vxVistA V0.9 Mark Byers, President DSS, Inc., The VistA Experts April 20, 2006
Overview of Organization
Software Development and System Integration company since 1990. Corporate offices in Juno Beach, Florida. Satellite development offices in Atlanta, Georgia and Tampa, Florida. Over 100 full-time, part-time, and contracted employees.
Original focus was on document imaging. Entered commercial health care market in 1993 and VA market in 1994.
Awarded 5 national VA contracts and co-awarded a sixth
More VistA integrated applications than any other vendor. Was the test vendor for the Bay Pines OI class 1 system test facility in 2000.
Over a dozen VistA integrated DSS applications. Over a dozen 3 rd party vendors’ applications integrated to VistA.
Overview of Organization, continued
Began exploring the commercialization of VistA in 2002
Began development of vxVistA in 2004
Certified beta test vendor for VOE in 2005
Established subsidiary company in Mexico in 2006
vxVistA will be released in 2006
vxVistA is being developed as a full-featured HIS, which will be sold domestically and internationally.
The current development focus is on commercializing the EHR portions of VistA.
vxVistA will stay aligned with FOIA VistA as long as possible. DSS has selected Hui OpenVista as vxVistA open source core. DSS will support keeping Hui OpenVista current with FOIA VistA.
DSS believes vxVistA will be implemented in a variety of clinical practice settings. These include small group and large group practices, both private and government owned.
vxVistA will be used in institutional settings, such as medical schools, prisons, mental health facilities.
vxVistA will also be used in hospitals, both rural and urban.
Overview of EHR Today
vxVistA is a commercialized version of FOIA VistA. All enhancements are compatible with FOIA VistA.
Patient and User Registration System (PURS) GUI
SSN or multiple medical record numbers
Pharmacy script creation
Provider Assistive Templates (PAT)
Templates and reminders for gynecology
Adverse Reaction Tracking
Modules in Current Use
Patient Care Encounter (PCE)
Patient Treatment File (PTF)
Text Integration Utility (TIU)
Modules in Current Use (continued)
Overview of EHR in Future
Continued modernization of VistA application modules
VHA modernization of VistA has become stalled. DSS will use VA enhancements whenever possible.
DSS will not continue to wait for upgrades to major modules to occur
DSS will continue supporting current VistA architecture. M database using Delphi GUI via RPC Broker.
Will use SQL where needed
Will use HL7 where needed
GUI’s for major modules
Will develop web applications where needed
DSS will work with Pacific Hui in order to contribute some code into Hui OpenVista in the hope it will become part of the VistA code base
Overview of EHR in Future, continued
Will develop new vxVistA integrated applications
Will commercialize DSS’ VA integration with commercial products
vxICB (insurance capture buffer)
vxRTV (Real-time Vitals)
Expansion of number and type of integrated commercial products
vxVistA will become certified by CCHIT or other EHR standardization committees
Integrated Billing and Accounts Receivable
VistA Imaging and PACS
Enhancement of Modules for Future Use
Current vxVistA test sites are confidential
VOE is implemented in a gynecology clinic in Washington, D.C.
Keeping code base current with FOIA or with Hui OpenVista
Establishing support necessary to maintain FOIA code base and our internally developed software
VistA needs to be upgraded
Prioritizing the necessary enhancements will be based upon immediate need
Rapidly changing U.S. health care market
Major Issues or Challenges
High cost of providing support
Major Issues or Challenges, continued
VSA members should support a common open source commercialized version of VistA
DSS supports Hui OpenVista
Hui OpenVista will become a repository of enhancements to a common open source code base
Hui OpenVista is protected with a Berkeley open source license which protects add-ons
If Hui becomes ineffective, the Berkeley license will allow others to find a new neutral controlling entity for commercialized open source VistA
VSA members should continue to support the VSA
VSA is a valuable marketing tool
VSA has the ability to become a public voice for its members
I want to thank Claudine Beron and her support staff, and the VSA Board for their dedication and sacrifice