| 1 | PSUUD6 ;BIR/DAM - UD AMIS Summary Message I;23 MAR 2004
 | 
|---|
| 2 |  ;;4.0;PHARMACY BENEFITS MANAGEMENT;;MARCH, 2005
 | 
|---|
| 3 |  ;
 | 
|---|
| 4 |  ;Reference to file #42.6 supported by DBIA 4597
 | 
|---|
| 5 |  ;Reference to file #42.7 supported by DBIA 4598
 | 
|---|
| 6 |  ;Reference to file #40.8 supported by DBIA 2438
 | 
|---|
| 7 |  ;
 | 
|---|
| 8 | EN ;Entry point to construct globals for AMIS summary message
 | 
|---|
| 9 |  ;Called from PSUUD3
 | 
|---|
| 10 |  ;
 | 
|---|
| 11 |  K UDAM      ;array to hold tabulated data
 | 
|---|
| 12 |  K SPEC      ;array to hold specialty data
 | 
|---|
| 13 |  ;
 | 
|---|
| 14 |  S PSUDV=0
 | 
|---|
| 15 |  F  S PSUDV=$O(^XTMP(PSUUDSUB,"DIS",PSUDV)) Q:PSUDV=""  D
 | 
|---|
| 16 |  .D DISP
 | 
|---|
| 17 |  .D RET
 | 
|---|
| 18 |  .D TCOST
 | 
|---|
| 19 |  .D NET
 | 
|---|
| 20 |  .D AVG
 | 
|---|
| 21 |  .D TRUNC
 | 
|---|
| 22 |  .D SPEC
 | 
|---|
| 23 |  .D DIVT
 | 
|---|
| 24 |  .D GRAND
 | 
|---|
| 25 |  ;
 | 
|---|
| 26 |  D TOTAL
 | 
|---|
| 27 |  ;
 | 
|---|
| 28 |  Q
 | 
|---|
| 29 |  ;
 | 
|---|
| 30 | DISP ;Add doses dispensed of all drugs for each division
 | 
|---|
| 31 |  ;
 | 
|---|
| 32 |  N DSP,A
 | 
|---|
| 33 |  S DSP=^XTMP(PSUUDSUB,"DISP",PSUDV)
 | 
|---|
| 34 |  S $P(UDAM(PSUDV),U,1)=DSP
 | 
|---|
| 35 |  ;
 | 
|---|
| 36 |  I $P(UDAM(PSUDV),U,1)["." D
 | 
|---|
| 37 |  .S A=$F($P(UDAM(PSUDV),U,1),".")  ;Find 1st position after decimal
 | 
|---|
| 38 |  .S $P(UDAM(PSUDV),U,1)=$E($P(UDAM(PSUDV),U,1),1,(A-2))  ;Truncate
 | 
|---|
| 39 |  ;
 | 
|---|
| 40 |  Q
 | 
|---|
| 41 |  ;
 | 
|---|
| 42 | RET ;Add doses returned of all drugs for each division
 | 
|---|
| 43 |  ;
 | 
|---|
| 44 |  N RET,A
 | 
|---|
| 45 |  S RET=^XTMP(PSUUDSUB,"RET",PSUDV)
 | 
|---|
| 46 |  S $P(UDAM(PSUDV),U,2)=RET
 | 
|---|
| 47 |  ;
 | 
|---|
| 48 |  I $P(UDAM(PSUDV),U,2)["." D
 | 
|---|
| 49 |  .S A=$F($P(UDAM(PSUDV),U,2),".")  ;Find 1st position after decimal
 | 
|---|
| 50 |  .S $P(UDAM(PSUDV),U,2)=$E($P(UDAM(PSUDV),U,2),1,(A-2))  ;Truncate
 | 
|---|
| 51 |  Q
 | 
|---|
| 52 |  ;
 | 
|---|
| 53 | NET ;Calculate Net doses dispensed of all drugs
 | 
|---|
| 54 |  ;
 | 
|---|
| 55 |  S $P(UDAM(PSUDV),U,3)=$P(UDAM(PSUDV),U,1)-$P(UDAM(PSUDV),U,2)
 | 
|---|
| 56 |  ;
 | 
|---|
| 57 |  Q
 | 
|---|
| 58 |  ;
 | 
|---|
| 59 | TCOST ;Find total cost per drug
 | 
|---|
| 60 |  ;
 | 
|---|
| 61 |  N CST,DP,RT,NT
 | 
|---|
| 62 |  ;
 | 
|---|
| 63 |  S CST=^XTMP(PSUUDSUB,"CST",PSUDV)    ;Price per dispensed unit
