VistA%20Imaging%20Capture%20and%20Display

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VistA ImagingCapture and Display
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Presenter

• Marilyn Freeman, RHIA
• California Area Office
• VistA Imaging Coordinator MU Coordinator
• HIM Consultant

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What is VistA Imaging?

• VistA Imaging provides the multi-media component
  for the RPMS EHR.
• The VistA Imaging system integrates images and
  scanned documents into the patient's electronic
  medical record.

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More Information

• VistA Imaging is an FDA approved medical device
  and cannot be modified.
• VistA Imaging includes primary and long-term
  storage housed at either the site or the area

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New VI Functionality

• View images within EHR
• Use of CCD to perform Clinical Information
  Reconciliation (CIR)

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Implementing VistA Imaging

• Administrative Preparation
• Team Formation
• Equipment and Supplies
• IT Preparation
• Scanning Supervisors

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Administrative Preparation

• Submit required agreements
• Form interdisciplinary VistA Imaging team
• Assign responsibility for Quality Monitoring

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Team Formation

• Register for VistA Imaging Listserv
• Examine resources on VistA Imaging website
• Establish regular meeting time

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Equipment and Supplies

• Document scanners
• Card scanners
• Cameras
• Self-inking rubber stamps

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IT/CAC Preparation

• Servers and long-term storage
• Install VI software
• Edit EHR template
• Create VI clinic, document class, and needed note
  titles
• Copy mag.ini to scanning workstations
• Install scanners and drivers

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Scanning Supervisors

• Generally HIM and Patient Registration
• Compile document list
• Prepare policies and procedures
• Perform workstation configuration
• Create configuration buttons
• Schedule training and prepare practice documents
• Plan for ongoing daily quality monitoring

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VistA Imaging Training

• VistA Imaging Capture
• This training is provided to scanning staff and
  supervisors just prior to go-live
• VistA Imaging Display
• This training is provided for EHR/VistA Imaging
  users who will need to view scanned/imported
  images

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The Scanning Process
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Prepare the Document

• Check for required patient information
• Remove staples and paper clips
• Stamp pages when scanning duplex

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Open VistA Imaging Capture

• Open RPMS/EHR Select patient Open VI Capture
  Client

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Verify Patient Info
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Select Configuration Button
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Select Progress Note
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Select/Create Progress Note
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Image Format

• True Color JPG - single page color documents
• TIF G4Fax - single or multi-page black and
  white
• 256 Color - multipage color documents

Use True Color JPG for color photos
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Add Brief Description
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Select Multiple Page Box
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Step 7 Re-check your work!
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Step 8 Capture button
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Step 9 10 Twain Window
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The Capture Window
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Confirm or Cancel
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Scanner Quality Check

• Click File
• Select
• Patient
• Latest Patient Images

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Open Image
Last image will appear at top of
list Double-click to open image
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Importing Images

• Change Source to Import
• NOTE Format field changes automatically
• Locate desired image
• Click capture and continue as if scan

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Outside Sources

• PHI on various media (CDs, disc,)
• Accept medium from patient
• Import information based on your clinic PP
• NOTE It is recommended that IT scan all outside
  electronic data sources before sending to
  provider

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Quality Monitoring

• Develop methods for monitoring and tracking
  results
• Perform quality reviews routinely on daily basis
• 100 review until scanner reaches minimum (95)
  quality level
• Routine monitoring of representative sample for
  each scanner ongoing

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VistA Imaging Display
Open the Main VI Display window to

1. View images
2. Open Image list and/or abstract windows
3. Set user view preferences

NOTE Picture is from a training database and
DOES NOT contain patient data
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Preparing for EHR 2014

• Implement VistA Imaging
• Insure all VistA Imaging patches are current
  through Patch 140
• EHR installation will STOP if these steps have
  not been completed

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Questions Answers