# Presentation: 421498

## Using VistA Rad Patch 65 & TalkStation To Exceed Performance Measures

- 9910_LL
- Tracy Bumgarner
- VistA Imaging Systems Manager
- James H. Quillen VAMC, Mtn. Home, TN

## TalkStation System Requirements

**Medium Site (50,000 to 150,000 Reports a Year)**
**Server Recommendations**
**Dual Xenon 2.0 GHz or faster**
**2GB ram**
**2 x 36 GB Drives and 4 x 36 GB Drives **
**DVD ROM**
**100 Mbps Network**
** ****2 NIC Cards with 1000 Base Dual Port Gigabit **
**Windows 2003 Server Standard Ed. SP1 w/SQL 2000 SP3a**

## TalkStation System Requirements

**Client Requirements**
**Pentium IV, 2.0 GHz or faster **
**1 GB RAM****	**
**40 GB Hard Drive**
**CD/DVD-ROM **
**100 Mbps Network**
**10/100/1000 Auto Negotiation NIC Card**
**Windows XP Pro SP2 **
**Sound Blaster® Audigy2TM (Not Required With USB SpeechMike**
**Philips® SpeechMike **
**17 Inches or Better Display**

## Cost Reductions

- Purchase server from your vendor of choice.
- Install client software on existing pcs.
- SpeechMike microphones will work with standard soundcards.
- Other microphones will require an additional soundcard.

## Do’s And Don’ts 

- Create TalkStation security group on the domain
- Add each TalkStation user to the group.
- Set the TalkStation Client and VistA Rad workstation to communicate on the same port.
- Set up the HL7 Protocols prior to setup of the TalkStation HL7 Link.
- “_allow multiple user logon’s_” results in higher chance of corrupting user voice files.

## Vista Rad & TalkStation

**VistaRad workstation at Mtn. Home, starring Dr. Hawls**
** ****2 head VistA Rad workstation**
**VGA monitor **
**TalkStation PC**
**Philips SpeechMike. **

## VistA Rad Patch 65 & TalkStation 3.1

- VistA Rad patch 65 displays read list which gives the Radiologist the ability to select the custom read list to work from.  The read list function loads the first study plus any prior studies.  Subsequent study and priors are loaded into memory.  We have found that this greatly reduces the time Radiologists spend waiting on images to load.

## VistA Rad Patch 65 & TalkStation 3.1

- TalkStation 3.1, in conjunction with VistA Rad patch 65, allows the user to select the patient in VistA Rad.  TalkStation then automatically opens the report for dictation. After dictation, the Radiologist can then proof the report for errors, and verify.  Verification changes the status of the study in VistA to “completed”.  If key information required by VistA is left out or incorrect the report is rejected.

## 
Make it smaller

Make it lighter

Make the buttons bigger and more tactile

Make it easier for right or left hand usage

Control playback volume directly on mike 
Clear visible Record LED status indication 
Different LED colors for other functions: Insert or Overwrite mode? 
Allow ergonomic scanning

- Make it smaller
- Make it lighter
- Make the buttons bigger and more tactile
- Make it easier for right or left hand usage
- Control playback volume directly on mike
- Clear visible Record LED status indication
- Different LED colors for other functions: Insert or Overwrite mode?
- Allow ergonomic scanning

**Philips SpeechMike II – Ergonomic Requirements**

**Notes:**
Little time, time is money
Reduce number of devices to be carried with them 
Use dictation as tool
Need wireless connection, access to system

## Results

- Within 3 weeks of implementation Mtn. Home met the performance measure. We continue to see improvement.