGPMUDEL(X,2,1)

 S X="ADM=Admit Date for Inpatient w/confirmed VTE who received warfarin" D S^BGPMUDEL(X,1,1)

 S X="OVLP DAYS=Number of inpt overlap days" D S^BGPMUDEL(X,1,1)

 S X="INR=Last INR before discharge" D S^BGPMUDEL(X,1,1)

 S X="RX=Discharged on overlap therapy" D S^BGPMUDEL(X,1,1)

 ;

 S X="PATIENT NAME"_U_"HRN"_U_"COMMUNITY"_U_"SEX"_U_"AGE"_U_"DENOMINATOR"_U_"NUMERATOR" D S^BGPMUDEL(X,2,1)

 S PTCT=0

 I (BGPLIST="A")!(BGPLIST="D")&($D(^TMP("BGPMU0373",$J,"PAT","C","NOT"))) D

 .K BGPARR

 .D PTLSORT^BGPMUUTL(.BGPARR,"^TMP(""BGPMU0373"","_$J_",""PAT"",""C"",""NOT"")")

 .S PT=0 F  S PT=$O(BGPARR(PT)) Q:PT=""  D

 ..S PTCT=PTCT+1

 ..S NODE=$G(BGPARR(PT))

 ..D D373(NODE)

 I (BGPLIST="A")!(BGPLIST="N")&($D(^TMP("BGPMU0373",$J,"PAT","C","NUM"))) D

 .K BGPARR

 .D PTLSORT^BGPMUUTL(.BGPARR,"^TMP(""BGPMU0373"","_$J_",""PAT"",""C"",""NUM"")")

 .S PT=0 F  S PT=$O(BGPARR(PT)) Q:PT=""  D

 ..S PTCT=PTCT+1

 ..S NODE=$G(BGPARR(PT))

 ..D D373(NODE)

 ;Excluded patients

 I BGPLIST="A"&($D(^TMP("BGPMU0373",$J,"PAT","C","EXC"))) D

 .D PTLSORT^BGPMUUTL(.BGPARR,"^TMP(""BGPMU0373"","_$J_",""PAT"",""C"",""EXC"")")

 .S PT=0 F  S PT=$O(BGPARR(PT)) Q:PT=""  D

 ..S PTCT=PTCT+1

 ..S NODE=$G(BGPARR(PT))

 ..D DEXC373(NODE)

 S X="Total # of patients on list: "_PTCT D S^BGPMUDEL(X,2,1)

 Q

 ;

 ;Delimited output for VTE Measure 0374

VTE4 ;EP

 D P1

 K ^TMP("BGPMU0374",$J)

 Q

P1 ;Write individual measure

 N BGPPTYPE,X,Y,Z,DEN,NUM,PC,STRING1,STRING2,PRD,PRN,PRD1,PRD6,PRN1

 S BGPPROV=""

 S BGPPTYPE="D"

 S STRING1=$$374^BGPMUHP7("C")

 S STRING2=$$374^BGPMUHP7("P")

 S STRING3=$$374^BGPMUHP7("B")

 D SUM374

 S PRD1=$P(STRING1,U,1)-$P(STRING2,U,1)

 S PRD2=$P(STRING1,U,5)-$P(STRING2,U,5)

 S PRD3=$P(STRING1,U,5)-$P(STRING3,U,5)

 S PRD4=$P(STRING1,U,6)-$P(STRING2,U,6)

 S PRD5=$P(STRING1,U,6)-$P(STRING3,U,6)

 I $P(STRING3,U,1)'=0 S PRD6=$$ROUND^BGPMUA01(($P(STRING1,U,1)/$P(STRING3,U,1)),3)*100

 E  S PRD6=0

 S X=U_"REPORT PERIOD"_U_"%"_U_"PREV YR PERIOD"_U_"%"_U_"CHG FROM PREV YR"_U_"BASE YR"_U_"%"_U_"CHG FROM BASE %"

 D S^BGPMUDEL(X,1,1)

 S X="# Discharges for Pts w/confirmed VTE"_U_$P(STRING1,U,1)_U_U_$P(STRING2,U,1)_U_U_U_$P(STRING3,U,1)_U_U

