DSS, Inc. provides vxVista, an enterprise-level electronic health record system, leveraging the VA's VISTA system to enhance functionality for the private sector. The software is open-source, with numerous modules for clinical and administrative tasks, aiming to increase sustainability, reduce costs, and improve patient care through collaboration. vxVista enables interoperability and innovation while offering scalable solutions tailored to healthcare providers' needs.

1. www.vxvista.org
Deanne Clark
vxVistA Product Manager
dclark@dssinc.com
Hugh Creedon, PH.D
vxVistA Operations Manager
hcreedon@dssinc.com

2. www.vxvista.org
• Privately held company founded in 1990
• Primary provider of external clinical software to the VA
• Six VA National Software Contracts
• Support over 1200 VA implementations
• Developing vxVistA for over 4 years
• Over 200+ Highly Skilled Staff with combined VistA experience
of hundreds of years
• Methodical growth and implementation of vxVistA commercially
• Partnership with Open Health Tools for OS governance
• vxVistA as FOSS and COSS software for truly scalable and
sustainable EHR
Who is DSS, Inc?

3. www.vxvista.org
•A scalable Enterprise Level Electronic Health Record System
based on the VA’s FOIA VistA EHR System but enhanced to
deliver the highest quality, field proven, and most utilized electronic
health system to the private sector.
•DSS vxVistA differs from FOIA VistA or any other commercially
available VistA system. DSS is the only company that offers a
private sector VistA system but who also works in partnership with
the Veteran’s Administration to develop and support modules within
VA/FOIA VistA.
•As a result, solid features and enhancements are created that will
work within the current and future VA/FOIA VistA architecture.
Our focus is on augmenting the VA/FOIA VistA system in ways that
bring function and value to our users in the private sector while still
leveraging the millions of dollars the government spends on
enhancing the VA/FOIA VistA system each year.
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What is vxVistA?

4. www.vxvista.org
• Better Sustainability—over 160 packages to maintain, enhance,
and support across the administrative and clinical spectrum
• More attractive to larger state or private/commercial entities as
Open Source—reduces risk and provides transparency and
community innovation
• Reduced cost of ownership, regardless of size
• In keeping with the true “spirit” of VistA with contributions from
many disciplines welcome to continue to improve patient care
thru decision support
• FOSS and COSS models thru the Community, DSS, and
Resellers
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Why vxVistA OS?

5. www.vxvista.org
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• Eclipse Public License is a “friendlier” license than “viral”
license models and fosters support for OS development and
integration of traditional commercial software systems
• vxVistA like all VistA systems is both the source code and the
database, and this creates constraints for interoperability and
integration of systems that the EPL offers protection for to
ensure continued innovation
• Code changes/modules can be contributed to the OS Stack
or marketed as traditionally licensed software to give hospital
CIOs and doctor practices freedom of choice for add-ons,
interfaces, and leading decision support tools that may or
may not be Open Source
Why the EPL License?

6. www.vxvista.org
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Key Componens and Key Enhancements
Key Components of DSS vxVistA
• vxVistA-OS(M)
• vxCPRS
• vxBCMA
• vxVitals Lite
• vxGroupNotes
Key Enhancements
• Multiple Medical Record Numbers( MRN)
• Documentation for Pediatric Patients
• Age will display on the coversheet in Days (d), Weeks (w), and Months (m) up to the age of 2 years.
• Lengths/heights may be entered for any cm value greater than 0.
• Weights may be entered and displayed in lbs/oz for pediatric patients up to 2 years in age.
• Out Patient Prescriptions— auto print; non-formulary selection
• Support of NewCrop Multi-Formulary drug look-up.
• Print out of the patients weight if they are under 21, under 2 in lbs/oz
• Print out the text equivalent of the numeric quantity for all prescriptions.
• Problems categorized as one of four categories: Medical/Surgical, Family, Social, and Unassigned.
•Have modified Group Notes to function correctly within vxCPRS to facilitate documenting on groups of patients
•On the Fly’ informational alerts

