CSI TriSano^®

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Core Customizer

CSI TriSano^® Enterprise Edition 3.0 contains a set of core data fields that are available for every disease or condition defined in the system. These core fields are grouped into sections, and the sections are organized on a set of tabs for each event type, such as a morbidity, contact or outbreak event. With CSI TriSano^® Enterprise Edition 3.0, the new Core Customizer feature allows you to remove selected core data fields (non-required fields), selected sections and tabs by choosing which of these elements you want shown or hidden for each disease or condition or group of diseases or conditions for each event type.

With the Core Customizer, you can define the default set of tabs, sections and core fields that will be displayed for all disease or conditions for each event type. You can then customize this further for any specific disease or condition, such as "Syphilis, primary", and then copy that definition to other stages of syphilis, such as "Syphilis, secondary" that should be customized in the same way. You can then further customize the core fields, sections and tabs for "Syphilis, secondary", if necessary.

Using the Core Customizer, in conjunction with the Form Builder, you can completely determine the data fields to capture for every different disease or condition. This leads to a simpler interface; a set of core and form fields specific to the disease or condition, superior case, outbreak and contact management, better performance, easier training, improved productivity and usability for case investigators, epidemiologists and informaticists.

Specifying core fields, sections and tabs to show or hide for a disease

Patient View

CSI TriSano^® Enterprise Edition 3.0 is both an event-centric and patient-centric system. Included with CSI TriSano^® Enterprise Edition 3.0 is a new feature, Patient View, that displays information from all the morbidity and contact events associated with a person in a single tabbed view. This tabbed Patient View shows the following for a person:

• Canonical demographic information (consistent across all events)
• Information for each morbidity and contact event
  • Demographic information
  • Clinical information, including pregnancy status, symptom onset date and treatments
  • Laboratory information
  • Contacts of the patient
  • Events where the patient is a contact
  • LHD case status
  • State case status
  • Workflow status

From Patient View, you are able to edit or show any of the events that are displayed.

Patient View can be accessed from several areas of CSI TriSano^® Enterprise Edition 3.0, including the following:

• PEOPLE search
• NEW CMR
• SEARCH
• A morbidity event for the person
• A contact event for the person

Patient View allows a disease investigator to quickly review all case, laboratory, treatment and contact history. This leads to higher productivity and more informed case management decisions.

Patient View Demographic tab

Electronic Laboratory Reporting - Support for Meaningful Use

CSI TriSano^® Enterprise Edition 3.0 provides Electronic Laboratory Reporting support. With CSI TriSano^® Enterprise Edition 3.0, laboratory reports in HL7 2.3.1 or 2.5.1 format are first viewed in a staging area. The user can either update an existing event with the laboratory results, create a new event with the laboratory results, or discard the laboratory results. In addition, the system supports the management of LOINC codes, common test types, and organisms for laboratory and clinical observations and tests. With the inclusion of HL7 2.5.1 support, CSI TriSano^® Enterprise Edition 3.0 allows public health agencies, working with public and private hospitals and laboratories to receive the meaningful use standard for the electronic submission of lab results to public health.

Treatment Select

CSI TriSano^® Enterprise Edition 3.0 allows you to limit which treatments in the system can be selected while working with cases and contacts. Treatments can be defined as available for one, many or all disease conditions, or available if no disease has been specified. Treatments are specified on the Clinical tab of morbidity and contact events.

A new administrative capability, "Manage Treatments" has been added to CSI TriSano^® Enterprise Edition 3.0. With this capability, an administrator can define treatments in the system. Each treatment can be specified as active or inactive and indicated that the treatment should be shown when no disease has been selected for the event.

In addition, the "Manage Disease Information" administrative capability has been extended to allow the treatments created using "Manage Treatments" to be made available for a specific disease. Once the set of treatments for a disease have been specified, this set of treatments can be copied easily to one or more other diseases. After copying, the treatments for these diseases can be customized further.

The Treatment Select feature in CSI TriSano^® Enterprise Edition 3.0 allows you to customize the treatments available for any or all defined disease conditions, leading to a higher degree of data quality and consistency.