 D S^BGPMUDEL(X,1,1)

 S X="# Excluded (Exc)"_U_$P(STRING1,U,4)_U_U_$P(STRING2,U,4)_U_U_U_$P(STRING3,U,4)

 D S^BGPMUDEL(X,1,1)

 S X="# Discharges for Pts w/confirmed VTE Less Exc"_U_($P(STRING1,U,1)-$P(STRING1,U,4))_U_U_($P(STRING2,U,1)-$P(STRING2,U,4))_U_U_U_($P(STRING3,U,1)-$P(STRING3,U,4))

 D S^BGPMUDEL(X,1,1)

 S X="# w/IV UFH therapy & platelet count"_U_$P(STRING1,U,2)_U_$J($P(STRING1,U,5),5,1)_U_$P(STRING2,U,2)_U_$J($P(STRING2,U,5),5,1)_U_$FN(PRD2,",+",1)_U_$P(STRING3,U,2)_U_$J($P(STRING3,U,5),5,1)_U_$FN(PRD3,",+",1)

 D S^BGPMUDEL(X,2,1)

 S X="# w/o IV UFH therapy & platelet count"_U_$P(STRING1,U,3)_U_$J($P(STRING1,U,6),5,1)_U_$P(STRING2,U,3)_U_$J($P(STRING2,U,6),5,1)_U_$FN(PRD4,",+",1)_U_$P(STRING3,U,3)_U_$J($P(STRING3,U,6),5,1)_U_$FN(PRD5,",+",1)

 D S^BGPMUDEL(X,1,1)

 I $D(BGPLIST(BGPIC)) D TC1

 Q

TC1 ;Do the Details

 N PT,NODE,NAME,BP

 S X="**** CONFIDENTIAL PATIENT INFORMATION COVERED BY PRIVACY ACT ****" D S^BGPMUDEL(X,2,1)

 S X="This measure assesses the number of patients diagnosed with confirmed VTE who" D S^BGPMUDEL(X,2,1)

 S X="received intravenous (IV) UFH therapy dosages AND had their platelet counts" D S^BGPMUDEL(X,1,1)

 S X="monitored using defined parameters such as a nomogram or protocol, if any." D S^BGPMUDEL(X,1,1)

 S X="Patients who do not meet the numerator criteria are listed first (NM:), followed by patients who do meet the numerator criteria (M:).  Excluded patients are listed last." D S^BGPMUDEL(X,2,1)

 S X="The following are the abbreviations used in the denominator and numerator columns:" D S^BGPMUDEL(X,2,1)

 S X="ADM=Admit date for Inpatient w/confirmed VTE receiving IV UFH therapy" D S^BGPMUDEL(X,1,1)

 S X="MED=Start date of IV UFH therapy " D S^BGPMUDEL(X,1,1)

 S X="LAB#=Date of Platelet Count Laboratory Test" D S^BGPMUDEL(X,1,1)

 S X="PATIENT NAME"_U_"HRN"_U_"COMMUNITY"_U_"SEX"_U_"AGE"_U_"DENOMINATOR"_U_"NUMERATOR" D S^BGPMUDEL(X,2,1)

 S PTCT=0

 I (BGPLIST="A")!(BGPLIST="D")&($D(^TMP("BGPMU0374",$J,"PAT","C","NOT"))) D

 .K BGPARR

 .D PTLSORT^BGPMUUTL(.BGPARR,"^TMP(""BGPMU0374"","_$J_",""PAT"",""C"",""NOT"")")

 .S PT=0 F  S PT=$O(BGPARR(PT)) Q:PT=""  D

 ..S PTCT=PTCT+1

 ..S NODE=$G(BGPARR(PT))

 ..D D374(NODE)

 I (BGPLIST="A")!(BGPLIST="N")&($D(^TMP("BGPMU0374",$J,"PAT","C","NUM"))) D

 .K BGPARR

 .D PTLSORT^BGPMUUTL(.BGPARR,"^TMP(""BGPMU0374"","_$J_",""PAT"",""C"",""NUM"")")

