PSS Users: Important Update to Framingham Risk and Cardiovascular Age Custom Form

As part of our commitment to open clinical content, we distribute free community tools in the Clinical Content Library, including custom forms for TELUS PS Suite. In one of those tools, the Framingham Risk and Cardiovascular Age calculator for PS Suite, an error has been brought to our attention relating to cholesterol calculations for female patients. This resulted in the form logic miscalculating risk for female patients whose cholesterol values were above 5.1 by up to 3%.

Note that this issue is only related to the custom form from the CognisantMD library, and not the CVDRisk stamp in PSS.

We recommend that you update this custom form immediately from the library; version 1.1 is now available with the fix.

To help you identify any patient charts that have been assessed using this form, we have attached a PSS reminder definition that you can use to review patient charts for reassessment. We recommend you run this reminder if you have used the tool at your clinic.

We will also be reaching out to contact users that our logs indicate have used this custom form.

Please contact us if you need any help with the above steps or have any questions at support@cognisantmd.com.

 

 


New Feature: Export Related Studies

With one of the latest Ocean features, you can now bulk export studies that have aligned participant keys. Study data for each study will appear in a single Excel document, making it easier for you to track patients over time using the participant key.

To export all related study data, login to the Ocean portal and select the Studies tab. Locate the primary study that is being used to generate the participant key and select Export Results

You will be presented with a date range, leave this blank if you wish to export all data. Then, simply check the export related studies box, followed by save to export the complete data set. 


New Feature: eRequest Re-Routing

In order to sort incoming e-requests, we have developed a new feature that will allow you to re-route incoming e-requests depending on answers selected by patients. For example, if you have an e-request link for new patient intake forms at a clinic with multiple locations, you may wish to sort the e-requests based on the patient's preference of clinic location. 

In order to enable this feature, start by creating all of the relevant sites in the Ocean referral directory. You can do this by logging into the Ocean portal and selecting the Admin tab. Select directory listings from the menu on the left hand side, followed by Add New Listing. Complete the required fields to set up the new location. 

 

Next, hover over the name of your listing in order to see the listing reference. Do this for each site and jot them down so that they can be used to when it's time to edit your form. 

Once you have set up all of the relevant sites, you are ready to edit your e-request form. At the bottom of your form, add a new item (select add item) using formula as the type. In the example below, we have named the item Referral target but you can select any name that makes sense. 

Under note formatting, select never next to Create a note for this item to prevent it from showing up in the clinical notes. 

Next, under the Scripting and More tab, set the item reference (we have labelled it as referralTargetRef, but you can call it any name) and then add a formula to the Formula box. 

 

To create your formula, you will need your survey question item reference, as well as the listing references mentioned above. Your formula should be something similar to: 

clinic.r == ‘SuperMed Healthcare' ? ‘cognisantmd5429339' : ‘cognisant55490911'   where clinic is the survey item reference name, 'SuperMed Healthcare' is one of the survey response options (r. used in the formula indicates response) and cognisantmd5429339' and ‘cognisant55490911 are the references for the two sites. Once you have added your formula, save the changes. 

You should now be able to see the clinic locations listed under your e-request tab. Use the drop-down menu to toggle back and forth between e-request sites.  

 

We hope that you enjoy this new feature. If you have any feedback or questions, please don't hesitate to contact us at info@cognisantmd.com.


Ocean Open API

The Ocean Service API allows EMR vendors to integrate Ocean capabilities to get seamless access to the Ocean clinical content platform and access to thousands of clinical forms. Your EMR will be able to leverage cloud-based services to collect data from patients at home (using Ocean Online) or in the waiting room (using Ocean Tablets).

To learn more about integrating with Ocean, visit the EMR Integration page on our website.

To view the full Open API documentation, click on the attached file.


New Feature: Email Patients Using Your Own Email Address

By default, emails sent to patients from Ocean on your behalf use "no-reply@cognisantmd.com" as the "from" email address. While this is a wonderful and stylish email address in its own right, you may want emails sent on your behalf to use an email address of your own choosing. Now you can do so with the Ocean Platform.

