Sabrina L' Schrader, DO

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259H VistAWeb for Providers How to Review Remote
Data

• Sabrina L. Schrader, DO
• Oklahoma City VAMC
• Rebecca Schmit VHIT EPS Clinical 2 Team

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VistAWeb Overview

• Intranet web application used to view remote
  patient information found in VistA, Department of
  Defense (DoD) and the Health Data Repository
  (HDR) databases.
• Alternative to CPRS Remote Data View (RDV)
• Queries the Health Data Repository (HDR)
• access to patient clinical data residing in the
  HDR-Interim Messaging Solution (IMS) and
  HDR-Historical
• Allergies, Vitals, Outpatient Pharmacy
• VistaWeb servers and software are maintained in
  Silver Spring, MD.

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History

• Initially developed as class III (home grown)
  software in Ann Arbor (VISN 11)
• Converted to nationally supported class I
  software and released in Spring of 2005

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Sneak PreviewFuture Release (Version 7.0)

• Expected release in Late August 2007
• Detailed Display Enhancements
• Many of the reports have been updated to include
  the same order/result details as in CPRS.
• Consults/Procedures Display added ?
• Ad Hoc Health Summary
• Improved Navigation for Vital Signs
• allows you easily to switch between grid and
  graph views
• Veterans Tracking Application (VTA) link
• permits real time access to medical records on
  wounded soldiers evacuated from Afghanistan and
  Iraq
• Anatomic Pathology Reports added
• Column sorting enhancements

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Future enhancements(continued)

• Added more DoD reports
• Admission/Discharge
• Consults (DoD)
• Discharge Summaries
• Outpatient Encounters
• Progress Notes
• All DoD data elements have an asterisk next to
  them.

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Ways to Access VistAWeb

• Remote Data Buttonin CPRS
• CPRS Tools Menu
• Standalone webpage (URL)
• example next slide

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VistaWeb Access via website
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Security

• VistAWeb will timeout after 15 minutes of no
  activity
• The sensitive patient warning is shown if the
  patient is marked at ANY site
• notification goes to the ISO at all sitesmarked
  with the sensitive flag

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Need Help?
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Definitions 101

• CCOW
• Clinical Context Object Workgroup
• Allow clinical applications to share information
  at the point of care
• User Context
• User Single Sign on between applications
• Patient Context
• CCOW aware applicationsselect the same patient
  when launched (CPRS, VistaWeb, Vista Imaging,
  IMed, etc.)

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Hands On Exercises

• Find all Hepatitis serologies A,B,C and RPR
  paste these and only these tests into your note
  in one table from Excel
• Find Progress Note
• Find the status of a reminder
• Review all chest x-rays for this patient, and
  make a plan for follow up.

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Hands On Time!

• To Sign on
• Click CPRS Icon
• Access Code VEHU
• Verify Code VEHU
• TWENTY,PATIENT

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QUESTIONS?
If time Next few slides will show some
troubleshooting tips VistaWeb
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Troubleshooting 101

• Problem 1CCOW and the little blue person
• Problem 2Master Patient Index
• which facilities the patient has been seen at.

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CCOW Problems

• Cause Starting CPRS too quickly after logging
  onto the Computer
• Solution Exit CPRS and start it again.BLUE
  PERSON..

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CCOW Problems continued
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CCOW Problems continued

• Cause having multiple sessions of CPRS open
  and one session is not in patient context
• Solution in CPRS click file/rejoin patient link

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CCOW Troubleshooting Summary

• Life is good
• Applications are NOT Linked
• were multiple CPRS sessions opened?
• Click File gt Rejoin Patient Link
• Set new/use existing context
• Yikes! No CCOW
• Started CPRS before CCOW started
• Solution1 close/restart CPRS
• Solution2 Call IRM
• is ccow disabled?

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Problem 2 Master Patient Index
ExamplePatient reports being seen at Dallas
VAMC
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What can you do for MPI issues?

• If you need the data ASAP Contact your local
  Clinical Applications Coordinator (CAC)
• mention your patient may have a duplicate ICN in
  MPI. ?
• CAC should contact local MPI person to correct
  the problem
• Who is your medical centers MPI Person?
• http//vista.med.va.gov/mpi_dqmt/cirn_points_of_co
  ntact.htm
• At your site this could be a
• Program Applications Specialist
• Enrollment or Registration staff
• Computer department (IRM) staff

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