CSI TriSano^®

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CSI TriSano® is a highly configurable, comprehensive surveillance and outbreak management application for global public health and healthcare. It allows local, state, federal and international agencies to identify, investigate, and mitigate communicable and chronic diseases, environmental hazards, and bioterrorism events. CSI TriSano® supports secure data exchange with laboratories, clinicians, hospitals, vital records, immunization registries, and health information exchanges as well as offers sophisticated analysis, visualization, and reporting of contact and case information. CSI TriSano® increases overall effectiveness in preventing morbidity and mortality through decreased reporting time, automated assignment and routing processes, easy form-creation tools, trend analysis, detection of anomalies, and quality assurance.

Through an easy to use tabbed interface, a CSI TriSano® user can enter demographic, clinical, laboratory, contact, encounter, epidemiological and investigation information for a case. Files, tasks and notes can be attached. Cases can be routed to a queue or an individual, and associated with an outbreak event. The flexible CSI TriSano® Form Builder can be used to gather disease-specific information throughout the investigation of the case. Lab test results can electronically be submitted to start a new case or applied to an existing case. A user can use geocoding to look up and update a patient's address, update the longitude and latitude coordinates of that address, and display a map of the address.

As part of the investigation, contacts can be added to the case and can include demographic, clinical, laboratory, epidemiological and investigative information. If needed, a contact can be elevated to a CMR while still remaining as a contact of the original patient. As with cases, files, tasks and notes can be attached to a contact, contacts can be routed to a queue or an individual, and the Form Builder used to add disease-specific questions. A user can use geocoding to look up and update a contact's address, update the longitude and latitude coordinates of that address, and display a map of the address.

CSI TriSano® provides outbreak management support through the creation of an outbreak event. Each outbreak event can be given a name, responsible jurisdiction and associated with a disease. As cases are reported, they can easily be associated with the outbreak event. From the outbreak event, associated events can be listed, viewed and updated. The flexible CSI TriSano® From Builder can be used to create forms for the outbreak event and associated cases to gather additional information. In addition, all the outbreak event information is extracted and loaded into the CSI TriSano® data warehouse for further analysis.

During the investigation, place exposures can be added to the case. Each place can be updated with additional information, including questions added through the Form Builder. A user can use Google Maps Premier, embedded in CSI TriSano® to look up and update a place's address, update the longitude and latitude coordinates of that address, and display a map of the address.

Encounters with the patient can be added to the case. Each encounter includes the name of the public health official, the location, date and a description. In addition, each encounter can be updated with additional clinical, laboratory and investigative information, including questions added through the Form Builder.

CSI TriSano® includes a powerful and flexible Form Builder that allows public health officials to extend the capabilities of CSI TriSano® by capturing additional information for existing or new public health situations without vendor or IT involvement. New questions can be integrated easily with existing core data, and can appear conditionally based on answers to other questions. The Form Builder lets you capture additional information for each of the different event types maintained in CSI TriSano®: Morbidity, Contact, Encounter, Place Exposure and Outbreak Events.

Through globalization, CSI TriSano® has been designed to be used worldwide by providing support for multiple 8-bit and 16-bit languages. A CSI TriSano® system can support multiple languages simultaneously and each user can choose the language they would prefer to work with. All system text, prompts and messages appear in the user-specified language. Support provided includes numbers, phone numbers, dates, calendars, sorting, searching in country-specific formats. With globalization, CSI TriSano® better meets the needs of public health officials everywhere.

CSI TriSano® is ready to be localized for your country or locale. As a proof point, CSI TriSano® has been translated into American Spanish. Contact us at .(JavaScript must be enabled to view this email address) for information on translating CSI TriSano® for your country or locale.

CSI TriSano® provides Electronic Lab Reporting support. Lab reports in HL7 format are first viewed in a staging area. The user can either update an existing event with the lab results, create a new event with the lab results, or discard the lab results. In addition, the system supports the management of LOINC and organisms codes for laboratory and clinical observations and tests. CSI TriSano® Electronic Lab Reporting capabilities provide timely access to data so public health officials can take quicker coordinated action.

CSI TriSano® provides a staging area for accepting HL7 messages for public health. This support can be extended, as needed, to accept additional HL7 messages to support the meaningful use criteria for EHR, PHR and HIE systems to interface with public health systems.

CSI TriSano® includes Google Maps Premier to provide real-time geocoding, verification of addresses, and mapping. Using this capability, you can geocode and verify addresses for patients, contacts and places. You can then map any of these addresses. In addition, you can map a patient and all their contacts or place exposures, or the results of an event search using the very powerful search capabilities in CSI TriSano®. The latitude and longitude coordinates of the address can be stored in the transaction database and exported to the data warehouse, or in CSV format, for further analysis.

