How To Add a New Pathway Template Follow
Pathway templates can be added or edited on the Content>Pathways page by Care Team members with the Content Administrator role. For each health condition, you can create pathways that prompt the patient to answer questions and record biometrics. The pathway questionnaire is how you monitor a patient's health condition and track changes that occur during the duration of a patient's program. You can configure the questions and biometrics as a Content Administrator. This process also allows you to configure when alerts will appear based on the patient's answers.
In this article
Open the Content>Pathways page.
To add a new Pathway template:
On the Pathways page, click +Add Pathway.
The Add New Pathway window appears.
In the Add New Pathway window, do the following:
- In the Enter New Pathway Name box, type a new name for the pathway.
- In the Programs list, click a program for this pathway.
- In the Default Status list, click Inactive or Active to specify how you want the pathway to appear by default when added to a patient. For more information, see Understanding Pathway Default Status.
Note: The Tag box will be available for use by Content Administrators in a future release.
The Pathway page appears.
When adding questions to a pathway, you can either search for an existing question or add a new question. If you have established pathways, then search for questions in the list first before adding a new question. Do the following:
- Search for Questions
In the Available Questions area, find the questions that you want to add to the pathway. When a patient is assigned this Pathway, these are the questions that will appear on their device or tablet. You can search using All Categories or narrow your search to a specific category before typing question criteria in the Search Questions box.
- Create New Questions
Click Create New Questions.
The Add New Question window appears.
In the Add New Question window, do the following:
- In the Question Type list, click the type of question (Yes/No, Single Selection, Multi Selection, Likert Scale, or Video), which will populate the Response Options.
- In the Category list, click the location for question. This will make the question easier to find in the future when you or other Care Team members want to add it to a Pathway. If an appropriate Category doesn't already exist, you can edit the question later.
Note: The Display Condition Rule and Tag boxes will be available for use by Content Administrators in a future release.
- In the Enter New Question Text box, type the question text that you want to appear in the Pathway.
- In the Response Options boxes, options will appear based on what you selected for Question Type. The response options are the choices that the patient will have when answering the question that you create.
- Yes/No – The patient can choose Yes or No.
- Single Selection – The patient can make one choice.
- Multi Selection – The patient can choose multiple options in the list.
- Likert Scale – Patients are presented with responses with the neutral point being neither agree nor disagree, which is used to allow the patient to express how much they agree or disagree with the statement.
- Video – The patient will be presented with a video, which they can choose to watch Now or Later.
If the box can be moved, you will see an arrow next to it ( ). Click and then drag the response option to the order in which you want it to appear.
- In the Alert LevelNormal (N) - The patient is within the normal range for their pathway question responses. Medium (M) - Indicates that an action might be needed by the care team member. High (H) - Indicates that an action is needed by the care team member. box, click the level of alert you want to apply. The level of alert will determine if the Care Team member is notified about the patient's response.
To add a question, you can drag and drop it to the location in the list or you can use the arrows (). The benefit of dragging the question is that you can position it above or below other existing questions. When you use the arrow, the question will automatically appear at the bottom of the list.
You can nest questions within other questions, which means you can have one question that if answered a certain way will immediately follow with a related question. For example, you can have a question that asks the patient "Did you notice your heart beating faster than normal yesterday?" and if they patient answers Yes, then the question "Did the fast heart rate occur at rest?" appears. If they answer no, then they move to the next question.
To make the new pathway available to be assigned to patients immediately after creation, before you click Done, select not published to change it to published.
A pathway can exist in a published status or unpublished status. If you don't want the pathway to be available for Care Team members to assign to patients, then leave it in the unpublished status. When you publish a pathway, it will be available for Care Team members to assign, even if it is in the inactive default status.
Note: You can navigate to the Unpublished Pathways folder at anytime and select the slider button to move it to the Published Pathways list.
Unpublished Pathways are viewable in the Content>Pathways list. In the following example, there are seven published pathways and one pathway that is unpublished. The unpublished pathway will not appear on the Patient Pathway tab, so it is not possible to assign it to a patient. To assign it to a patient, it must first be edited and changed to a published pathway.
When you create a new pathway or edit a pathway, you can choose the default status. The default status controls how the pathway appears on the Patient Pathway page. A pathway can be in an inactive status and be published or unpublished. Care Team members can change the pathway to active on the individual patient level, if you make it inactive by default.
For example, if you create a video pathway and you don't want it to be automatically assignable for the set of Asthma population pathways, then you can make it inactive by default, and the Care Team member can change it to active for the patient if or when it is needed.
Inactive Pathway Scenario
On the Content>Pathways page, the AMI 01 Monday pathway is published but inactive and the AMI Video Education pathway is unpublished and inactive.
To see the AMI Video Pathway as an option on the Patient Pathway page, I change it to published status.
On the Patient Pathways page, when I search for a Pathway, I see AMI 01 Monday and AMI Video Education pathway, as they are both now in published status and in inactive status.
On the Patient Pathways page, when I add the these two Pathways to a patient, they appear in the Inactive area because they were assigned default inactive status on the Content>Pathways page.
By default, new templates will be set to generate overdue alerts. If you don't want a pathway template to produce overdue alerts when the patient hasn't completed it by the Late Time, you can select the Overdue Alerts On option to change it to Overdue Alerts Off. When this option is off (disabled), the Care Team will not see an alert message on the Patient Header or the Patient Monitoring page when the pathway is overdue. This setting may be useful for situations when the pathway is optional, such as for a survey or education material.
When an existing template is changed from Overdue Alerts On to Overdue Alerts Off, all patients that are assigned that pathway will stop receiving overdue alerts for that pathway. This change affects all patients with the pathway assigned and patients that are assigned the pathway in the future.
On the Content>Pathway page, if the pathway is not sending overdue alerts and the option is set to Overdue Alerts On, then one of the following situations may have occurred:
- The population assigned to the patient is disabled from sending overdue alerts.
- The global setting for the portal is set to disable overdue alerts.
- Both the population assigned to the patient and the global setting for alerts are disabled.
The settings can only be changed by Vivify Support. If you need assistance making a global or population change for overdue alerts, contact Vivify Support.