GTI Infotel customizes the open source VistA EHR for the healthcare industry. They configured and implemented the nursing module at AIIMS's Jai Prakash Narayan Apex Trauma Centre in New Delhi. This included customizing templates to reflect nursing workflows, configuring administration menus, and ensuring smooth functioning of all submodules. The nursing module in VistA allows electronic documentation of patient care across multiple components like administration, education, schedules, clinical notes, and quality assurance.

2. GTI Infotel is an ISO 9001:2008
organisation providing the healthcare
industry an open source EHR.
GTI Customizes, Installs & Support the
Electronic Health Record (EHR) System
GTI VistA

3. Configuration, customization and
implementation of nursing module in
VistA hospital information system at
Jai Prakash Narayan Apex Trauma
Centre, AIIMS, New Delhi.

4. Key Learning

5. Review of literature
• http://www.va.gov/vdl/application
• Nursing User Manual of VistA
• Technical Manual and Package Security
Guide1997.
• VistA CPRS Guide GUI version-2011
• www.va.gov/cprsdemo ,
http://www.putty.org/
• VistA-HealtheVet Monograph 2008 - 2009

7. • Smooth functioning of all sub modules in
VistA nursing modules at JPNATC
• Customization of CPRS template that
reflect the actual nursing work flow.
• Cofiguration of Nursing administration
menu( through PuTTy) in VistA nursing
modules.

8. Nursing module in VistA can deliver

9. The Nursing module is comprised of
multiple components - i.e., Nursing
Administration, Education & Training,
Nursing Schedules, Clinical Care, and
Quality Assurance.

10. Objectives
• Perform functional assessment in the
nursing administration department ,
emergency department and critical care to
assess need analysis
• Collect the current paper documents
convert them and create the templates in
CPRS test server to be used as electronic
patient records

11. Gap Analysis
Future State
Full utilisation of VistA nursing modules for electronically
(paperless) record all patient nursing care in ED and ICU.
Current Situation
Paper based patient nursing care record and report,
illegible,not timely,time consuming,not centrally
accessed.only one person can access record at a time

12. Indicators Current Situation Future State
Quantitative 5 to 10 % nursing
documentation
being done in
JPNATC ED and
ICU.
95 to 100 %
nursing record and
report will be
entered
electronically in
VistA EHR
Qualitative Compliance rate is
poor , no
methodical data
entry by nurses or
nurse
administration
All relevant data
entry into
templates fields.

15. Emergency Department clinical
workflow
Patient in
ED
Request form
slip for
TC no.
TC no. generated Barcode stickers
Use for ID in all
documents
Vitals and nurse notes
Medication/radi
ology orders

27. Medsphere CPRS templates
( downloadable ready to use )

28. PUTTY screen shots for nursing administration
menus:
GTM database accessed through PuttY :

31. VistA-Nursing module
• Administration, Education, Clinical, Quality Assurance,
and Package management
• Administration:
Tracks staff information.
Generates management reports on employees.
Accumulates daily statistics on the number of patients treated.
Generates daily, monthly, quarterly, and yearly AMIS Reports.
Provides workload statistics based on AMIS data.
Provides miscellaneous patient acuity reports.

32. • Tracks staff information including:
personal/demographic data, previous
professional
• experience, work assignments, grade,
licensure, professional education, end of
probationary period
• license renewals, certification, vacancies,
reason for vacancy

33. Terminal in the ICU-JPNATC