Hugh Creedon PH D vx Vist A Operations

Hugh Creedon, PH. D vx. Vist. A Operations Manager hcreedon@dssinc. com Deanne Clark vx. Vist. A Product Manager dclark@dssinc. com www. vxvista. org

Who is DSS, Inc? • • • 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 vx. Vist. A for over 4 years Over 200+ Highly Skilled Staff with combined Vist. A experience of hundreds of years • Methodical growth and implementation of vx. Vist. A commercially • Partnership with Open Health Tools for OS governance • vx. Vist. A as FOSS and COSS software for truly scalable and sustainable EHR www. vxvista. org

What is vx. Vist. A? • A scalable Enterprise Level Electronic Health Record System based on the VA’s FOIA Vist. A EHR System but enhanced to deliver the highest quality, field proven, and most utilized electronic health system to the private sector. • DSS vx. Vist. A differs from FOIA Vist. A or any other commercially available Vist. A system. DSS is the only company that offers a private sector Vist. A system but who also works in partnership with the Veteran’s Administration to develop and support modules within VA/FOIA Vist. A. • As a result, solid features and enhancements are created that will work within the current and future VA/FOIA Vist. A architecture. Our focus is on augmenting the VA/FOIA Vist. A 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 Vist. A system each year. www. vxvista. org vx. Journey 6 - vx. Vsit. A

Why vx. Vist. A OS? • 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 Vist. A 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 www. vxvista. org vx. Journey 6 - vx. Vsit. A

Why the EPL License? • Eclipse Public License is a “friendlier” license than “viral” license models and fosters support for OS development and integration of traditional commercial software systems • vx. Vist. A like all Vist. A 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 www. vxvista. org vx. Journey 6 - vx. Vsit. A

Key Componens and Key Enhancements Key Components of DSS vx. Vist. A • vx. Vist. A-OS(M) • vx. CPRS • vx. BCMA • vx. Vitals Lite • vx. Group. Notes 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 New. Crop 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 vx. CPRS to facilitate documenting on groups of patients • On the Fly’ informational alerts www. vxvista. org vx. Journey 6 - vx. Vsit. A

DSS Proprietary Modules for the following areas • Clinical Decision Support and Enhanced Documentation Tools • Coding, Compliance, and Billing Modules • Administrative/Medical Records Modules www. vxvista. org vx. Journey 6 - vx. Vsit. A

Clinical Decision Support and Enhanced Documentation Tools • Automated Nursing Vitals Sign Entry (vx. RTV) 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 (vx. PAT) • Mental Health Treatment Planning (vx. MHS) • Dental Treatment Planning (vx. DRM+) • Chemotherapy Treatment Planning (vx. VCM) • Infectious Disease Control and Monitoring Software (vx. Vist. A Integrated Thera. Doc) • Radiology Procedure Validation (vx. Rad. Wise) • Anesthesiology Systems (vx. Sav. Link) vx. Journey 6 - vx. Vsit. A www. vxvista. org

Coding, Compliance and Billing Modules • Medical Coding, Compliance, and Reporting (vx. Pro. Code and vx. Pro. Code 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 (vx. PAMS) www. vxvista. org vx. Journey 6 - vx. Vsit. A

Administrative/Medical Record Modules • Scanning and Indexing system for filing documents, signed consents and clinical reports from outside entities into the electronic chart (vx. Doc. Manager) • DSS has created an easy to use Release of Information tool (vx. ROI) 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. www. vxvista. org vx. Journey 6 - vx. Vsit. A

Vist. A Community Involvement & Collaboration • Collaboration with vx. Vist. A – Interoperability Tools? – New GUI applications? • • • Add key enhancements Comprehensive Patch Stream Debugging Propose new vx. Projects Create more vx. Certified Modules www. vxvista. org vx. Journey 6 - vx. Vsit. A

The vx. Vist. A Enhancement Process www. vxvista. org vx. Journey 6 - vx. Vsit. A

Synergism Developers Users Patients Software Community Companies Vis t. A MSC OHT WV Others As a Community - More impact - More influence - Strong Synergetic effect MSC DSS WV Individuals Others HH DSS Individuals HH OHT Synergism As individuals - Poor impact - Low influence - Lack of synergism Synergism, two or more agents working together to produce a result not obtainable by any of the agents independently. www. vxvista. org vx. Journey 6 - vx. Vsit. A

vx. Vist. A. org collaboration structure vx. Vist. A People Developers Healthcare Community vx. Vist. A. org Area of Interest Phase I • Collaboration Environment • Resource Pool • GUI Mockups • Workflow Diagrams • Issues and Bug Tracking • Agile Project Management Learning Campus Media Library Legislation Press Room www. vxvista. org vx. Journey 6 - vx. Vsit. A

vx. Vist. A—OS—Unlimited Potential • One vx. Vist. A 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 vx. Vist. A-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! www. vxvista. org vx. Journey 6 - vx. Vsit. A

Helpful Links: • vx. Vist. A Community site: www. vxvista. org • DSS web link: www. dssinc. com • OHT web link: www. openhealthtools. org • Eclipse License web link: www. eclipse. org www. vxvista. org vx. Journey 6 - vx. Vsit. A