Starting this week, notes and documents in the ZAP load separately from encounters.

In the Encounters & Notes tab, encounters now load first, giving users faster access to data. Documents and notes load separately, with a visible loading spinner displayed during the process. Once the documents finish loading, a note icon will appear in rows where documents or notes are available.

Starting January 6, 2025, we will apply the following changes to the Patient History API:

• Patient History API requests that do not supply a priority attribute will by default run through our bulk queue. This queue manages our load on Carequality and CommonWell and ensures that our request volumes do not adversely impact other responders. It prioritizes jobs on a FIFO basis and smooths the rate at which they are submitted to the networks to ensure we don’t create large bursts of requests. Depending on how large the queue is when you submit a job, it may take as long as or longer than 36 hours to run; however, most jobs will run within 24 hours.
• Patient History API requests that use “priority”: true will be throttled at a rate of 10 requests per minute per customer to prevent inadvertent traffic spikes on the EHR network.

We recommend that customers who expose the Patient History API to human users through a UI update their requests to use “priority”: true and account for throttling at a rate of 10 requests per minute. This will ensure that those users’ requests are honored immediately.

Customers that are submitting requests in bulk or through an asynchronous process don’t need to take any action – your requests will default to the bulk queue starting January 6th.

Customers that use our subscription-based packages and or submit requests through the Zus App need to take no action.

Starting today, ZAP users can copy relevant data to the clipboard to be easily pasted in other applications.

Users can hover over data in the Demographics, Conditions, Medications, Diagnostics, Allergies, and Immunizations sections to copy individual pieces of data to the clipboard that can then be pasted elsewhere.

We now maintain a list of 'priority' medications for refill adherence that will be refreshed within 7 days of their expected refill date.

The priority list includes any medication associated with a 2024 CMS eCQM or HEDIS quality measure, including for example Anticoagulants, Antidepressants, Antihistamines & Antiemetics, Antipsychotics, Antispasmodics, Benzodiazepines, Bisphosphonates & SERMs, Bronchodilators, Cholinesterase Inhibitors, Corticosteroids, Estrogens & Progestins, Insulin & Oral Hypoglycemics, Immunosuppressants, Opioids, Retinoids, Statins, and Stimulants. Please reach out to view the full list of priority medications or suggest additional medications.

Medications not on the priority list will continue to be refreshed through other triggers, such as upcoming appointments or the 36-day recurring refresh.

Current List of Medication History Refresh Triggers:

• Initial enrollment
• Before the appointments you share with Zus
• After any 3rd party appointments we pull in from other providers on Carequality and Commonwell
• After an ADT discharge
• At most 7 days from the expected refill date for priority adherence medications
• Any time more than 36 days have elapsed between medication refreshes

To better support customers conducting common population health analyses on Zus data marts, we have published a query library. This query library contains links to a public GitHub repo populated with SQL code compatible with the current data mart relational schema.

The query library is broken into 6 sections:

1. Understanding Zus data
2. Analyzing patient demographics
3. Evaluating population health
4. Identifying high risk patients
5. Supporting risk capture
6. Identifying care gaps

This query library is an experimental resource that the Zus team is evaluating supporting long term. As we evaluate further building out the library, please feel free to share suggested additions and other feedback using this feedback form. We look forward to hearing from you!

Beginning November 5, an updated view of Patient Contact Information will be available in the ZAP. Here are some highlights to look forward to:

• Contact information is now separated from Sources so users can get access to the information they need more quickly.
• Phone numbers, email addresses, and physical addresses are listed from most common to least common, including information about what sources noted each individual data point.
• A checkmark indicates if the value is one already known to your organization and is "synced with record" as it does for clinical information in the ZAP
• Users can copy a phone number, email, or address to the clipboard to be pasted into another application such as your CRM tool.
• The "Sources" tab now moves alongside "Contact Info" and both sections are housed under "Demographics" in the ZAP. In the Web Application, this also includes a demographics section with additional patient information.

Read more detailed information in our Clinical Guide.

Note: this will be released to users gradually between November 5 and November 8.

Users can now filter to view only Conditions that are associated with a Hierarchical Condition Category (HCC) Code in the ZAP. By selecting this filter, the list of conditions shows only those with an associated HCC, as indicated by the blue icon in each condition row.

Remember that user filters are retained across patient charts, so if a user selects this filter in one patient chart and moves to another the filter will remain.

Starting today, there are several new improvements to viewing and interacting with Documents in the ZAP.

Documents

• Indicate the Title, Author, Date Retrieved, Encounter Type, and Encounter Dates when available
• These appear in the Table of Contents for each CCD

Document Component

• The type of Document is now more obvious - an icon and type is listed in the second column of the table.
• The Encounter Date, Date Retrieved, and Author are now visible within the table
• The type of Document is a new filter - so users can filter by type: CDA, PDF, or Image - JPEG, PNG, TIFF.
• Some TIFF Images may have rendered incorrectly as black boxes - this is now fixed and all Images render correctly.

As a part of our ongoing efforts to reduce duplicate alerts for hospitalizations, patients already receiving ADT messages through an HIE within the PointClickCare network will no longer be connected to the Collective Medical ADT feed by default. We do not anticipate any reduction in facility coverage for these alerts, but if you have any questions or concerns with this change, please don’t hesitate to reach out.

Starting today, ZAP users can select more than one condition to add to the patient chart.

When using the ZAP in EHRs, users can select more than one condition at a time to add to the chart. Users can also select more than one condition to dismiss.

When the condition is finished syncing with the patient chart or is successfully dismissed, a checkmark appears next to the row. The checkmark to confirm addition to the patient chart will remain green until the user leaves the ZAP to indicate what conditions were added during a given session.

In some circumstances, Zus may not be able to add the condition to the chart. If this occurs, a red error message will appear to alert the user.