OpenVista Health Information Management System
The OpenVista Health Information Management System enables healthcare facilities to create a paperless environment and gain operational efficiency through the use of an electric health record (EHR). OpenVista HIMS is fully integrated with all OpenVista applications, giving health information management (HIM) professionals and clinicians real-time access to the complete, integrated EHR, minimizing administrative workload and streamlining care delivery.
Critical user identification and medical record management integrates care delivery, including document and record management, electronic signature and transcription. Admission, Discharge and Transfer (ADT), Patient Registration and Master Patient Index (MPI) run as background processes, enabling OpenVista HIMS to collect relevant data from third-party applications, and keeping OpenVista records accurate and up-to-date in real time.
OpenVista HIMS includes the following modules:
Fig. 1. The OpenVista Notes tab in CareVue, which enables clinicians to sign and attach notes to patient records
- Document Management
- Record Management
- Electronic Signature
- Transcribed Documents
OpenVista HIMS Benefits
- Enhanced Clinical Performance. OpenVista HIMS enables clinicians to rapidly and easily access and exchange information, facilitating more efficient communications and streamlining workflow.
- Increased Accuracy. A single enterprise patient identifier (EPI) eliminates problems with duplicate names, symptoms and illnesses. And the Duplicate Record Merge module reconciles demographic data.
- Greater Efficiency. Automated tasks, reports and tracking functions enhance the ability to search for and manually compile information.
- Improved Security. User access controls and audit trails permit staff to delimit users and track usage over any given period.
- Reduced Costs. OpenVista HIMS virtually eliminates the need for medical record file rooms and storage facilities, and helps HIM departments quickly identify incomplete records and pinpoint deficiencies to facilitate timely reimbursement.
OpenVista HIMS Features
The Document Management module administers the use of deficiency tracking, scanning paper documents into OpenVista CareVue, business rules, and security keys.
- Incomplete Record/Deficiency Tracking
- Monitors deficient and delinquent medical records
- Tracks discharge summaries as standard deficiencies
- Distributes list of standard deficiencies with the software for record tracking
- Allows users to add new deficiencies for incomplete record tracking
- Uses electronic signature to identify incomplete versus complete records
- Enables users to associate scanned and electronically generated documents with online patient records and display them on clinical workstations
- Makes all patient information quickly available and easily retrievable from a single source, minimizing filing, eliminating paper files, and speeding-up retrieval time for clinicians
- Business Rules
- Authorizes specific users or groups of users to perform specified actions on documents
- Security Key Management
- Sets a layer of protection on the range of computing capabilities available with a particular software package. The availability of options is based on the level of system access granted to each user.
The Record Management Module includes duplicate record merge, patient record flags, and a security officer function to assign a security level for sensitive patients to maintain and control medical records. Through access to the PIMS applications, actions related to the MPI may be performed, such as merging patient records and visits.
- Duplicate Record Merge
- Assists users in identifying and merging duplicate patient records at a local facility and in an enterprise health system
- Creates an alias of duplicate records that have been merged
- Links the duplicate records under a single Enterprise Patient Identifier (EPI Number)
- Patient Record Flags
- Alerts users of patients whose behavior or characteristics may pose a threat either to their safety, the safety of other patients, or compromise the delivery of quality healthcare
- Security Officer
- Allows a user to assign security levels to patient records
- Enables user to identify and view user access to a patient’s record if the record is marked as “sensitive”
The Electronic Signature module enables users to create an electronic code that can be designated as a legally binding signature for clinical data management in OpenVista.
- Uses a sign-on coupled with security management features to control user access according to predetermined criteria
- Aids in the deficiency tracking process
OpenVista accommodates transcription functionality by interfacing with transcription applications and permitting clinicians to document directly in OpenVista CareVue.