VistA ImagingCapture and Display

Presenter

Marilyn Freeman, RHIA

California Area Office

VistA Imaging Coordinator| MU Coordinator

HIM Consultant

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.

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

New VI Functionality

–View images within EHR

–Use of CCD to perform Clinical Information Reconciliation (CIR)

Implementing VistA Imaging

• Administrative Preparation

• Team Formation

• Equipment and Supplies

• IT Preparation

• Scanning Supervisors

Administrative Preparation

• Submit required agreements

• Form interdisciplinary VistA Imaging team

• Assign responsibility for Quality Monitoring

Team Formation

• Register for VistA Imaging Listserv

• Examine resources on VistA Imaging website

• Establish regular meeting time

Equipment and Supplies

• Document scanners

• Card scanners

• Cameras

• Self-inking rubber stamps

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

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

VistA Imaging TrainingVistA 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

The Scanning Process

Prepare the Document

• Check for required patient information

• Remove staples and paper clips

• Stamp pages when scanning duplex

Open VistA Imaging Capture

Open RPMS/EHR | Select patient | Open VI Capture Client

Verify Patient Info

Patient, Demo

Select Configuration Button

Select Progress Note

Select/Create Progress Note

Image FormatTrue 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

Add Brief Description

Select Multiple Page Box

Step 7: Re-check your work!

Step 8: Capture button

Step 9 & 10: Twain Window

The Capture Window

Confirm or Cancel

Scanner Quality CheckClick “File”

Select”1.Patient2.“Latest Patient Images

Open Image

Last image will appear at top of listDouble-click to open image

Importing Images

1. Change Source to ImportNOTE: Format field changes automatically

2. Locate desired image

3. Click capture and continue as if scan

Outside Sources

PHI on various media (CDs, disc,)•Accept medium from patient•Import information based on your clinic P&P

NOTE: It is recommended that IT scan all outside electronic data sources before sending to provider

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

VistA Imaging Display

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

Open the Main VI Display window to:

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

Questions & Answers