7. www.vxvista.org
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•Clinical Decision Support and
Enhanced Documentation Tools
•Coding, Compliance, and Billing
Modules
•Administrative/Medical Records
Modules
DSS Proprietary Modules for the following areas

8. www.vxvista.org
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•Automated Nursing Vitals Sign Entry (vxRTV) with select vitals monitors
•Interactive Clinical Note Template Tools (CNTs) to make documentation
accurate, standardized, readable, and efficient
•Evaluation and Management Automated Code Calculating Template
Tools (vxPAT)
•Mental Health Treatment Planning (vxMHS)
•Dental Treatment Planning (vxDRM+)
•Chemotherapy Treatment Planning (vxVCM)
•Infectious Disease Control and Monitoring Software (vxVistA Integrated
TheraDoc)
•Radiology Procedure Validation (vxRadWise)
•Anesthesiology Systems (vxSavLink)
Clinical Decision Support and Enhanced Documentation Tools

9. www.vxvista.org
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•Medical Coding, Compliance, and Reporting
(vxProCode and vxProCode Reporter) tools for
professional fee coding that can be interfaced with a
customer’s current Billing Package or that works
seamlessly with the DSS PAMS Billing and
Accounts Receivable system.
•Billing and Accounts Receivable system for
professional and facility fee reimbursement
(vxPAMS)
Coding, Compliance and Billing Modules

10. www.vxvista.org
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•Scanning and Indexing system for filing
documents, signed consents and clinical reports
from outside entities into the electronic chart
(vxDocManager)
•DSS has created an easy to use Release of
Information tool (vxROI) that makes collating,
printing, and tracking copies of the electronic
record fast and efficient for the patient and your
medical records staff. The system allows data
capture and reporting of medical record requests
for patient/family requests, payor requests, and
attorney requests simple and prompts for
appropriate consents. The system can be set to
allow fees to be collected for documentation.
Administrative/Medical Record Modules

11. www.vxvista.org
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VistA Community Involvement & Collaboration
• Collaboration with vxVistA
– Interoperability Tools?
– New GUI applications?
• Add key enhancements
• Comprehensive Patch Stream
• Debugging
• Propose new vxProjects
• Create more vxCertified Modules

12. www.vxvista.org
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The vxVistA Enhancement Process

13. www.vxvista.org
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Synergism
Synergism,
two or more agents working together
to produce a result not obtainable by
any of the agents independently.
Developers
Users
Patients
Software
Community
Companies
MSC
WV
DSS
OHT
HH Others
Individuals
As individuals
- Poor impact
- Low influence
- Lack of synergism
MSC
WV DSS
OHT
HH
Others
Individuals
Synergism
As a Community
- More impact
- More influence
- Strong Synergetic effect

14. www.vxvista.org
People
Healthcare
Area of
Interest
Legislation
Press
Room
Media
Library
Learning
Campus
Community
Developers
vxVistA
vxVistA.org
Phase I
• Collaboration Environment
• Resource Pool
• GUI Mockups
• Workflow Diagrams
• Issues and Bug Tracking
• Agile Project Management
vxVistA.org collaboration structure
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15. www.vxvista.org
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• One vxVistA system does not mean one size fits all—it
means that one EHR can meet and exceed the goals of
creating complete electronic records, providing needed
clinical decision support, offering patients health promotion,
delivering accountability, facilitating research, and reporting
while still allowing clinicians and staff to effectively treat and
care for patients.
• Become a part of the vxVistA-OS Community and help
create a system that works today and grows in the ever
evolving field of Healthcare Informatics and Clinical Decision
Support systems!
vxVistA—OS—Unlimited Potential

16. www.vxvista.org
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• vxVistA Community site: www.vxVistA.org
• DSS web link: www.dssinc.com
• OHT web link: www.openhealthtools.org
• Eclipse License web link: www.eclipse.org
Helpful Links: