vxJourney6 vxVistA2

www.vxvista.org

Deanne ClarkvxVistA Product [email protected]

Hugh Creedon, PH.D vxVistA Operations Manager

[email protected]

www.vxvista.org

• Privately held company founded in 1990• Primary provider of external clinical software to the VA• Six VA National Software Contracts• Support over 1200 VA implementations• Developing vxVistA for over 4 years• Over 200+ Highly Skilled Staff with combined VistA

experience of hundreds of years• Methodical growth and implementation of vxVistA

commercially• Partnership with Open Health Tools for OS governance• vxVistA as FOSS and COSS software for truly scalable

and sustainable EHR

Who is DSS, Inc?

www.vxvista.org

•A scalable Enterprise Level Electronic Health Record System based on the VA’s FOIA VistA EHR System but enhanced to deliver the highest quality, field proven, and most utilized electronic health system to the private sector.

•DSS vxVistA differs from FOIA VistA or any other commercially available VistA system. DSS is the only company that offers a private sector VistA system but who also works in partnership with the Veteran’s Administration to develop and support modules within VA/FOIA VistA. •As a result, solid features and enhancements are created that will work within the current and future VA/FOIA VistA architecture. Our focus is on augmenting the VA/FOIA VistA system in ways that bring function and value to our users in the private sector while still leveraging the millions of dollars the government spends on enhancing the VA/FOIA VistA system each year.

vxJourney 6 - vxVsitA

What is vxVistA?

www.vxvista.org

• Better Sustainability—over 160 packages to maintain, enhance, and support across the administrative and clinical spectrum

• More attractive to larger state or private/commercial entities as Open Source—reduces risk and provides transparency and community innovation

• Reduced cost of ownership, regardless of size

• In keeping with the true “spirit” of VistA with contributions from many disciplines welcome to continue to improve patient care thru decision support

• FOSS and COSS models thru the Community, DSS, and Resellers


Why vxVistA OS?

www.vxvista.orgvxJourney 6 - vxVsitA

• Eclipse Public License is a “friendlier” license than “viral” license models and fosters support for OS development and integration of traditional commercial software systems

• vxVistA like all VistA systems is both the source code and the database, and this creates constraints for interoperability and integration of systems that the EPL offers protection for to ensure continued innovation

• Code changes/modules can be contributed to the OS Stack or marketed as traditionally licensed software to give hospital CIOs and doctor practices freedom of choice for add-ons, interfaces, and leading decision support tools that may or may not be Open Source

Why the EPL License?


Key Componens and Key Enhancements

Key Components of DSS vxVistA• vxVistA-OS(M)• vxCPRS• vxBCMA• vxVitals Lite• vxGroupNotes

Key Enhancements• Multiple Medical Record Numbers( MRN)• Documentation for Pediatric Patients• Age will display on the coversheet in Days (d), Weeks (w), and Months (m) up to the age of 2 years.• Lengths/heights may be entered for any cm value greater than 0.• Weights may be entered and displayed in lbs/oz for pediatric patients up to 2 years in age.• Out Patient Prescriptions— auto print; non-formulary selection• Support of NewCrop Multi-Formulary drug look-up. • Print out of the patients weight if they are under 21, under 2 in lbs/oz• Print out the text equivalent of the numeric quantity for all prescriptions.• Problems categorized as one of four categories: Medical/Surgical, Family, Social, and Unassigned. •Have modified Group Notes to function correctly within vxCPRS to facilitate documenting on groups of patients•On the Fly’ informational alerts


•Clinical Decision Support and Enhanced Documentation Tools

•Coding, Compliance, and Billing Modules

•Administrative/Medical Records Modules

DSS Proprietary Modules for the following areas


•Automated Nursing Vitals Sign Entry (vxRTV) with select vitals monitors

•Interactive Clinical Note Template Tools (CNTs) to make documentation accurate, standardized, readable, and efficient

•Evaluation and Management Automated Code Calculating Template Tools (vxPAT)

•Mental Health Treatment Planning (vxMHS)

•Dental Treatment Planning (vxDRM+)

•Chemotherapy Treatment Planning (vxVCM)

•Infectious Disease Control and Monitoring Software (vxVistA Integrated TheraDoc)

•Radiology Procedure Validation (vxRadWise)

•Anesthesiology Systems (vxSavLink)

Clinical Decision Support and Enhanced Documentation Tools


•Medical Coding, Compliance, and Reporting (vxProCode and vxProCode Reporter) tools for professional fee coding that can be interfaced with a customer’s current Billing Package or that works seamlessly with the DSS PAMS Billing and Accounts Receivable system.

•Billing and Accounts Receivable system for professional and facility fee reimbursement (vxPAMS)

Coding, Compliance and Billing Modules


•Scanning and Indexing system for filing documents, signed consents and clinical reports from outside entities into the electronic chart (vxDocManager)

•DSS has created an easy to use Release of Information tool (vxROI) that makes collating, printing, and tracking copies of the electronic record fast and efficient for the patient and your medical records staff. The system allows data capture and reporting of medical record requests for patient/family requests, payor requests, and attorney requests simple and prompts for appropriate consents. The system can be set to allow fees to be collected for documentation.

Administrative/Medical Record Modules


VistA Community Involvement & Collaboration

• Collaboration with vxVistA– Interoperability Tools?– New GUI applications?

• Add key enhancements• Comprehensive Patch Stream• Debugging• Propose new vxProjects• Create more vxCertified Modules


The vxVistA Enhancement Process


Synergism

Synergism, two or more agents working together to produce a result not obtainable by any of the agents independently.

DevelopersUsersPatientsSoftwareCommunityCompanies

MSC

WV

DSS

OHT

HH Others

Individuals

As individuals - Poor impact - Low influence - Lack of synergism

MSC

WV DSS

OHT

HHOthers

Individuals

VistA

Synergism

As a Community - More impact - More influence - Strong Synergetic effect

www.vxvista.org

People

Healthcare

Area of Interest

Legislation

PressRoom

MediaLibrary

LearningCampus

Community

Developers

vxVistA

vxVistA.org

Phase I• Collaboration Environment• Resource Pool• GUI Mockups• Workflow Diagrams• Issues and Bug Tracking• Agile Project Management

vxVistA.org collaboration structure



• One vxVistA system does not mean one size fits all—it means that one EHR can meet and exceed the goals of creating complete electronic records, providing needed clinical decision support, offering patients health promotion, delivering accountability, facilitating research, and reporting while still allowing clinicians and staff to effectively treat and care for patients.

• Become a part of the vxVistA-OS Community and help create a system that works today and grows in the ever evolving field of Healthcare Informatics and Clinical Decision Support systems!

vxVistA—OS—Unlimited Potential


• vxVistA Community site: www.vxVistA.org

• DSS web link: www.dssinc.com

• OHT web link: www.openhealthtools.org

• Eclipse License web link: www.eclipse.org

Helpful Links:

vxJourney6 vxVistA2

Healthcare

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