These updates will be applied automatically during non-business hours.  The system will be unavailable during the maintenance window shown above. No additional action is required for you to apply these updates.

Assessments

Demo Primary Care Assessment

For one of the questions in a Demo Primary Care Assessment, what should have been a single-choice selection previously allowed for multiple answers. This was corrected, and now the question will only allow one choice to be selected as the answer in both patient-facing and clinician mode: “Over the last two weeks, how well have you been able to perform work/school/household tasks?”

Design Update

For the single-select question-type, we corrected an issue where the selection circle was not centered.

Suicide Risk Reporting

The Columbia-Suicide Severity Rating Scale (CSSRS) is what triggers the Suicide Risk alert. However, there is a scenario where the patient may indicate suicidal thoughts via the PHQ9, which triggers the CSSRS questions. If a patient does not respond in a way that triggers a suicide alert via the CSSRS questions, there could be a scenario where the report doesn’t convey any suicidal risk. We have updated the Intake and Update PDF reports to also display the response of the PHQ9 under critical alerts for our Mental Health and Substance Use assessments.

When PHQ9 answered ‘Not at all’ and CSSRS not present:

Open

When PHQ9 answered ‘Not at all’ and CSSRS present:

Open

When PHQ9 answered “Several days” and CSSRS not present:

Open

When PHQ9 answered “Several days”, “More than half the days” or “Nearly everyday” and CSSRS present:

Open

Open

Open

Open

Case Review

Deactivated Users

We have updated the Case Review so that deactivated users will not be shown in the Assigned To Tab drop-down.

Open

Configuration of Case Review Triggers

We have updated case review Triggers to be configurable by organization. Permissioned users can access a Manage Case Review option in the settings gear menu. This particular permission can be set to Permitted or Not Permitted on a user role. The Manage Case Review has a list of all existing Case Triggers, a column for selecting the gear to edit, and a column to show if it’s active.

Open

When the user selects the gear to edit, the manage case review modal menu has a switch for ON or OFF (which affects the entire organization per existing rules). Specific Case Trigger settings can be configured as below:

Suicide Open	BHI Flat Trend Open	BHI Declining Open	BHI Subclinical Trend Open
Treatment Plan Trend Open	Therapeutic Alliance Trend Open	Therapeutic Alliance Threshold Open	Extended Utilization Open

Care Manager Home

Delivery Filter

We removed the Delivery Method Filter for users of the Care Manager Home.

Original Result

Open

 

Improved Result

Open

Clinical Home

Add Assessment

We corrected an issue where the “Add Assessment” from the Clinical Home was not displaying correctly in the 'Visit' dropdown.

Original Result

Open

 

Corrected Result

Open

 

Last 2 Weeks Date Filter

The Last 2 Weeks filter was using the date range from the first day of the previous week to the current date. We have updated the filter to display 2 weeks from today.

Original Result

Open

 

Improved Result

Open

 

Data Sharing Between Organizations

Organization Associate

We have developed a new API endpoint to return a list of practitioners associated with a new concept, the Organization Associate, which describes a third party that's been granted API access to an organization's Tridiuum account. Users, Sites, and Practitioners can all be associated with an Organization Associate record. The API respects a new permission, View Practitioners, for purposes of returning data.

This is foundational work that will lead to the ultimate goal of sharing data between multiple separate organizations that each utilize the Tridiuum ONE system.

Digital Front Door

We are expanding the framework for a Patient Self Screen and Refer workflow where it enables a “digit front door” for patients seeking treatment to be able to complete a behavioral health assessment.  Just like in the Tridiuum ONE Connect/Call Center environment today, Tridiuum ONE can score and triage a patient and recommend the appropriate treatment course and allowing the patient to book a virtual or in-person appointment, or speak to someone immediately based on their results. Among the areas developed:

• New Patient Form

• Configurable Patient Consent

• Demo Patient Self-Serve Assessment

• Patient-Facing Self-Serve User Experience

Messaging

Appointment Booking Email

In the Appointment Booking email, we have updated the branding from “Tridiuum1” to “Tridiuum ONE”.

Open

Multi-Factor Authentication (MFA)

Continued development on the foundational requirements for organizations to use Multi-Factor Authentication. Once enabled, users will be presented with MFA once per day for their first login of that day via text or email for non-SSO clients.

Communication Preferences

As a result of MFA, we have added the ability for users to set up their communication preferences for various messages. Before messages are sent, users will need to verify their communication method (this will be leveraged first for MFA, and later for notifications to providers in general.)

Users will now see “My Settings” in the Gear Menu.

Open

Within My Settings, there will be a new Communication Tab

Open

• Email will be defaulted for all users at go live to the email address on the user’s profile

  • the email displayed on the user’s profile cannot be edited and is greyed out

  • a message displays under the email on the user’s profile that says: “You can update your email in My Settings.” 

  • users can change their email, but not delete it, by editing the email field

• Users can add text as a communication method

• When the user clicks Send or Resend, the system sends an email or text to the user to confirm their email or text.

  • Open

    

• Verification links expire after 24 hours. if a user clicks on a link after it’s expired, they see the following message on the page along with a button that says “Proceed to login page” that when clicked takes them to the login page:

  • “Your verification link has expired. Please login to Tridiuum ONE using your previously verified email or phone number and resend the verification link from the My Settings menu.”

  • clicking “Resend” resets the 24 hour timeout

MRNs

Hyphens are now acceptable characters for alphanumeric MRNs when new SaaS organizations are created with an automated onboarding form.