AVR Enhancements

CSI TriSano^® Enterprise Edition 3.0 upgrades the AVR capability provided with the integration of Pentaho® Enterprise Edition Business Intelligence Suite 3.6 and provides the following:

• Improved Analyzer (OLAP) capability
• Improved Dashboard capability

CSI TriSano® AVR now provides a more intuitive, interactive analytical reporting capability allowing epidemiologists, informaticists and other public health users to quickly interpret surveillance, case and outbreak information. The enhanced functionality in Pentaho® Analysis Enterprise Edition includes the following features:

• Web-based, drag-and-drop report creation
• Dynamically sort, filter and drill into data
• Create user-defined calculations and customized totals
• View chart visualizations including conditional stop-lighting via data ranges
  • Export to Microsoft Excel with formatting
  • Save and share reports with others
  • Add interactive, parametrized analytical reports to Pentaho® Dashboards

The new Pentaho® Dashboard allows you to gain immediate insight into key public health metrics customized for your responsibilities.

• Provides single-screen access to metrics, related reports and analysis and other content.
• Enables role and subject-specific dashboards to be created and shared. For example, a LHD manager dashboard or a disease-specific dashboard
• Role-based filters automatically tailor content for specific public health users. For example, each LHD manager may only see information relating to their own health district.

The Pentaho® Dashboard Designer list you display the following content types in your dashboard:

• Charts
• Data Tables
• Reports
• Files
• Websites

The dynamic data warehouse included in CSI TriSano^® Enterprise Edition 3.0 makes all the core and form data from the CSI TriSano^® Enterprise Edition 3.0 transaction system available for analysis, visualization and reporting. The enhanced AVR capabilities in CSI TriSano^® Enterprise Edition 3.0 allow users to turn data into information and decisions, quickly and easily.

New Public Health Metrics capabilities

• Additional dimensions added
  • Outbreak name
  • Event date
  • Date first reported to public health
• Additional measures added
  • Died added as an available measure
• Workflow status now displays in workflow order rather than in alphabetic order

Perinatal Hepatitis B Case Management Support

Functionality has been added to CSI TriSano^® Enterprise Edition 3.0 to support Perinatal Hepatitis B case management. This support includes the following:

• Additional core fields added to the Clinical tab for Hepatitis B Pregnancy Events.
• Additional core fields added for all disease conditions including:
  • State Manager - holds the name of a state manager assigned to a case
  • Contact Disposition Date
• The Treatment section for contacts of a Hepatitis B Pregnancy Event has been modified.
  • The Treatment field for these contacts is a drop-down list of valid treatments rather than a type-ahead selection field.
  • The Treatment Date Stopped field is not needed for these treatments and is not shown.
• Tasks for the investigator and state manager can be auto-generated based on specific conditions entered into the event.
• A set of four reports is now included in CSI TriSano^® Enterprise Edition 3.0 related to Hepatitis B Pregnancy Events. They are:
  • Expected Delivery Action Report
  • Action Report
  • Summary report
  • Program Report
• The CSI TriSano^® Form Builder and Help text components have been updated to support the additional Hepatitis B Pregnancy event core fields.
• The CSI TriSano^® AVR components have been updated to support the additional core fields.

This new capability allows public health officials to replace outdated systems currently being used for Perinatal Hepatitis B investigations and cases with support integrated within CSI TriSano^® Enterprise Edition 3.0.

CSI TriSano^® Enterprise Edition 3.0 to NEDSS Base System (NBS) export

Interoperability capability has been added to CSI TriSano^® Enterprise Edition 3.0 to export case information from CSI TriSano^® for consumption by other surveillance and case management software including the NEDSS Base System (NBS). An XML-based export from CSI TriSano^® Enterprise Edition 3.0 makes this capability easily extensible to other systems that provide a defined import interface. This capability increases the ability to share data across systems contributes to greater interoperability, less duplicate data entry, and easier reporting to state and federal systems for a more comprehensive view of state and federal level data.

Usability/Productivity Enhancements

Based on customer feedback, several enhancements have been made in CSI TriSano^® Enterprise Edition 3.0 to improve usability and productivity.

Morbidity Event actions for Edit same as Show

All actions available from show mode for a morbidity event are now available in edit mode. These include:

• Adding tasks
• Adding attachments
• Printing
• Routing the event

Improved navigation to contacts and ability to add contacts

The editing of multiple contacts is simplified and more efficient. After editing one of the contacts for an event, you can edit another contact (or place) without returning to the original patient event. Also, while editing a contact, you can search for and add additional contacts without returning to the original patient.

Improved navigation to places

The editing of multiple places is simplified and more efficient. After editing one of the places for an event, you can edit another place (or contact) without returning to the original patient event.

Return to top feature

A Return to top link has been added to the bottom of each tab of every event type for improved usability and productivity.