252h- vista imaging calling all cacs

1. 252H- VistA Imaging – Calling All CACs Jeannie Jernigan Imaging PACS Coordinator Fayetteville, NC VAMC Michele Krajewski Chief Vista Operations Philadelphia VAMC

3. Format for the Session You will troubleshoot 7 scenarios You will have 2-3 hints per scenario The new hint will be displayed every 3 minutes The solution will be shown following the hints There may be several alternate methods of repairing the problem

4. How to proceed You will log into the accounts using the log-in information at your workstation The tools for repairing the problem are available for your user account If you have problems, raise your hand and a room assistant will help you.

5. Case #1 A scanner/indexer calls and states he/she is getting a server error whenever the VistA Imaging Capture Client is launched from her shortcut. She can only view images with the Display Client through CPRS not from the shortcut on the desktop.

6. Case #1 Scenario A scanner/indexer calls and states he/she is getting a server error whenever the VistA Imaging Capture Client is launched from her shortcut. They can only view images with the Display Client through CPRS and not from the shortcut on the desktop. Hint #1 Check the CPRS Tools Menu settings

7. Case #1 Scenario A scanner/indexer calls and states he/she is getting a server error whenever the VistA Imaging Capture Client is launched from the shortcut. They can only get into to view images with the Display Client through CPRS not from the shortcut on the desktop. Hint #2 Check the information on the screen when launching the Capture Client

8. Case #1 Scenario A scanner/indexer calls and states he/she is getting a server error whenever the VistA Imaging Capture Client is launched from the shortcut. They can only view images with the Display Client through CPRS and not from the shortcut on the desktop. Hint #3 Check the workstation configuration login settings on the Display Client that opens from CPRS

9. Case #1 Solution In the Workstation settings of the Imaging Workstation Configuration for the login options check to see what the Local Vista and/or Local Vista port information is set to. Change the brokerserver/port information to your vista server information. Users must have the MAG SYSTEM key to access the System Manager options within the Display/Capture Client If unable to access through Imaging can edit the Local Vista and Local Vista port fields in the Mag308.ini file directly

10. Case #1

11. Case #1

12. Case #2 You have set up a new Consult to interface with Imaging for the Tele-Retinal Program. The staff tries to pull up the work list in but the patient’s name never appears for the order.

13. Case #2 Scenario You have set up a new Consult to interface with Imaging for the Tele-Retinal Program. The staff tries to pull up the work list but the patient’s name never appears for the order. Hint #1 “Did someone set a meeting for consults and forget to invite imaging?”

14. Case #2 Scenario You have set up a new Consult to interface with Imaging for the Tele-Retinal Program. The staff tries to pull up the work list but the patient’s name never appears for the order. Hint #2 DICOM files are sometimes so managable (or is that ‘managerable’?).

15. Case #2 Solution Check the DICOM Healthcare Providers Service file (File 2006.5831) to see if the consult service is in the file. This file is a pointer to the Request Services file (File 123.5) Need to make sure the Requested Service matches the consult Need to have the Service Group match a specialty for the service – this puts like consults on the same work list for one instrument Need to have the Service Division set to the division where the consult is being performed.

16. Case #2 OUTPUT FROM WHAT FILE: DICOM HEALTHCARE PROVIDER SERVICE// Select DICOM HEALTHCARE PROVIDER SERVICE REQUESTED SERVICE: DIABETIC TELERETINAL STANDARD CAPTIONED OUTPUT? Yes// (Yes) Include COMPUTED fields: (N/Y/R/B): NO// - No record number (IEN), no Computed Fields REQUESTED SERVICE: DIABETIC TELERETINAL IMAGING SERVICE GROUP: OPTOMETRY SERVICE DIVISION: Your Division CLINIC: Your Clinic

17. Case #3 Scenario A document scanner calls and says “I don’t like the Radiology window opening whenever I log in. Make it go away.”

18. Case #3 Scenario A document scanner calls and says “I don’t like the Radiology window opening whenever I log in. Make it go away.” Hint #1 Windows are everywhere

19. Case #3 Scenario A document scanner calls and says “I don’t like the Radiology window opening whenever I log in. Make it go away.” Hint #2 Do you have a preference?

20. Case #3 Solution Users can set up their preferences for the windows Users can open any window when needed if not set to open automatically in their preferences User can also set the remote image viewing from the same preference settings window

21. Solution Users can access the View Preferences settings either from the icon on the toolbar or from the Options drop down menu.

22. Case #3 Solution Uncheck the windows on the View Preferences window.

24. Case #4 ScenarioUser unable to administratively scan and sign documents in VistA Imaging Hint #1 Capture what???

25. Case #4 ScenarioUser unable to administratively scan and sign documents in VistA Imaging Hint #2 eFiling makes life easier

26. Case #4 Solution Check for the MagCap keys needed for the appropriate types of documents – need MagCap Admin to scan administrative documents Check for MAG NOTE EFILE key – needed to file notes without entering your electronic signature

27. SOLUTION

28. Case #4 Capture-related Security Keys MAG CAPTURE - Allow capture of images without an associated specialty (i.e. 'NONE' on the Imaging Capture configuration window). MAG NOTE EFILE User can electronically file notes without an electronic signature from the Imaging Capture workstation. MAGCAP ADMIN - Allow capture of images associated with the ‘Admin Document’ specialty. MAGCAP CP - Allow capture of Clinical Procedure images. MAGCAP LAB - User can capture Laboratory images from the Imaging Capture workstation. MAGCAP MED C - User can capture Cardiology images from the Imaging Capture workstation.

