VistA Imaging
Capture 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
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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
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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 Training
VistA 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 Format
True Color JPG - single page
color documents
TIF G4Fax - single or multipage 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 Check
Click “File”
Select”
1. Patient
2. “Latest Patient Images
Open Image
Last image will appear at top of list
Double-click to open image
Importing Images
1. Change Source to Import
NOTE: 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
Open the Main VI Display window to:
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
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