 | 
|---|
| 64 |  ;
 | 
|---|
| 65 |  S $P(UDAM(PSUDV),U,4)=CST
 | 
|---|
| 66 |  ;
 | 
|---|
| 67 |  Q
 | 
|---|
| 68 |  ;
 | 
|---|
| 69 | AVG ;Calculate average cost per dose
 | 
|---|
| 70 |  ;
 | 
|---|
| 71 |  N TCST,NET
 | 
|---|
| 72 |  ;
 | 
|---|
| 73 |  S NET=$P(UDAM(PSUDV),U,3)         ;Net doses dispensed
 | 
|---|
| 74 |  ;
 | 
|---|
| 75 |  I $G(NET)'>0 S NET=1
 | 
|---|
| 76 |  ;
 | 
|---|
| 77 |  S TCST=$P(UDAM(PSUDV),U,4)        ;Total cost
 | 
|---|
| 78 |  ;
 | 
|---|
| 79 |  S $P(UDAM(PSUDV),U,5)=$P($G(UDAM(PSUDV)),U,5)+(TCST/NET)
 | 
|---|
| 80 |  ;
 | 
|---|
| 81 |  Q
 | 
|---|
| 82 |  ;
 | 
|---|
| 83 | TRUNC ;Truncate pieces with dollar values to 2 decimal places
 | 
|---|
| 84 |  ;
 | 
|---|
| 85 |  F I=4:1:5 D
 | 
|---|
| 86 |  .N A,B,C
 | 
|---|
| 87 |  .;
 | 
|---|
| 88 |  .I $P(UDAM(PSUDV),U,I)'["." D  Q
 | 
|---|
| 89 |  ..S $P(UDAM(PSUDV),U,I)=$P(UDAM(PSUDV),U,4)_".00"
 | 
|---|
| 90 |  .;
 | 
|---|
| 91 |  .S A=$F($P(UDAM(PSUDV),U,I),".")  ;Find 1st position after decimal
 | 
|---|
| 92 |  .;
 | 
|---|
| 93 |  .S B=$E($P(UDAM(PSUDV),U,I),1,(A-1))  ;Extract dollars and decimal
 | 
|---|
| 94 |  .;
 | 
|---|
| 95 |  .S C=$E($P(UDAM(PSUDV),U,I),A,(A+1))  ;Extract cents after decimal
 | 
|---|
| 96 |  .;
 | 
|---|
| 97 |  .I $L(C)'=2 S C=$E(C,1)_0
 | 
|---|
| 98 |  .;
 | 
|---|
| 99 |  .S $P(UDAM(PSUDV),U,I)=B_C
 | 
|---|
| 100 |  ;
 | 
|---|
| 101 |  M ^XTMP(PSUUDSUB,"DOSES",PSUDV)=UDAM(PSUDV)
 | 
|---|
| 102 |  Q
 | 
|---|
| 103 |  ;
 | 
|---|
| 104 | TOTAL ;Add dose totals of all divisions
 | 
|---|
| 105 |  ;
 | 
|---|
| 106 |  N DTOT,RTOT,NETOT,TCST,ACST
 | 
|---|
| 107 |  ;
 | 
|---|
| 108 |  S PSUD=0
 | 
|---|
| 109 |  F  S PSUD=$O(UDAM(PSUD)) Q:PSUD=""  D
 | 
|---|
| 110 |  .S DTOT=$G(DTOT)+$P(UDAM(PSUD),U,1)       ;Total of doses dispensed
 | 
|---|
| 111 |  .S RTOT=$G(RTOT)+$P(UDAM(PSUD),U,2)       ;Total of returned doses
 | 
|---|
| 112 |  .S NETOT=$G(NETOT)+$P(UDAM(PSUD),U,3)     ;Total of net doses disp
 | 
|---|
| 113 |  .S TCST=$G(TCST)+$P(UDAM(PSUD),U,4)       ;Total of total cost
 | 
|---|
| 114 |  .;S ACST=$G(ACST)+$P(UDAM(PSUD),U,5)       ;Total of average cost
 | 
|---|
| 115 |  .I $G(NETOT) S ACST=$G(TCST)/$G(NETOT) D
 | 
|---|
| 116 |  ..I ACST'["." S ACST=ACST_".00" Q
 | 
|---|
| 117 |  ..N A,B,C
 | 
|---|
| 118 |  ..S A=$F(ACST,".")  ;Find 1st position after decimal
 | 
|---|
| 119 |  ..S B=$E(ACST,1,(A-1))   ;Extract dollars and decimal
 | 
|---|
| 120 |  ..S C=$E(ACST,A,(A+1))   ;Extract cents after decimal
