VistA - HMIS by Dr. Saurabh Ladha

8/8/2019 VistA - HMIS by Dr. Saurabh Ladha

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VISTA : Veterans Health InformationSystems and Technology Architecture

By : Dr. Saurabh Ladha


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What is Vista?

The Veterans Health Information Systems andTechnology Architecture (VistA) is an enterprise-wideinformation system built around an Electronic Health Record(EHR), used throughout the United States Department ofVeteran Affairs (VA) medical system, known as the VeteranHealth Administration (VHA).


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What is Vista?

VistA supports both ambulatory and inpatientcare, and includes several significantenhancements to the original DHCP system

It's a collection of about 100 integratedsoftware modules


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Experts Says:

Kelly HoyleM.D.

Best I have seen. It providebetter patient safety and

quality of treatment. Every onecan access the same chart atsame time


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Experts Says:

Divya ShroffMD

Quick Access you canaccess from hospital orhome and can quickly makedecision


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Achievements


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Achievements :

Nationally Recognized

Rated Best by Institute of Medicine

Random Study (Annals of Internal Medicine) says VHApatients receive higher quality treatment overall as well aschronic disease and preventive care.

The adoption of VistA has allowed the VA to achieve apharmacy prescription accuracy rate of 99.997%

* VHA (Veteran Health Administration) is using VISTA asHealth Information Management System


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Benefits

The VistA electronic medical records system isestimated to improve efficiency by 6% per year,

Monthly cost of the EHR is offset by eliminating the

cost of even a few unnecessary tests oradmissions.


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Features

CPRS Computerized Patient RecordSystem

VistA Imaging

BCMA Bar Code Medical Administration

MyHealtheVet Veteran web based portal

Clinical reminder and Patient AlertHome tele


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CPRS


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CPRS

Computerized Patient Record System (CPRS) was releasedin 1997.

It provide an automated environment that supports dailyclinical , administrative activity from registration to eligibility

to enrolmentAllows Electronic Patient Record.

A client server interface that allows health care providers toreview and update a patient's electronic medical record.


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CPRS

Ability to place orders

CPRS provides flexibility in a wide variety of settings sothat a consistent, event-driven, window-style interface ispresented to a broad spectrum of health care workers.

Medication,Special ProcedureDietsNursing interventionX- raysLab Test


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Experts Says:

Paper records are oftenmissing but here you can findthem in a click


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VISTAImaging


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VistA Imaging

The Veterans Administration has also developed VistA Imaging, a coordinated systemfor communicating with PACS(radiology imaging) systems and for integrating otherstypes of image-based information into the VistA electronic medical records system.

This type of integration of information into a medical record is critical to efficientutilization.


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Vista Imaging

Doctor can directly reference and review highresolution images and graphical results

Multimedia display seamless integration with

medical charts, images (X-ray, scanneddocuments, endoscopy and cardiology examresults)


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Experts Says:

Very quickly we can sendimages all over the hospital

thus improves patient care


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BCMA Bar Code MedicalAdministration


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BCMA

It uses Bar code technology on allmedication and patient wrist bands so thateach patient receive right medication in right

dose at right timeIt Ensure patient safety by increasingaccuracy and efficiency of medication

delivery


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BCMA

Click to edit Master text stylesSecond level Third level Fourth level Fifth level

Vista matches medication prescribed with EHR ofpatient If not matched or any allergy etc, then it showsalert message.


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MyHealtheVet


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MyHealtheVet

Its a web based portal

MyHealtheVet is another initiative that allowsveterans to access, and create a copy of,

their health records online.


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MyHealtheVet

Veteran can track medical data andprescription by help on online personalhealth record

It gives veterans information and tool toimprove health.

Patient can look atLab and Test

results,

Appointments,Medication etc.


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MyHealtheVet

It also provide one stop shopping for VAbenefits, special programmes, healthinformation and services

It also allows veterans to port their healthrecords to institutions outside the VA healthsystem or keep a personal copy of their

health records.


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Experts Says:

Apart from all other benefitsmost importantly it gives

information regarding whathealth prevention areimportant for them


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Clinical reminder

and patient alert


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Clinical reminder and PatientAlert

Its a feature in CPRS which indicates if anytest, medication or investigation is due.

It also indicate any scheduled appointment.


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Experts Says:

Any report if due or result ifsay its abnormal than it will be

flagged to provider and alertthem


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Home tele

H T l


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Home Tele

This feature allows doctor to monitor patientin their home.

Patients are linked to Vista framework

facilitating better interaction between patientand doctor even in remote areas

H T l


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Home Tele

Click to edit Master text stylesSecond level Third level Fourth level Fifth level


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Conclusion

P ti t S


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Patient Says:

It is wonderful that everything is on hand, things are

monitored and wonderfullytaken care of

C l i


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Vista demonstrate VAs innovation andleadership in using technology toimprove outcomes by providing safe

effective, efficient patient centered care.

Conclusion

VistA - HMIS by Dr. Saurabh Ladha

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