1. Introductions:
Mindy, Hugh, Steve, Jay, Rodney, Mark

2. Who Is DSS, Inc.? Privately held Founded in 1990
Principle office Juno Beach, FL: satellite offices Atlanta, Minneapolis, & Tampa
128 Employees
Supports VA implementations
6 VA National Contracts
Major provider of external software to the VA
Created vxVistA, based on FOIA VistA, 2005
VA supplier since software application implementations within the Department of Veterans Affairs Medical Centers representing over $50M+.
Over the next five years we will be servicing current contracts worth $60M+ with the VA and estimate another $50M+ on our new VA development efforts.
Recognized by the VA as Class One providers of software. We were the first company that went through the process and is recognized by this distinction

3. 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

4. VISTA SOFTWARE PACKAGES
COMPUTERIZED PATIENT
RECORD SYSTEM
(CPRS)
VOLUNTARY
SERVICE
REHAB
MEDICINE
MEDICAL
ACCOUNTS
RECEIVABLE
RECORDS
TRACKING
Kernel
ADMISSION
DISCHARGE
TRANSFER
LIBRARY
NURSING
RPC
BROKER
PATIENT
FUNDS
MAILMAN
PERSONS
RADIOLOGY
LABORATORY
PATIENTS
IMAGES
BLOOD BANK
TASK
MANAGER
INTEGRATED DATABASE
DEVICE
DENTAL
DRUGS
WARDS
SOCIAL WORK
MANAGER
MENTAL
HEALTH
SURGERY
LAB RESULTS
INVENTORY
BAR CODE
MEDICATION
ADMINISTRATION
MENU
MANAGER
PRESCRIPTIONS
USER
ENGINEERING
SECURITY
ONCOLOGY
MEDICINE VA
FILEMAN
WOMEN’S
HEALTH
DIETETICS
INPATIENT
PHARMACY
SCHEDULING
MEDICAL CARE
COST RECOVERY
INTEGRATED
FUNDS CONTROL
ACCOUNTING &
PROCUREMENT
OUTPATIENT
PHARMACY

5. 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

6. 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

7. vxVistA - A Complete EHR

8. 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

9. vxVistA
Integrated 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

10. DSS Integrates Commercial Software into VistA
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

11. DSS Integrates… 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

12. 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

13. Integrated DSS Products
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

14. 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

15. 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