 | 
|---|
| 121 |  ..I $L(C)'=2 S C=$E(C,1)_0
 | 
|---|
| 122 |  ..S ACST=B_C
 | 
|---|
| 123 |  ;
 | 
|---|
| 124 |  S ^XTMP(PSUUDSUB,"DOSTOT")=DTOT_U_RTOT_U_NETOT_U_TCST_U_ACST
 | 
|---|
| 125 |  ;
 | 
|---|
| 126 |  Q
 | 
|---|
| 127 |  ;
 | 
|---|
| 128 | SPEC ;Find out if a monthly extract is being run
 | 
|---|
| 129 |  ;
 | 
|---|
| 130 |  N PSUMT,PSUMTH
 | 
|---|
| 131 |  I $D(PSUMON) D
 | 
|---|
| 132 |  .S PSUMT=PSUMON_"00"
 | 
|---|
| 133 |  .I $D(^DGAM(334,"B",PSUMT)) D SPEC1
 | 
|---|
| 134 |  .;
 | 
|---|
| 135 |  .S PSUMTH=PSUMT
 | 
|---|
| 136 |  .I $D(^DGAM(345,"B",PSUMTH)) D SPEC2
 | 
|---|
| 137 |  ;
 | 
|---|
| 138 |  Q
 | 
|---|
| 139 |  ;
 | 
|---|
| 140 | SPEC1 ;Find division names from File (#42.6) records within
 | 
|---|
| 141 |  ;the month of the extract
 | 
|---|
| 142 |  ;
 | 
|---|
| 143 |  N PSUDNM
 | 
|---|
| 144 |  ;
 | 
|---|
| 145 |  M SPEC(334,PSUMT)=^DGAM(334,PSUMT)    ;set node into array
 | 
|---|
| 146 |  ;
 | 
|---|
| 147 |  S PSUD1=0
 | 
|---|
| 148 |  F  S PSUD1=$O(SPEC(334,PSUMT,"SE",PSUD1)) Q:PSUD1=""  D
 | 
|---|
| 149 |  .S PSUD2=0
 | 
|---|
| 150 |  .F  S PSUD2=$O(SPEC(334,PSUMT,"SE",PSUD1,"D",PSUD2)) Q:PSUD2=""  D
 | 
|---|
| 151 |  ..;find division and match to DIVNM
 | 
|---|
| 152 |  ..S X=PSUD2
 | 
|---|
| 153 |  ..S PSUNM=$$VAL^PSUTL(40.8,X,.01)
 | 
|---|
| 154 |  ..S X=PSUDV,DIC=40.8,DIC(0)="X",D="C" D IX^DIC
 | 
|---|
| 155 |  ..S X=+Y S PSUDNM=$$VAL^PSUTL(40.8,X,.01)
 | 
|---|
| 156 |  ..I PSUNM=PSUDNM D REC1
 | 
|---|
| 157 |  Q
 | 
|---|
| 158 |  ;
 | 
|---|
| 159 | REC1 ;Create a record of specialties and days of patient care for File #42.6
 | 
|---|
| 160 |  ;for each division within the month of the extract
 | 
|---|
| 161 |  ;
 | 
|---|
| 162 |  N SPC,DAYA,DAYB,SPCE
 | 
|---|
| 163 |  ;
 | 
|---|
| 164 |  S SPC=$P(SPEC(334,PSUMT,"SE",PSUD1,0),U,1)   ;Specialty code
 | 
|---|
| 165 |  ;
 | 
|---|
| 166 |  S DAYA=$P(SPEC(334,PSUMT,"SE",PSUD1,"D",PSUD2,0),U,12) ;Days of care
 | 
|---|
| 167 |  ;
 | 
|---|
| 168 |  S DAYB=$P(SPEC(334,PSUMT,"SE",PSUD1,"D",PSUD2,0),U,24) ;Days of care >45
 | 
|---|
| 169 |  ;
 | 
|---|
| 170 |  ;
 | 
|---|
| 171 |  ;Find external form of specialty
 | 
|---|
| 172 |  S:SPC=334 SPCE="PSYCHIATRY"
 | 
|---|
| 173 |  S:SPC=335 SPCE="INTERMEDIATE"
 | 
|---|
| 174 |  S:SPC=336 SPCE="MEDICINE"
 | 
|---|
| 175 |  S:SPC=337 SPCE="NEUROLOGY"
 | 
|---|
| 176 |  S:SPC=338 SPCE="REHAB MEDICINE"
 | 
|---|
| 177 |  S:SPC=339 SPCE="BLIND REHAB"
 | 
|---|
| 178 |  S:SPC=340 SPCE="SPINAL CORD INJURY"