29. Case #4 MAGCAP MED G - User can capture GI images from the Imaging Capture workstation. MAGCAP MED GEN User can capture Generic Medicine images from the Imaging Capture workstation. MAGCAP MED H - User can capture Hematology images from the Imaging Capture workstation. MAGCAP MED HI -User can capture Internal Medicine / Hematology images from the Imaging Capture workstation. MAGCAP MED I - User can capture Internal Medicine images from the Imaging Capture workstation. MAGCAP MED N - User can capture Neurology images from the Imaging Capture workstation. MAGCAP MED P - User can capture Pulmonary / Endoscopy images from the Imaging Capture workstation.

30. Case #4 MAGCAP MED PF - User can capture Pulmonary Function Test images from the Imaging Capture workstation. MAGCAP MED R - User can capture Rheumatology images from the Imaging Capture workstation. MAGCAP MED Z - User can capture Consult images from the Imaging Capture workstation. MAGCAP PHOTOID - User can capture Photo ID images from the Imaging Capture workstation. MAGCAP RAD - User can capture Radiology images from the Imaging Capture workstation. MAGCAP SUR - User can capture Surgery images from the Imaging Capture workstation. MAGCAP TIU - User can capture TIU images from the Imaging Capture workstation.

31. Case #5 Scenario A user is complaining that their system is very SLOW when they change patients in CPRS and bunches of images are flying all over the screen when the patient chart is opened. User states they don’t need to see images.

32. Case #5 Scenario A user is complaining that their system is very SLOW when they change patients and all these images are displayed when the patient chart is opened. I don’t need to see these images. Hint #1 Image display???

33. Case #5 Scenario A user is complaining that their system is very SLOW when they change patients and all these images are displayed when the patient chart is opened. I don’t need to see these images. Hint #2 Green Print on Image Display??

34. Case #5 Scenario A user is complaining that their system is very SLOW when they change patients and all these images are displayed when the patient chart is opened. I don’t need to see these images. Hint #3 Not Sure yet?????

35. Case #5 Solution The configurations in the Remote Images view setting are set to Remote Images ‘enabled’. This will decrease performance due to pulling images from all remote sites. In the Image Display Client, go to Options/View preferences/Remote Image tab and set the check box to “Sites in local VISN’. To fix the ‘flying images’, uncheck the boxes for the automatic display of the image types. They are still selectable on the main Display Client.

36. Case #5 Solution

37. Case #5 Solution

38. Scenario User is trying to scan an Advance Directive and is getting an error message Diabetic Retinopathy screening . Remote Image View, Future – (teleradiology, teledermatology, etc)?Diabetic Retinopathy screening . Remote Image View, Future – (teleradiology, teledermatology, etc)?

39. Case #6 Scenario User is trying to scan an Advance Directive and is getting an error message Hint #1 What’s the type of Image???

40. Case #6 Scenario User is trying to scan an Advance Directive and is getting an error message Hint #2 Oh my what was that note again?

42. Case #6 When capturing an image to a NOTE of Title ADVANCE DIRECTIVE, the application will require that the Doc/Image Type is also ADVANCE DIRECTIVE. When capturing an image that has a Doc/Image Type of ADVANCE DIRECTIVE the application will require that the association is Progress Note and that the Title of the Note is ADVANCE DIRECTIVE.

43. Case #7 Scenario User contacts you to say they cannot get EKG’s in Imaging on the PC that are using in Clinic. They could see them yesterday but they were in a different exam room.

44. Case #7 Scenario User contacts you to say they cannot get EKG’s in Imaging on the PC that are using in Clinic. They could see them yesterday but they were in a different exam room. Hint #1 A happy display client isn’t complete without an EKG

45. Case #7 Scenario User contacts you to say they cannot get EKG’s in Imaging on the PC that are using in Clinic. They could see them yesterday but they were in a different exam room. Hint #2 A ‘workstation’ is ‘setting’ a MUSE’ing falsehood

46. Case #7 Scenario User contacts you to say they cannot get EKG’s in Imaging on the PC that are using in Clinic. They could see them yesterday but they were in a different exam room. Hint #3 The key to good viewing of EKG’s is MAGnificent access

47. Case #7 Solution In the Workstation settings of the Imaging Workstation Configuration Setting check to make sure the MUSE Enabled setting is set to TRUE. Users must have the MAG SYSTEM key to access the System Manager options within the Display/Capture Client If unable to access through Imaging can edit the MUSE Enabled field in the Mag308.ini file directly

48. Case #7

49. Case #7