 .S PT=0 F  S PT=$O(BGPARR(PT)) Q:PT=""  D

 ..S PTCT=PTCT+1

 ..S NODE=$G(BGPARR(PT))

 ..D D374(NODE)

 ;Excluded patients

 I BGPLIST="A"&($D(^TMP("BGPMU0374",$J,"PAT","C","EXC"))) D

 .D PTLSORT^BGPMUUTL(.BGPARR,"^TMP(""BGPMU0374"","_$J_",""PAT"",""C"",""EXC"")")

 .S PT=0 F  S PT=$O(BGPARR(PT)) Q:PT=""  D

 ..S PTCT=PTCT+1

 ..S NODE=$G(BGPARR(PT))

 ..D DEXC374(NODE)

 S X="Total # of patients on list: "_PTCT D S^BGPMUDEL(X,2,1)

 Q

 ;

D373(NODE) ;

 N BGPI,DATA,NAME,HRN,DEN,NUM,AGE,DFN,CNT,INR,INRDT,DD

 S DFN=$P(NODE,U,1)

 S NAME=$E($$GET1^DIQ(2,$P(NODE,U,1),.01),1,23)

 S HRN=$$HRN^AUPNPAT(DFN,DUZ(2))

 S AGE=$$AGE^AUPNPAT(DFN,BGPED)

 S SEX=$$SEX^AUPNPAT(DFN)

 S COMM=$E($$GET1^DIQ(9000001,DFN,1118),1,10)

 S DEN=$P($P($P(NODE,U,2),";",1),":",1)

 S CNT=$P(NODE,U,3),INR=$P(NODE,U,4),INRDT=$P(NODE,U,5)

 S DD=$P(NODE,U,6)

 S NUMDATA=$P(NODE,U,4)  ;$P(UFHIP,U,2)_";"_PLATE1_";"_PLATE2_";"_PLATE3

 S X=NAME_U_HRN_U_COMM_U_SEX_U_AGE_U_"ADM "_$$FMTE^XLFDT(DEN,2)_$S($L($P(NODE,"U",2),";")>1:";",1:"")_U_$S(CNT'="":"M:OVLP DAYS: "_CNT,1:"NM:")

 I INR'="" S X=X_";INR: "_INR_" "_INRDT

 I DD'="" S X=X_";RX:"_$$FMTE^XLFDT($P(DD,".",1),2)

 D S^BGPMUDEL(X,1,1)

 Q

D374(NODE) ;GET DATA

 N BGPI,DATA,NAME,HRN,DEN,AGE,DFN,NUMDATA

 S DFN=$P(NODE,U,1)

 S NAME=$E($$GET1^DIQ(2,$P(NODE,U,1),.01),1,23)

 S HRN=$$HRN^AUPNPAT(DFN,DUZ(2))

 S AGE=$$AGE^AUPNPAT(DFN,BGPED)

 S SEX=$$SEX^AUPNPAT(DFN)

 S COMM=$E($$GET1^DIQ(9000001,DFN,1118),1,10)

 S DEN=$P($P($P(NODE,U,2),";",1),":",1)

 S NUMDATA=$P(NODE,U,5)  ;$P(UFHIP,U,2)_";"_PLATE1_";"_PLATE2_";"_PLATE3

 S X=NAME_U_HRN_U_COMM_U_SEX_U_AGE_U_"ADM "_$$FMTE^XLFDT(DEN,2)_$S($L($P(NODE,"U",2),";")>1:";",1:"")_U_$S(NUMDATA'="":"M:MED "_$$FMTE^XLFDT($P(NUMDATA,";",1),2),1:"NM:")

 I NUMDATA'="" F I=1:1:3 D

 .S X=X_";LAB"_I_" "_$$FMTE^XLFDT($P(NUMDATA,";",(I+1)),2)

 D S^BGPMUDEL(X,1,1)

 Q

DEXC374(NODE) ;GET DATA

 D DEXC373(NODE)

 Q

DEXC373(NODE) ;GET DATA

 N BGPI,DATA,NAME,HRN,DEN,NUM,AGE,DFN

 S DFN=$P(NODE,U,1)

