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HRSA Health IT and Quality Webinar February 10, 2011 By Matthew M King, MD. Tips on Open Source EHR Systems within the Safety Net Community: A WorldVistA EHR Update. Open Source WorldVistA EHR Implementation. Advantages Challenges Safety Net Update Edgeware PMS and Billing
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HRSA Health IT and Quality Webinar February 10, 2011 By Matthew M King, MD Tips on Open Source EHR Systems within the Safety Net Community:A WorldVistA EHR Update
Open Source WorldVistA EHR Implementation • Advantages • Challenges • Safety Net Update • Edgeware PMS and Billing • Chronic Disease Management • Meaningful Use in WV EHR • UDS reporting from WV EHR • CPRS Client Advances
Open Source Implementation: Advantages • Evidenced based, high quality system • Flexibility in Scale and Deployment Missions • Highly configurable by user • Cost • Familiar to many new graduates • No “Vendor lock”
Challenges of WV Implementation • Available free versions are not configured • Billions were spent on functionality; zero was spent on “eye candy” • Not well advertised or packaged • Only a few vendors available right now • All EHR implementations are difficult, so is WV. Some of those routine problems may be “blamed” on open source
What's new in WorldVistA for the Safety Net? • Edgeware PMS and Billing is available • Registration • Appointments • Patient in office tracking monitor • Sliding fee management, insurance, copays • Manual and electronic billing • GUI based MySql/Java • TMG-CPRS is available
Combine multiple search terms– one on each lineValue field will change to match field value: Date picker, record picker, set picker, or free textRange searches are allowed Powerful Patient Search
User input can be modified by mathematical formulas as part of parameter passing. Example: Enter value: {FLD:WEIGHT-LB}Here is the Amoxil Dose: {OBJ:TMG DOSE KG{FN:[FLD:1:WEIGHT-LB]/2.2}} Let’s say, for example, the user entered 30(lbs) [FLD:1:WEIGHT-LB]USER INPUT (“30”) {FN:30/2.2} 13.636 (kg) {OBJ:TMG DOSE KG {13.636} passed to server Server code can return dose based on patient’s kg wt, e.g. “545 mg” {OBJ:... With Math from User Input
Chronic Disease Management in WorldVista • VistA is a particularly good EHR for CDM • Chronic Disease Reminders • Chronic Disease Templates • Chronic Disease Order Sets • Chronic Disease Reports
Meaningful Use and WorldVistA • Expect Certification in May or June • WV is already certified by CMS for use in the PQRI data reporting program • The tools for CDM are easily adapted for meaningful use • Hypertension Example
WorldVistA and UDS Reporting • Tables Zip through 7 with a single click • Export to Excel • Requires operational changes to ensure all information is in the EHR
Thank you. Questions will be answered after last speaker is finished.