Open

Tridiuum ONE Connect App

Password Reset Email

Previously, when a user attempts to change their password through the Tridiuum ONE Connect App, the email they receive directed the user back to the website. Now, if the request for a password change comes from the app, the email will directly send the user back to the Tridiuum ONE Connect app.

Open

Open

Performance Improvement

Improved application performance management (APM) for:

• Resolved errors generated after Rails upgrade regarding Sidekiq job after creating cases.

• Resolved errors generated when logging out after Rails upgrade.

• Updated non-EMR sourced appointments to not trigger the update_calculated_availability method when the triggering encounter’s scheduling system is the EMR to improve performance of jobs and incoming traffic from Cloverleaf.

• Modified ETL of oncology depression job for improved execution timeout on the Oncology Dashboard.

  • Open

    

“APM Tools are about monitoring. APM processes, which you assemble into APM services are about management of the application life cycle. If you expect to be proficient with APManagement, then your APM discipline needs to be competent with these services and their underpinning skills and processes.” – Michael J. Sydor. APM Best Practices: Realizing Application Performance Management

React Refactor

We have refactored Manage Survey Definition Detail to React, so we can expand future functionality to be incorporated in a more user-friendly view.

React components allow you to separate the user interface into separate pieces they can be reused and handled independently. There aren’t any changes to the functionality of these areas; there may be some formatting changes made for consistency or improved user experience. This is only applicable for permitted users.

Reporting

Oncology Dashboard

We corrected an issue on the Oncology Dashboard where the severity labels were not correct for the average values at intake, third update, sixth update for Depression, Anxiety and Distress.

Open

Provider Availability / Provider Appointments

We updated the Provider Availability and Provider Appointments Reports so that we are no longer listing “regions” within the Area dropdown.

Screen and Refer Dashboard

Available Appointments Count

We resolved an issue with the available appointments count within the Screen & Refer Dashboard. There was a disconnect between the total number of available appointments that the system gave and the number one reached by adding the numbers line-by-line. We have updated our system and now all of the values should coincide.

Open

Provider List

Certain users reported missing providers when first opening the Screen and Refer Dashboard; records with similar booked/available quantity could get lost as a result of pagination and lack of secondary sorting. We have resolved this issue by adding a secondary sort of “Last Name” to display providers in a more intuitive manner amongst pagination.

Scheduling

Confirmed Filter

Previously, when a user looked at the scheduling tab and selected the filter to only see Confirmed Appointments only, the system did not indicate any appointments that were conflicting. We have rectified this and now the system will inform of any and all conflicts applicable to the filter applied to the calendar.

Multiple Conflicting Appointments

We have updated the Conflict Messaging when there are multiple conflicts on the same date.

Original Result

Open

Improved Result

Open

On Demand Video Sessions

We have updated how on-demand Video Sessions are displayed on the Scheduling Calendar:

Unconfirmed (grey): if the patient hasn’t joined

Open

Confirmed (blue): once a patient joins

Open

On-Demand video sessions will not show as a conflict.

Open

Timezones

Patient Messaging

We added timezone references in multiple locations for patients.

Appointment Reminders

Open

Appointment Confirmations

Open

 

Scheduling Holds

We added timezone references in multiple locations for scheduling Hold Appointments.

Hold Appointment Card

Open

Creating/Editing Hold Appointments

Open

Tridiuum ONE Connect

We have added the appointment site’s timezone within Tridiuum ONE Connect. This will be most useful for those organizations who have patients and providers in different timezones.

Hold/Appointment Detail Cards

Open

Open

Hold/Appointment Hover Tooltips

Open

Open

Appointment Confirmation

Open

Self-Provisioning / SaaS

Default Permission

We updated our SaaS Onboarding Form and existing SaaS customers to not allow patients to be created via the Assessment workflow (e.g. someone enters an MRN, and if not found, is allowed to enter additional information to create a patient).

Tridiuum ONE Connect / Call Center

Notifications

As we have previously done with At-Home Assessments, we now notify Tridiuum ONE Connect users when a message fails to send to a patient. When a call center agent books the appointment and has selected either email and/or text message to send the patient an appointment confirmation, we give them a notification about the message status.

During the few seconds it takes to book an appointment, users will see the following four messages in order:

1. We are booking the appointment, this may take a few moments…

2. We are sending the booking confirmation to the patient…

3. We are confirming that the booking confirmation was sent…

4. Finishing the appointment booking process…

Please not that all four messages will be cycled through, though the exact time that it takes for each message will vary in length, depending on how long each step takes.

If the notification has failed to be sent to the patient, the message will be displayed in a red bar prompting them that the appointment is booked, but the notification failed to send, with the corresponding notification for each type/combo

• if only an email was sent and it failed: “The booking confirmation email failed to send. Click here to re-enter a notification method.”

• if only a text was sent and it failed: “The booking confirmation text message failed to send. Click here to re-enter a notification method.”

• if both an email and a text was sent, when the email failed, but the text was successful: “The booking confirmation email failed to send, but the text message did send. Click here to re-enter a notification method.”

• if both an email and a text was sent, when the email was successful, but the text failed: “The booking confirmation text message failed to send, but the email did send. Click here to re-enter a notification method.”

• If the notification send(s) are successful, the bar is green and says “The booking confirmation notification was successfully sent.”

Open

If the user clicks anywhere on the red bar, they are given a pop up with the failure reason and the ability to enter email and/or text. If a user selects Resend Reminder, and the reminder fails to send, the pop up displays the failure reason and allows the user to reenter the email and/or cell number again.