 S NAME=$E($$GET1^DIQ(2,$P(NODE,U,1),.01),1,23)

 S HRN=$$HRN^AUPNPAT(DFN,DUZ(2))

 S AGE=$$AGE^AUPNPAT(DFN,BGPED)

 S SEX=$$SEX^AUPNPAT(DFN)

 S COMM=$E($$GET1^DIQ(9000001,DFN,1118),1,10)

 S DEN=$P($P($P(NODE,U,2),";",1),":",1)

 S NUM=$P(NODE,U,3)

 S X=NAME_U_HRN_U_COMM_U_SEX_U_AGE_U_"Excluded"

 D S^BGPMUDEL(X,1,1)

 Q

 ;

SUM373 ;Populate "BGPMU SUMMARY" for VTE-3 Measure 0373

 ;Initialize iCare/summary global

 N BGPDNCNT,BGPSSTR,J,N

 S J=$J

 S BGPDNCNT=0

 K ^TMP("BGPMU SUMMARY",J,BGPIC)

 S ^TMP("BGPMU SUMMARY",J,BGPIC)="0373"_U_"VTE-3"

 S N=1 ;only 1 numerator

 ;Setup summary page/iCare ^TMP global

 S CDEN1CT=+$G(^TMP("BGPMU0373",J,"C","DEN"))                 ;current

 S CNUM1CT=+$G(^TMP("BGPMU0373",J,"C","NUM"))

 S CEXC1CT=+$G(^TMP("BGPMU0373",J,"C","EXC"))

 S CMP=$S((CDEN1CT-CEXC1CT)>0:$$ROUND^BGPMUA01(CNUM1CT/(CDEN1CT-CEXC1CT),3)*100,1:0)

 S PDEN1CT=+$G(^TMP("BGPMU0373",J,"P","DEN"))                 ;previous

 S PNUM1CT=+$G(^TMP("BGPMU0373",J,"P","NUM"))

 S PEXC1CT=+$G(^TMP("BGPMU0373",J,"P","EXC"))

 S PMP=$S((PDEN1CT-PEXC1CT)>0:$$ROUND^BGPMUA01(PNUM1CT/(PDEN1CT-PEXC1CT),3)*100,1:0)

 S BDEN1CT=+$G(^TMP("BGPMU0373",J,"B","DEN"))                 ;baseline

 S BNUM1CT=+$G(^TMP("BGPMU0373",J,"B","NUM"))

 S BEXC1CT=+$G(^TMP("BGPMU0373",J,"B","EXC"))

 S BMP=$S((BDEN1CT-BEXC1CT)>0:$$ROUND^BGPMUA01(BNUM1CT/(BDEN1CT-BEXC1CT),3)*100,1:0)

 S BGPDNCNT=BGPDNCNT+1

 S BGPSSTR="MU.EP.0373."_N_U_"# w/overlap at discharge or INR>2"_U_CEXC1CT_U_CDEN1CT_U_CNUM1CT_U_CMP_U_U_U_U

 ; 11 12 13 14

 S BGPSSTR=BGPSSTR_U_PEXC1CT_U_PDEN1CT_U_PNUM1CT_U_PMP

 ; 15 16 17 18

 S BGPSSTR=BGPSSTR_U_BEXC1CT_U_BDEN1CT_U_BNUM1CT_U_BMP

 S ^TMP("BGPMU SUMMARY",J,BGPIC,BGPDNCNT)=BGPSSTR

 Q

SUM374 ;Populate "BGPMU SUMMARY" for VTE-4 Measure 0374

 ;Initialize iCare/summary global

 N BGPDNCNT,BGPSSTR,J,N

 S J=$J

 S BGPDNCNT=0

 K ^TMP("BGPMU SUMMARY",J,BGPIC)

 S ^TMP("BGPMU SUMMARY",J,BGPIC)="0374"_U_"VTE-4"

 S N=1 ;only 1 numerator

 ;Setup summary page/iCare ^TMP global

 S CDEN1CT=+$G(^TMP("BGPMU0374",J,"C","DEN"))                 ;current

 S CNUM1CT=+$G(^TMP("BGPMU0374",J,"C","NUM"))