The CSI TriSano® Data Warehouse provides end-user query, reporting and OLAP capabilities against information extracted from the CSI TriSano® transaction system. Data is extracted, including disease specific information created using the Form Builder, at user-defined intervals, transformed for ease of access, and loaded into the data warehouse. With CSI TriSano®'s AVR capabilities epidemiologists and other public health officials can perform state-of-the-art analysis and research. CSI TriSano® includes the following advanced AVR features:

• Web-based Reporting
• Rich reporting capability to produce reports, charts and graphs
• Data Cube/OLAP support
• Dashboards

CSI TriSano® can export a single CMR, all CMRs, or a subset of CMRs that are the result of a search in CSV format to a spreadsheet or other tool for further analysis. The user can customize the export to include only the data needed for analysis. The CSI TriSano® Smart Search technology can be used to search all CMR data using a variety of criteria including full-text name search, fuzzy name search, event type, diseases, gender, status, jurisdiction, and date range. In addition to exporting for analysis and verification, the CSI TriSano® administration facility provides support for configuring and running CDC exports.

Entity Management
CSI TriSano® provides an administrator with the capability to manage people and places. For people, the administrator can find a person, edit the person's demographic information, and create a new person. This feature can also be used to predefine people to CSI TriSano®, such as patients, contacts and clinicians. For a place, the administrator can find a place and edit the place's address. With this capability, an administrator can identify duplicate people or places and merge the duplicates into one person or place.

Jurisdiction Management
An administrator can manage jurisdictions more easily. An administrator can show, create and edit jurisdictions and map counties to jurisdictions. CSI TriSano® makes business workflow processes more efficient. It allows public health officials in different jurisdictions to share important information, contained in a single database, electronically with one another. Information can be quickly routed to the proper jurisdiction for investigation and management and securely shared with others.

Web API
CSI TriSano® provides a Web API for cases, people (patients and contacts), and ELR. Web API Ruby and PHP clients are provided. CSI TriSano® puts the power of customization in the hands of the users of the system. This reduces the costs of implementation and leads to a system that has high value and meets the needs of the users.

Web-based Help
CSI TriSano® ships with a complete web-based help facility for all users of the system, including investigators, administrators and form builders. The help is accessed from the Help option found on every CSI TriSano® screen. This feature adds to the ease-of-use of CSI TriSano® for the systematic collection of disease surveillance data.

Application Monitoring
CSI TriSano® provides support for Zabbix for application monitoring, including monitoring memory, cpu, and disk usage and alerting you when the server utilization becomes too high.

Application Management
CSI TriSano® provides comprehensive configuration management capability.

High Availability Configuration
CSI TriSano® provides instructions for high availability configurations, including multiple CSI TriSano® application servers and an up to date warm standby database in the event of a hardware failure of the database server. This ensures timely access to data so public health officials can take quicker coordinated action.

Professional Documentation
CSI TriSano® is an easy to use system that is fully documented, built by public health experts, and can be quickly implemented in your environment. These professional documents lead to a faster implementation and add to the ease-of-use of CSI TriSano® for users of the system, and include:

• A Form Builder Guide
• An AVR Quick Start Guide
• A Planning and Implementation Guide

Annual Subscription
CSI TriSano® is licensed under a commercial software license with annual subscription with the following features:

• Service Level Agreement - Collaborative Software Initiative will work with you to determine realistic and measurable commitments and a common understanding about services, priorities, responsibilities, guarantees and warranties. Each area included will have a "level of service" defined.
• Client Portal - CSI TriSano® contains a client portal for clients to easily access information about their implementation of CSI TriSano®.
• Case Track/Escalation - Any issue or problem with CSI TriSano® is tracked by a unique ticket number, service level priority ranging from P1 (system is down and not accessible) to P4 (enhancement request for product), and target resolution times.
• Bug Fixing and Tracking - Any code related issue with CSI TriSano® is tracked by a unique ticket number. Target resolution times for fixes are set in the Service Level agreement between CSI and the client.
• Service Packs - Service packs for CSI TriSano® will be created and distributed as needed.
• Knowledgebase - As part of the client portal, CSI TriSano® clients will have access to a knowledgebase containing information on CSI TriSano® including installation, usage, documentation, and support.
• Free Updates - While under an annual subscription agreement, customers of CSI TriSano® Enterprise Edition will receive any upgrades to the release at no additional charge.
• Upgrade Support - The CSI Support Center offers advice to clients migrating to a new release of CSI TriSano®.
• Testing for Reliability, Availability, Scalability - CSI TriSano® goes through rigorous testing by Collaborative Software Initiative developers for bugs, stability, scalability, and security.