Prosthetics Vista Suite

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Prosthetics Vista Suite

• How sweet it is . . .
• Or 50 ways to get your work done

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Rules is Rules

• Turn off cell phone ringers
• No Blackberry use
• No smoking (unless youre on fire)
• Sleeping is OK Snoring is not
• Please hold questions for the end
• Enjoy!

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Prosthetics Vista Suite
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VISTA Sign-On
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Main Menu
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Consults arrive from CPRS
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Follow the Policy Panel to Create P.O
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Keep or change Due Date
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Select the Funding Site
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Select the Purchase Card (Visa)
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Select the Vendor/Supplier
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IFCAP has issued the P.O. Number
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Select the Delivery Location
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Add the Items to the Order
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Almost done . . .
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Bingo !
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Arghhh . . . More Paperwork
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Post a note back to CPRS
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Closing up for home
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Back home
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Notes posted to CPRS
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Patient Record of Transactions
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Viewing the Request
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OWL Orthotic Work order Lab
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Creating an OWL
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That was easy . . .
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Closing up for home
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Home (again)
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Viewing the CPRS notes
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OWL
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OWL
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Time and Material Tracking
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Delayed Order Report
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Delayed Order Report
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How is it calculated?
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Tell me more . . .
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NPPD Detail Display
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The NPPD Detail Display
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View Billing Information
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Billing Insurance Information
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Enhancement of VISN 7 Consult TemplatesPresented
byBirmingham Prosthetics
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Objectives

• Decrease number of incorrect prosthetic consults.
• Improve Patient Care
• Expedite Timeliness of Processing Orders
• Streamline Accountability of Purchasing Agents

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Physicians complained that CPRS Prosthetic Menu
was not user friendly which resulted in incorrect
consult selection.
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With Physician and CPRS support Consults have
been categorized.
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Current Guidelines require that all Prosthetic
Consults receive action within five (5) workdays.
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Before the enhancement, we were only able to sort
in the Type column by eyeglasses, manual,
oxygen,
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Auto adaptive, clone, clothing allowance or
routine.
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• Although you could sort on the description field
  prior to the enhancement, it would pull over free
  text data that was not standardized.

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With enhancement of the VISN 7 Consult Template,
you can now sort on the description field. This
enables us to sort by category of consults based
on our current consult setup, i.e. surgical
implant, low vision, speech, audiology, ect.
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The purchasing agents can quickly scan for high
priority consults such as surgical implants,
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and hospital beds.
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PAs assigned to specific areas that include a
variation of SSs do not have to individually
review all consults to find their specialty
consults. For ex consults generated by BRC.
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Low Vision CCTV, and Low Vision (living/mobility
devices).
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Another added benefit for Prosthetics. When
cloning a consult, it contains a brief
description of the consult in Vista.
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Additional Sort Benefits

• Utilize Vista Suite sort option to monitor
  mandatory contract compliance.
• Create management monitoring tool by using excel
  function of Vista Suite.

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Prosthetic Contract Compliance

• Currently Prosthetics has mandatory contract
  compliance guidelines in place for over sixty
  (60) prosthetic items.
• Compliance for these items is monitored quarterly
  and the results are sent out via scorecard.
• For exampleBlood Pressure Monitors

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Bp Monitor Spreadsheet
This is our Current Bp Monitor Guideline.
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Contract Compliance is Monitored on the following

• Item Description
• Vendor
• HCPCS code (Healthcare Common Procedure Coding
  System)
• Compliant Contract Cost

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Vista Suite can be utilized to monitor contract
compliance for any errors made by the purchasing
agent by using excel function.
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Prosthetic GUI Suite
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Click on the NPPD Detail Display Report Option.
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Select the date range that you are interested in
reviewing.
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To sort by preference, you click on the column
header. In this case we sorted by HCPCS.
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To convert to an Excel Spreadsheet you would
click on the Excel button.
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Converted into Excel Spreadsheet.
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Use your sorting tools to sort by HCPC, Vendor
and Cost to check for Compliant errors.
Above you can see, for demonstration Purposes,
Highlighted in Green the Column headers and
Highlighted in Yellow the non-compliant orders.
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Using the NPPD for a Management Tool.
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Sort by Initiator.
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Total the line items purchased by each PA to get
the data for your analyses.
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Charted data pulled from Spreadsheet.
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Compliance is based on 95 of the total
purchased.Review of non-compliant purchases
revealed typographical errors by the purchasing
agent which were corrected.
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239 Prosthetics Vista Suite can be
Sweet Miquita Hill-McCree, RN, MSNLead Nurse
CAC Birmingham VAMC
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Objectives

• Identify creative tips and tricks utilized with
  consult and order menu management
• Understand how templates can enhance consults
• Recognize techniques developed to improve the
  prosthetics consult order menu

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VISN 7 Consult Initiative

• 33 unique prosthetics consults
• Provide standardization within the VISN
• Cost saving strategy
• Offer efficient way to track equipment

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VISN 7 Consult Initiative

• Pre-requisites for all prosthetics consults
• Default reason for request for all prosthetics
  consults
• CP Copy Prosthetic Services option (not required)

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Identified Problems

• Prosthetics order menu that was not clinician
  friendly
• Decreased efficiency when sorting prosthetics
  consults
• Reduced staff satisfaction
• Poor ability to prioritize prosthetics consults

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Solutions

• Templates added to prosthetics consults
• Consult descriptor added to default reason for
  request
• Consult order menu enhancements
• Categorization of consult

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The purchasing agents can quickly scan for high
priority consults such as surgical implants,
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and hospital beds.
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Low Vision CCTV, and Low Vision (living/mobility
devices)
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Questions?