 S CEXC1CT=+$G(^TMP("BGPMU0374",J,"C","EXC"))

 S CMP=$S((CDEN1CT-CEXC1CT)>0:$$ROUND^BGPMUA01(CNUM1CT/(CDEN1CT-CEXC1CT),3)*100,1:0)

 S PDEN1CT=+$G(^TMP("BGPMU0374",J,"P","DEN"))                 ;previous

 S PNUM1CT=+$G(^TMP("BGPMU0374",J,"P","NUM"))

 S PEXC1CT=+$G(^TMP("BGPMU0374",J,"P","EXC"))

 S PMP=$S((PDEN1CT-PEXC1CT)>0:$$ROUND^BGPMUA01(PNUM1CT/(PDEN1CT-PEXC1CT),3)*100,1:0)

 S BDEN1CT=+$G(^TMP("BGPMU0374",J,"B","DEN"))                 ;baseline

 S BNUM1CT=+$G(^TMP("BGPMU0374",J,"B","NUM"))

 S BEXC1CT=+$G(^TMP("BGPMU0374",J,"B","EXC"))

 S BMP=$S((BDEN1CT-BEXC1CT)>0:$$ROUND^BGPMUA01(BNUM1CT/(BDEN1CT-BEXC1CT),3)*100,1:0)

 S BGPDNCNT=BGPDNCNT+1

 S BGPSSTR="MU.EP.0374."_N_U_"# w/IV UFH therapy/platelet count"_U_CEXC1CT_U_CDEN1CT_U_CNUM1CT_U_CMP_U_U_U_U

 ; 11 12 13 14

 S BGPSSTR=BGPSSTR_U_PEXC1CT_U_PDEN1CT_U_PNUM1CT_U_PMP

 ; 15 16 17 18

 S BGPSSTR=BGPSSTR_U_BEXC1CT_U_BDEN1CT_U_BNUM1CT_U_BMP

 S ^TMP("BGPMU SUMMARY",J,BGPIC,BGPDNCNT)=BGPSSTR

 Q

 ;

XML0373 ;XML output for VTE Measure 0373

 ; BGPXML(i)=Population Number^Numerator Number^Denominator Count

 N STRING

 S STRING=$$373^BGPMUHP7("C")

 S BGPXML(1)="NQF_0373"_U_U_+$P(STRING,U,1)_U_+$P(STRING,U,2)

 K ^TMP("BGPMU0373",$J)

 Q

 ;

XML0374 ;XML output for VTE Measure 0374

 ; BGPXML(i)=Population Number^Numerator Number^Denominator Count

 N STRING

 S STRING=$$374^BGPMUHP7("C")

 S BGPXML(1)="NQF_0374"_U_U_+$P(STRING,U,1)_U_+$P(STRING,U,2)

 K ^TMP("BGPMU0374",$J)

 Q

BGPMUHD6  ; IHS/MSC/SAT - Delimited MU measure VTE3 and VTE4;07-Apr-2011 13:15;DU

 +1       ;;14.1;IHS CLINICAL REPORTING;**1**;MAY 29, 2014;Build 2

 +2       ;Delimited output

 +3       ; STK2^BGPMUHD1   = delimited routine for 0435 STK-2 Antithrombolytic Therapy at discharge

 +4       ; STK3^BGPMUHD1   = delimited routine for 0436 STK-3 Anticoagulation Therapy at discharge

 +5       ; STK4^BGPMUHD2   = delimited routine for 0437 STK-4 thrombolytic therapy within 3 hours

 +6       ; STK5^BGPMUHD2   = delimited routine for 0438 STK-5 Antithrombolytic Therapy by end of day 2

 +7       ; STK6^BGPMUHD3   = delimited routine for 0439 STK-6 Statin Medicine at Discharge

 +8       ; STK8^BGPMUHD3   = delimited routine for 0440 STK-8 Educational Materials at discharge

 +9       ; STK10^BGPMUHD4   = delimited routine for 0441 STK-10 Rehabilitation Service at discharge

 +10      ;

 +11      ; VTE1^BGPMUHD5 = delimited routine for 0371 VTE-1 Prophylaxis within 24 hours