 | 
|---|
| 179 |  S:SPC=341 SPCE="SURGERY"
 | 
|---|
| 180 |  ;
 | 
|---|
| 181 |  S ^XTMP(PSUUDSUB,"SPEC",PSUDV,SPC)=SPCE_U_(DAYA+DAYB)   ;Record created
 | 
|---|
| 182 |  ;
 | 
|---|
| 183 |  Q
 | 
|---|
| 184 |  ;
 | 
|---|
| 185 | SPEC2 ;Find division names from File (#42.7) records within
 | 
|---|
| 186 |  ;the month of the extract
 | 
|---|
| 187 |  ;
 | 
|---|
| 188 |  N PSUDNAM
 | 
|---|
| 189 |  M SPEC(345,PSUMTH)=^DGAM(345,PSUMTH)    ;set node into array
 | 
|---|
| 190 |  ;
 | 
|---|
| 191 |  S PSUD1=0
 | 
|---|
| 192 |  F  S PSUD1=$O(SPEC(345,PSUMTH,"SE",PSUD1)) Q:PSUD1=""  D
 | 
|---|
| 193 |  .S PSUD2=0
 | 
|---|
| 194 |  .F  S PSUD2=$O(SPEC(345,PSUMTH,"SE",PSUD1,"D",PSUD2)) Q:PSUD2=""  D
 | 
|---|
| 195 |  ..;find division and match to DIVNM
 | 
|---|
| 196 |  ..S X=PSUD2
 | 
|---|
| 197 |  ..S PSUNM=$$VAL^PSUTL(40.8,X,.01)
 | 
|---|
| 198 |  ..S X=PSUDV,DIC=40.8,DIC(0)="X",D="C" D IX^DIC
 | 
|---|
| 199 |  ..S X=+Y S PSUDNAM=$$VAL^PSUTL(40.8,X,.01)
 | 
|---|
| 200 |  ..I PSUNM=PSUDNAM D REC2
 | 
|---|
| 201 |  ;
 | 
|---|
| 202 |  Q
 | 
|---|
| 203 |  ;
 | 
|---|
| 204 | REC2 ;Create a record of specialties and days of patient care for File #42.7
 | 
|---|
| 205 |  ;for each division within the month of the extract
 | 
|---|
| 206 |  ;
 | 
|---|
| 207 |  N SPC,DAY,SPCE
 | 
|---|
| 208 |  ;
 | 
|---|
| 209 |  S SPC=$P($G(SPEC(345,PSUMTH,"SE",PSUD1,0)),U,1)   ;Specialty code
 | 
|---|
| 210 |  ;
 | 
|---|
| 211 |  S DAY=$P($G(SPEC(345,PSUMTH,"SE",PSUD1,"D",PSUD2,0)),U,16) ;Days of care
 | 
|---|
| 212 |  ;
 | 
|---|
| 213 |  ;Find external form of specialty
 | 
|---|
| 214 |  S:SPC=345 SPCE="VA NURSING HOME"
 | 
|---|
| 215 |  ;
 | 
|---|
| 216 |  I $D(SPCE) D
 | 
|---|
| 217 |  .S ^XTMP(PSUUDSUB,"SPEC",PSUDV,SPC)=SPCE_U_DAY      ;Record created
 | 
|---|
| 218 |  Q
 | 
|---|
| 219 |  ;
 | 
|---|
| 220 | DIVT ;Calculate division totals
 | 
|---|
| 221 |  ;
 | 
|---|
| 222 |  N TOT
 | 
|---|
| 223 |  S PSUSP=0
 | 
|---|
| 224 |  F  S PSUSP=$O(^XTMP(PSUUDSUB,"SPEC",PSUDV,PSUSP)) Q:PSUSP=""  D
 | 
|---|
| 225 |  .S TOT=$G(TOT)+$P(^XTMP(PSUUDSUB,"SPEC",PSUDV,PSUSP),U,2)
 | 
|---|
| 226 |  .S ^XTMP(PSUUDSUB,"DIVTOT",PSUDV)=TOT
 | 
|---|
| 227 |  Q
 | 
|---|
| 228 |  ;
 | 
|---|
| 229 | GRAND ;Calculate grand total of all divisions
 | 
|---|
| 230 |  ;
 | 
|---|
| 231 |  ;
 | 
|---|
| 232 |  S ^XTMP(PSUUDSUB,"GTOT")=$G(^XTMP(PSUUDSUB,"GTOT"))+$G(^XTMP(PSUUDSUB,"DIVTOT",PSUDV))
 | 
|---|
| 233 |  ;
 | 
|---|
| 234 |  Q
 | 
|---|