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Who Is DSS, Inc.?

• Privately held• Founded in 1990• Principle office Juno Beach, FL: satellite offices

Atlanta, Minneapolis, & Tampa • 128 Employees• Supports 1200+ VA implementations• 6 VA National Contracts • Major provider of external software to the VA• Created vxVistA, based on FOIA VistA, 2005

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VistA developed by the VA is…

• Complete Electronic Health Information System• DHCP released I984• VistA released 1996• CPRS released 1999, current version is 27 • Built to improve the quality of healthcare• Design based on clinician requirements• Used by over 180,000 healthcare professionals• Used in 170 medical centers, 135 nursing homes & 850

community based outpatient clinics• Over several hundred million dollars spent annually on

support and development of VistA

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USER

SECURITY

MAILMAN

DEVICE MANAGER

MENU MANAGER

RPCBROKER

PATIENTS

WARDSDRUGS

PERSONS

INVENTORY

PRESCRIPTIONS

IMAGES

LAB RESULTS

VISTA SOFTWARE PACKAGESVISTA SOFTWARE PACKAGES

SCHEDULINGINPATIENTPHARMACY

LABORATORY

SURGERY

MEDICINE

SOCIAL WORKDENTAL

ENGINEERING

INTEGRATED FUNDS CONTROLACCOUNTING &PROCUREMENT

ADMISSIONDISCHARGETRANSFER

DIETETICS

MENTALHEALTH

NURSING

LIBRARY

PATIENTFUNDS

MEDICALRECORDSTRACKING

ACCOUNTSRECEIVABLE

VOLUNTARYSERVICE

REHABMEDICINE

RADIOLOGY

ONCOLOGY

COMPUTERIZED PATIENT RECORD SYSTEM

(CPRS)

INTEGRATED INTEGRATED DATABASEDATABASE

TASKMANAGER

VA FILEMAN

OUTPATIENTPHARMACY

BAR CODEMEDICATIONADMINISTRATION

WOMEN’SHEALTH

BLOOD BANK

MEDICAL CARECOST RECOVERY

KernelKernel

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VistA

• Makes medical records of VA patients instantly available across the country to healthcare professionals treating the patient at any VA facility

• While much of the DoD’s health records are currently available within VistA, the VA and DoD are working to achieve complete interoperability

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DSS vxVistA• Based on FOIA released VistA• Maintains the integrity of FOIA

Enhancement and Patch Process• Develop enhancement products to

promote best practices, performance measures, and workflow efficiencies providing a great return on investment

• Certification Commission for Healthcare Information Technology (CCHIT) 2006 Certified

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vxVistA - A Complete EHR

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Open Choice vxVistA

• Allows users to implement the software themselves, hire a third party to do so, or have DSS implement, customize, and support

• Remains as close as possible to the FOIA VistA

• Allows additional functionality provided by DSS and vendor partners software

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vxVistAIntegrated Medical Decision Support, Computer Order

Entry, and Electronic Health Record

ADT Pharmacy

Allergies Problems

Consults Progress Notes

Interfaced Products Radiology

Integrated Products Reminders

Labs Scheduling

Notifications Surgery Anesthesia

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• CAS – Automated patient vitals

• Complete Medical Solutions – Fee basis claim system

• Dräger Medical - Innovian with DSS SAVLink™ An electronic anesthesia documentation system

• DSHI Systems, Inc. - VHG with DSS TRM™ Access treatment protocols for triage algorithms and case disposition

• Eclipsys - Anesthesiology and ICU

• GE Medical – Anesthesiology and ICU

DSS Integrates Commercial Software into VistA

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• Philips Electronics -Anesthesiology and ICU

• Picis - Anesthesiology and ICU

• PocketMD - The power of CPRS in the palm of your hand

• ProVation Medical - Procedural notes for Imaging Procedures.

Modules for GI and GI Nursing

• QuadraMed – Encoder Product Suite, VIP Compliance Suite, Chart Complete: integrated software solutions improving compliance, coding, workflow efficiencies and revenue enhancement

DSS Integrates…

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DSS Integrates. . .• Theradoc Inc. – Medical Decision Support, infectious disease, & bio-

surveillance

• VistA Chemotherapy Manager – Based on Intellidose® Oncology decision support tool. Contains a broad array of safety features to ensure the accuracy of the dose and the treatment decision for the life time of the patient

• Welch Allyn – Automated Patient Vitals

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• Clinical Note Templates (CNT) 290 templates which include programs for Real Time Vitals, Patient Input Touch Screen, Bar Code Labels, and patient documentation

• Dental Record Manager Plus (DRM Plus) a GUI front end for total documentation of dental treatment and plans, including dental billing codes

• DocManager document imaging & insurance card system, providing scanning and data retrieval at the patient’s chart level

• Encoder Product Suite Inpatient & Outpatient coding compliance and claim scrubbing modules

Integrated DSS Products

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Integrated DSS Products

• Mental Health Suite (MHS) providing Mental Health Treatment Planner and Reporter

• Provider Assistive Templates (PAT) E & M Coding Templates that allow ancillary staff to collaborate with physicians and other providers in completing a patient’s history and physical

• Release of Information (ROI) maintaining HIPAA compliance while facilitating the release of patient information

• TeleCare Record Manager (TRM) Triage patients’ phone calls, provide decision protocols and track actions taken

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DSS & Open Source

• Non-Viral License

• DSS support for Open vxVistA

• Community support for vxVistA

• Enhancements to vxVistA in areas not scheduled for VA development near-term