 +12      ; VTE2^BGPMUHD5 = delimited routine for 0372 VTE-2 Prophylaxis for ICU pts

 +13      ; VTE3^BGPMUHD6 = delimited routine for 0373 VTE-3 Anticoagulation overlap therapy

 +14      ; VTE4^BGPMUHD6 = delimited routine for 0374 VTE-4 Platelet monitoring for UFH

 +15      ; VTE5^BGPMUHD7 = delimited routine for 0375 VTE-5 VTE discharge instructions

 +16      ; VTE6^BGPMUHD7 = delimited routine for 0376 VTE-6 Potentially preventable VTE

 +17      ;Delimited output for VTE Measure 0373

VTE3      ;EP

 +1        DO P1B

 +2        KILL ^TMP("BGPMU0373",$JOB)

 +3        QUIT 

P1B       ;Write individual measure

 +1        NEW BGPPTYPE,X,Y,Z,DEN,NUM,PC,STRING1,STRING2,PRD,PRN,PRD1,PRD6,PRN1

 +2        SET BGPPROV=""

 +3        SET BGPPTYPE="D"

 +4        SET STRING1=$$373^BGPMUHP7("C")

 +5        SET STRING2=$$373^BGPMUHP7("P")

 +6        SET STRING3=$$373^BGPMUHP7("B")

 +7        DO SUM373

 +8        SET PRD1=$PIECE(STRING1,U,1)-$PIECE(STRING2,U,1)

 +9        SET PRD2=$PIECE(STRING1,U,5)-$PIECE(STRING2,U,5)

 +10       SET PRD3=$PIECE(STRING1,U,5)-$PIECE(STRING3,U,5)

 +11       SET PRD4=$PIECE(STRING1,U,6)-$PIECE(STRING2,U,6)

 +12       SET PRD5=$PIECE(STRING1,U,6)-$PIECE(STRING3,U,6)

 +13       IF $PIECE(STRING3,U,1)'=0

               SET PRD6=$$ROUND^BGPMUA01(($PIECE(STRING1,U,1)/$PIECE(STRING3,U,1)),3)*100

 +14      IF '$TEST

               SET PRD6=0

 +15       SET X=U_"REPORT PERIOD"_U_"%"_U_"PREV YR PERIOD"_U_"%"_U_"CHG FROM PREV YR"_U_"BASE YR"_U_"%"_U_"CHG FROM BASE %"

 +16       DO S^BGPMUDEL(X,1,1)

 +17       SET X="# Discharges for Pts w/confirmed VTE"_U_$PIECE(STRING1,U,1)_U_U_$PIECE(STRING2,U,1)_U_U_U_$PIECE(STRING3,U,1)_U_U

 +18       DO S^BGPMUDEL(X,1,1)

 +19       SET X="# Excluded (Exc)"_U_$PIECE(STRING1,U,4)_U_U_$PIECE(STRING2,U,4)_U_U_U_$PIECE(STRING3,U,4)

 +20       DO S^BGPMUDEL(X,1,1)

 +21       SET X="# Discharges for Pts w/confirmed VTE Less Exc"_U_($PIECE(STRING1,U,1)-$PIECE(STRING1,U,4))_U_U_($PIECE(STRING2,U,1)-$PIECE(STRING2,U,4))_U_U_U_($PIECE(STRING3,U,1)-$PIECE(STRING3,U,4))

 +22       DO S^BGPMUDEL(X,1,1)

 +23      SET X="# w/overlap therapy at discharge"_U_$PIECE(STRING1,U,2)_U_$JUSTIFY($PIECE(STRING1,U,5),5,1)_U_$PIECE(STRING2,U,2)_U_$JUSTIFY($PIECE(STRING2,U,5),5,1)_U_$FNUMBER(PRD2,",+",1)_U_$PIECE(STRING3,U,2)_U_$JUSTIFY(...

