Hospital Adjustment Reports

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CAPRI has been modified to allow downloading of Hospital Adjustment Reports data in addition to viewing on screen or printing, with the exception of the Display Episode of Care report.  The data can be downloaded from these reports in text delimited or comma separated value file formats so that further analysis can be performed on the data such as searching and sorting; where these capabilities are provided by external applications capable of accepting the data (e.g.: Microsoft Access® or Microsoft Excel®).

Note: When using Microsoft Excel® to import delimited .txt files downloaded from CAPRI, care must be taken to set the data type of the SSN column in the spreadsheet to “Text” while importing.  If the default data type of “general” is used for an SSN field, all the leading zeroes in SSNs will be truncated and the resultant SSN data will not contain 9 digits. (Ex.: 000-00-XXXX will be truncated to XXXX).

This option reports all service-connected admissions to the facility the user is connecting to for any given date range. Each time the report is processed and contains data, the date is captured and stored.  It is then displayed as the “last run date” for the next processing session. Information, which may be provided for each patient found, includes claim number, claim folder location, SSN, admission date, admitting diagnosis, discharge date, bed service, whether the patient is receiving Aid and Attendance (A&A) or pension, and eligibility data. Depending on the date range selected, this report could be quite lengthy.  Figure 2-72 shows the filter criteria for an Admission Report for SC Veterans.

Figure 2-72

 

This creates a report that matches the data generated by the AMIE option of the same name. It is a cumulative report containing all admissions for a given date range.  The report is designed primarily as an auditing tool for the RO.  Information which may be provided for each patient includes claim number, claim folder location, SSN, admission date, admitting diagnosis, discharge date, bed service, whether the patient is receiving A&A or pension, and eligibility data.  Depending on the date range selected, this report can be quite lengthy.  

Step 1 – The user enters a date range using Stop Date and Start Date.  

Step 2 – A specific Regional Office is selected.  

Step 3 – The user clicks OK.

The Admission Inquiry By Date informational info box (Figure 2-73) displays the last report that was generated either using CAPRI or the corresponding option in AMIE roll and scroll.  This can be used as a reminder when running a new report of this type.

Figure 2-73

 

This report option provides information on veterans receiving either pension or A&A.  The selectable patient movement types are limited to any active discharge types at the medical facility.  Some of the data elements include claim number, claim folder location, SSN, admission date, admitting diagnosis, discharge date, bed service, whether the patient is receiving A&A or pension, and eligibility data.  Depending on the date range selected, this report can be quite lengthy.   CAPRI has been modified to display the date range selected to produce the report in the report output at the top of the report.

The user selects one or more of the special report types by checking the box next to the report name.  Some of the choices are pre-selected to AMIE default settings, but may be unchecked to remove them from the final report.  Date range is the same in other CAPRI report options.  The report can be run for all regional offices or for a specific one.  The default is for all offices.  After all selections are made, the user selects Run Report.

Figure 2-74 shows the report filtering criteria.

Figure 2-74

 

Figure 2-75 shows the report produced with the date range included at the top of the report.

Figure 2-75

 

This report compiles information pertaining to any veteran receiving pension or aid and attendance who has been readmitted to a facility within 185 days of his or her last discharge date.

The following criteria must be met for the patient to appear on this report:

Information provided may include veteran’s claim number, claim folder location, eligibility, SSN, and whether or not in receipt of pension and/or aid and attendance. Admission data includes admission date, admission diagnosis, discharge date, discharge type, and bed service.  Figure 2-76 shows the filter criteria for a Re-Admission Report.

Figure 2-76

 

This option will report service connected, A&A, pension, or all discharges for the facility the user is connected to for any given date range. Each time the report is processed and contains data, the date is captured and stored. It will then be displayed as the last run date for the next processing session. Information provided for each patient record returned may include claim number, claim folder location, SSN, discharge date, type of discharge, and length of stay, bed service, in receipt of A&A or pension, and eligibility data. Depending on the date range and number of discharge types selected, the report could be quite lengthy.  Figure 2-77 shows the filter criteria for a Discharge Report.

Figure 2-77

 

This option reports all veterans who have been ruled incompetent by Civil or VA authorities. For this report to run correctly, either the DATE RULED INCOMPETENT (VA) or DATE RULED INCOMPETENT (CIVIL) fields must have been edited by VHA personnel (OR) the RATED INCOMPETENT field in the PATIENT file must contain a YES value.

Each time the report is processed and contains data, the date is captured and stored. It will then be displayed as the last run date for the next processing session. Information provided for each record returned may include claim number, claim folder location, SSN, discharge date, type of discharge, length of stay, bed service, eligibility data, and date ruled incompetent. Depending on the date range selected, the report could be quite lengthy.  Figure 2-78 shows the filter criteria for an Incompetent Veterans Report.

Figure 2-78

 

The Veterans Administration (VA) Office of the Inspector General (OIG) Findings from Combined Assessment Program (CAP) reviews of VBA Regional Offices (ROs) disclosed that improvements could be made to process hospital adjustments in a more timely and efficient manner.  VBA is required by law to reduce certain C&P benefits for veterans receiving hospital and/or domiciliary care furnished at VA expense; this includes patients receiving elective FBCNH care at VA expense. Elective FBCNH Reports are not currently available in CAPRI, and must be obtained from AMIE as a secondary option to VBA RO personnel.  For VBA RO personnel to have all relevant hospital reports in one package the CAPRI reports HOSPITAL ADJUSTMENT section has been modified to add the following FBCNH reports as available selections:

  1. Report of Admissions/Discharges for CNH

  2. FBCNH Roster Print

  3. CNH Stays in Excess of 90 Days

  4. Display Episode of Care.

This enhancement provides a number of benefits from contributing to improved timeliness and accuracy of hospital adjustment process through automation, thereby decreasing administrative cost of the VBA hospital adjustment program, no longer needing to provide technical support for VBA ROs personnel for AMIE VistA users and improving delivery of services to Veterans.

This report and its data will be identical to “CNH ADMISSIONS AND DISCHARGES” report that is produced within the Fee Basis application that is used to report admissions to and discharges from a Contract Nursing Home within a specified date range.  Figure 2-79 shows the filter criteria for a Report of Admissions/Discharges for CNH.

Figure 2-79

 

This report and its data will be identical to the “Nursing Home Roster” that is produced within the Fee Basis application that is used to print a list of Community Nursing Homes and currently admitted Fee Basis veteran patients.  Figure 2-80 shows the filter criteria for a CNH Roster report.

Figure 2-80

 

This report and its data will be identical to “ACTIVE CNH STAYS IN EXCESS OF 90 DAYS” report that is produced within the Fee Basis application that lists all ACTIVE CNH stays for a patient that meets or exceeds 90 days as of the effective date entered.  Figure 2-81  shows the filter criteria for a CNH Stays in Excess of 90 Days report.

Figure 2-81

 

This report and its data will be identical to the “Display Episode of Care” that is produced within the Fee Basis application that displays all admission, transfer, and discharge movements for one specified episode of care in a Community Nursing Home for the selected patient.  Figure 2-82 and Figure 2-83 show the selection criteria for accessing a Display Episode of Care report.

Figure 2-82

 

Figure 2-83