Using your own email address has the following benefits:

  1. The email is less likely to be routed to your patient's spam folder.
  2. It's more likely to capture your patient's attention.
  3. In the event that the patient's email address is incorrect, any email 'bounce back' messages can be returned to you instead of being lost.

In order to use this feature, however, you must use your own domain name and have the ability to modify your DNS records with your domain name registrar.  Specifically, you will need to add an SPF record indicating that the Ocean email servers are permitted to send email on your domain's behalf.

As this change requires technical expertise and your own domain name, it's not for everyone. We strongly recommend consulting an I/T professional to assist with DNS record modification, as mistakes can result in your emails being improperly being flagged as spam, or issues with your website. If you do want to proceed, however, here are the instructions:

  1. Go to your DNS provider's website and check if you have an existing SPF record. SPF records look something like this:
    example.com "v=spf1 ip4:192.0.2.0/24 ip4:198.51.100.123 -all"
  2. If you don't have an existing SPF record, we recommend consulting an IT professional to create one. SPF record construction is outside the scope of this article. Once your SPF record has been created, please refer to step 3 below.
  3. If you have an existing SPF record, add the following after v=spf1
    and before -all:
    include:cognisantmd.com
  4. The finished product in the example above would look something like this:
    example.com "v=spf1 include:cognisantmd.com ip4:192.0.2.0/24 ip4:198.51.100.123 -all"
  5. Save your DNS records and allow them time to propagate. (This may take an hour or more, depending on your DNS settings.) Then test sending emails using your normal email client to ensure they aren't flagged as spam.
  6. Once you have your SPF records configured properly, log in to the Ocean Portal and click the admin tab. Enter your email address in the Email 'From' Address field. When you click outside the field, Ocean will validate that your SPF record allows us to send on your behalf. If it doesn't we will not send using this address. The system will periodically attempt to validate the email address and will use our own email address until validation is successful.

Ocean will continue to validate your from address periodically to ensure that the SPF record still allows us to email on your behalf. If this changes, we will revert to using our email addresses automatically, so no action is required on your part.


Ocean Usage Report: Now Available!

If you've ever wondered about how much your team is using your tablets, you'll want to check out the new Ocean usage report. You can have it sent nightly and/or weekly, and it will tell you how many patients have used it, what users have used it, what forms are used most often, etc. It's extremely useful for new deployments to monitor staff compliance and for showing to clinic directors how much value you're getting out of an Ocean implementation!

In the next couple weeks, we'll add a summary table of Ocean eRequests so you can see your eRequest traffic from your website and other clinics (i.e. referrals).

To subscribe, simply log into the Ocean web portal, go to "View My Account" in the top right hand corner and check off the reports you want (don't forget to click save after).

That's it! Sneak peak below. Let us know what you think at support@cognisantmd.com!


Tablet Form Scrolling Confusing for Some of Your Patients?

Our most often heard usability criticism was that some patients couldn't figure out how to scroll forms on the tablet. The animated "there's more to see, scroll with your finger" message at the bottom took too long to notice.

Sound familiar? If so, you'll be happy to hear that we redesigned the user experience for scrolling to be more self-evident for all patients using bright colours, more direct text and even an animated finger demonstrating how to scroll. Check it out and let us know what you think.

If you are customizing your own set of forms to use, you can even circumvent the scrolling entirely by splitting a form across several pages. Check the Ocean Training Materials for help with this feature, which is available in the eForm Editor's form properties dialog.


Ocean Tablets Waiting Room Video

Are you using Ocean tablets in your office? Would you like to educate your patients on why they are being asked to enter information on a tablet? The video below is available to all customers for use in waiting rooms and exam rooms. Simply download the file from the link below and play it on a loop setting.


Welcome to the Ocean Community Site!

We're happy to announce that we've launched our new Ocean Community Site. We're going to use it as a "knowledge base" -- a place that you can go to learn more about particular aspects of the Ocean platform -- as well as a "community site", where users can post and answer questions.

A lot of the support material is still on our website here: https://www.cognisantmd.com/support. In the coming weeks, we'll start to build more of it here. Stay tuned!