           ... $PIECE(STRING3,U,5),5,1)_U_$FNUMBER(PRD3,",+",1)

 +24       DO S^BGPMUDEL(X,2,1)

 +25      SET X="# w/o overlap therapy at discharge"_U_$PIECE(STRING1,U,3)_U_$JUSTIFY($PIECE(STRING1,U,6),5,1)_U_$PIECE(STRING2,U,3)_U_$JUSTIFY($PIECE(STRING2,U,6),5,1)_U_$FNUMBER(PRD4,",+",1)_U_$PIECE(STRING3,U,3)_U_$JUSTIFY(...

           ... $PIECE(STRING3,U,6),5,1)_U_$FNUMBER(PRD5,",+",1)

 +26       DO S^BGPMUDEL(X,1,1)

 +27       IF $DATA(BGPLIST(BGPIC))

               DO TC

 +28       QUIT 

TC        ;Do the Details

 +1        NEW PT,NODE,NAME,BP

 +2        SET X="**** CONFIDENTIAL PATIENT INFORMATION COVERED BY PRIVACY ACT ****"

           DO S^BGPMUDEL(X,2,1)

 +3        SET X="This measure assesses the number of patients diagnosed with confirmed VTE who"

           DO S^BGPMUDEL(X,2,1)

 +4        SET X="received an overlap of parenteral (intravenous [IV] or subcutaneous [subcu])"

           DO S^BGPMUDEL(X,1,1)

 +5        SET X="anticoagulation and warfarin therapy.  For patients who received less than 5 days"

           DO S^BGPMUDEL(X,1,1)

 +6        SET X="of overlap therapy, they must be discharged on both medications.  Overlap therapy"

           DO S^BGPMUDEL(X,1,1)

 +7        SET X="must be administered for at least 5 days with an international normalized"

           DO S^BGPMUDEL(X,1,1)

 +8        SET X="ratio (INR) >= 2 prior to discontinuation of the parenteral anticoagulation therapy"

           DO S^BGPMUDEL(X,1,1)

 +9        SET X="or the patient must be discharged on both medications, if any."

           DO S^BGPMUDEL(X,1,1)

 +10       SET X="Patients who do not meet the numerator criteria are listed first (NM:), followed by patients who do meet the numerator criteria (M:).  Excluded patients are listed last."

 +11       DO S^BGPMUDEL(X,2,1)

 +12       SET X="The following are the abbreviations used in the denominator and numerator columns:"

 +13       DO S^BGPMUDEL(X,2,1)

 +14       SET X="ADM=Admit Date for Inpatient w/confirmed VTE who received warfarin"

           DO S^BGPMUDEL(X,1,1)

 +15       SET X="OVLP DAYS=Number of inpt overlap days"

           DO S^BGPMUDEL(X,1,1)

 +16       SET X="INR=Last INR before discharge"

           DO S^BGPMUDEL(X,1,1)

 +17       SET X="RX=Discharged on overlap therapy"

           DO S^BGPMUDEL(X,1,1)

 +18      ;

 +19       SET X="PATIENT NAME"_U_"HRN"_U_"COMMUNITY"_U_"SEX"_U_"AGE"_U_"DENOMINATOR"_U_"NUMERATOR"

           DO S^BGPMUDEL(X,2,1)

 +20       SET PTCT=0

 +21       IF (BGPLIST="A")!(BGPLIST="D")&($DATA(^TMP("BGPMU0373",$JOB,"PAT","C","NOT")))

               Begin DoDot:1

 +22               KILL BGPARR

 +23               DO PTLSORT^BGPMUUTL(.BGPARR,"^TMP(""BGPMU0373"","_$JOB_",""PAT"",""C"",""NOT"")")

 +24               SET PT=0

                   FOR 

                       SET PT=$ORDER(BGPARR(PT))

                       IF PT=""

                           QUIT 

                       Begin DoDot:2

 +25                       SET PTCT=PTCT+1

 +26                       SET NODE=$GET(BGPARR(PT))

 +27                       DO D373(NODE)

                       End DoDot:2

               End DoDot:1

 +28       IF (BGPLIST="A")!(BGPLIST="N")&($DATA(^TMP("BGPMU0373",$JOB,"PAT","C","NUM")))

               Begin DoDot:1

 +29               KILL BGPARR

 +30               DO PTLSORT^BGPMUUTL(.BGPARR,"^TMP(""BGPMU0373"","_$JOB_",""PAT"",""C"",""NUM"")")

 +31               SET PT=0

                   FOR 

                       SET PT=$ORDER(BGPARR(PT))

                       IF PT=""

                           QUIT 

                       Begin DoDot:2

 +32                       SET PTCT=PTCT+1

 +33                       SET NODE=$GET(BGPARR(PT))

 +34                       DO D373(NODE)

                       End DoDot:2

               End DoDot:1

 +35      ;Excluded patients

 +36       IF BGPLIST="A"&($DATA(^TMP("BGPMU0373",$JOB,"PAT","C","EXC")))

               Begin DoDot:1

 +37               DO PTLSORT^BGPMUUTL(.BGPARR,"^TMP(""BGPMU0373"","_$JOB_",""PAT"",""C"",""EXC"")")

 +38               SET PT=0

                   FOR 

                       SET PT=$ORDER(BGPARR(PT))

                       IF PT=""

                           QUIT 

                       Begin DoDot:2

 +39                       SET PTCT=PTCT+1

 +40                       SET NODE=$GET(BGPARR(PT))

 +41                       DO DEXC373(NODE)

                       End DoDot:2

               End DoDot:1

 +42       SET X="Total # of patients on list: "_PTCT

           DO S^BGPMUDEL(X,2,1)

 +43       QUIT 

 +44      ;

 +45      ;Delimited output for VTE Measure 0374

VTE4      ;EP

 +1        DO P1

 +2        KILL ^TMP("BGPMU0374",$JOB)

 +3        QUIT 

P1        ;Write individual measure

 +1        NEW BGPPTYPE,X,Y,Z,DEN,NUM,PC,STRING1,STRING2,PRD,PRN,PRD1,PRD6,PRN1

 +2        SET BGPPROV=""

 +3        SET BGPPTYPE="D"

 +4        SET STRING1=$$374^BGPMUHP7("C")

 +5        SET STRING2=$$374^BGPMUHP7("P")

 +6        SET STRING3=$$374^BGPMUHP7("B")

 +7        DO SUM374

 +8        SET PRD1=$PIECE(STRING1,U,1)-$PIECE(STRING2,U,1)

 +9        SET PRD2=$PIECE(STRING1,U,5)-$PIECE(STRING2,U,5)

 +10       SET PRD3=$PIECE(STRING1,U,5)-$PIECE(STRING3,U,5)

 +11       SET PRD4=$PIECE(STRING1,U,6)-$PIECE(STRING2,U,6)

 +12       SET PRD5=$PIECE(STRING1,U,6)-$PIECE(STRING3,U,6)

 +13       IF $PIECE(STRING3,U,1)'=0

               SET PRD6=$$ROUND^BGPMUA01(($PIECE(STRING1,U,1)/$PIECE(STRING3,U,1)),3)*100

 +14      IF '$TEST

               SET PRD6=0

 +15       SET X=U_"REPORT PERIOD"_U_"%"_U_"PREV YR PERIOD"_U_"%"_U_"CHG FROM PREV YR"_U_"BASE YR"_U_"%"_U_"CHG FROM BASE %"

 +16       DO S^BGPMUDEL(X,1,1)

 +17       SET X="# Discharges for Pts w/confirmed VTE"_U_$PIECE(STRING1,U,1)_U_U_$PIECE(STRING2,U,1)_U_U_U_$PIECE(STRING3,U,1)_U_U

 +18       DO S^BGPMUDEL(X,1,1)

 +19       SET X="# Excluded (Exc)"_U_$PIECE(STRING1,U,4)_U_U_$PIECE(STRING2,U,4)_U_U_U_$PIECE(STRING3,U,4)

 +20       DO S^BGPMUDEL(X,1,1)

 +21       SET X="# Discharges for Pts w/confirmed VTE Less Exc"_U_($PIECE(STRING1,U,1)-$PIECE(STRING1,U,4))_U_U_($PIECE(STRING2,U,1)-$PIECE(STRING2,U,4))_U_U_U_($PIECE(STRING3,U,1)-$PIECE(STRING3,U,4))