Q: How do I discharge patients in Tissue Analytics?

For non-integrated users : Navigate to the patient in the Tissue Analytics web portal. The patient record will open with the patient's name displayed on the top left corner and the Patient Information section open. The first line will show Status: current patient and a green discharge button. Click discharge . It will show Status: discharged and the green button now says readmit . For integrated users : If a patient is discharged in your EMR, they will be discharged in the Tissue Analytics application.

Question 1

How do I contact TA technical support or a system administrator?

Accepted Answer

TA technical support is available by phone, email, or a live chat function on our web portal:

443.491.8241
support@tissue-analytics.com
To contact TA technical support using the chat function, go to the web portal at https://portal.tissue-analytics.com and click the chat icon in the bottom right of the screen. To discuss a specific patient, wound, or evaluation, navigate to the relevant page in the portal and then click the chat icon to open the chat window. This will automatically provide the system administrator with the associated information.

Question 2

How do I contact TA technical support or a system administrator?

Accepted Answer

Log in to the mobile application. A list of patients will appear. Select the patient whose wounds you want to inspect. On the next screen, identify the wound that you want to inspect. If you want to see the past images, click on the image thumbnail and you will be able to scroll through all of the images.

Question 3

How do I overlay the most recent photo of a wound onto the camera in the mobile application?

Accepted Answer

Log into the mobile app and select the patient from the list of patients. From the list of wounds click on the Document button beside the wound you wish to photograph. From the photo screen, select the overlapping boxes icon in the top right corner. This will overlay the most recent photograph taken of this wound. The sliding bar at the bottom of the screen can adjust the magnification of the overlay. Take the photo when the dot and would are closest to the overlaid image.

Question 4

How do I view the wound analysis (measurements, composition etc.) on the mobile device?

Accepted Answer

Log in to the mobile app and select the patient from the list of patients. From the list of wounds select the Analysis button located next to the thumbnail of the wound you wish to inspect. Click on Measurements, Composition, or Visualization at the bottom of the screen to view the associated analysis.

Also, after you "Submit" a photo and navigate through the Observations and Forumularies screens, you will reach the analysis page. After approximately one minute, the wound analysis, including measurements and tissue composition, will appear on the screen. Please use the refresh arrow if you do not yet see the analysis on this page.

Question 5

How do I view all past images and analyses of a wound from a desktop?

Accepted Answer

For Non-Integrated Users : Go to https://portal.tissue-analytics.com. Log in to the web portal with same username and password you use for the mobile app. Once logged in you will see a list of patients seen today. To see patients from other dates you can click on the date on the right of the screen to select a new date, or use the arrows next to the date to scroll through recent activity. You can search for a specific patient or browse all patients under the All Patients tab.

Once you have located the patient click on the name. A Wound List will appear for that patient. Click on the image of the wound you wish to view. A view of all images for this wound will display in chronological order. Scroll through the images using the arrows below the images.

For Cerner Users : Navigate to the patient's chart in your EMR. Select the "Tissue Analytics" tab located in that patient's chart. Scroll through the images using the arrows next to the image.

For Athena Users : https://vimeo.com/199707909

For Allscripts Sunrise Users : https://vimeo.com/199386911

For Allscripts Professional EHR Users : https://vimeo.com/194704504

For Allscripts Touchworks Users : https://vimeo.com/194704719

Question 6

Can I document wounds from the web portal?

Accepted Answer

Yes. Log in to the web portal using the same username and password you use for the mobile app. Locate the patient whose wound(s) you wish to document and click on their name. Select the wound and date of evaluation that you wish to document. Under the evaluation you will find the options for Observations and Formularies. You will only be able to make changes if the evaluation has not been previously signed and locked. Use a drop down list to select options for each Observation. Click No Formularies Recorded to bring up the menu to add Formularies.

Question 7

How do I discharge patients in Tissue Analytics?

Accepted Answer

For non-integrated users : Navigate to the patient in the Tissue Analytics web portal. The patient record will open with the patient's name displayed on the top left corner and the Patient Information section open. The first line will show Status: current patient and a green discharge button. Click discharge. It will show Status: discharged and the green button now says readmit.

For integrated users : If a patient is discharged in your EMR, they will be discharged in the Tissue Analytics application.

Question 8

How do I compare two images side by side?FAQ

Accepted Answer

Login to the web portal and locate the patient and the desired wound from the wound list for the patient. Click on the image in the film strip that you want to compare to another. To the right of the image, under the red Sign and Lock button there is a date (△MM/DD/YEAR). Click on this date to compare the image to an image of this wound by selecting the date to compare from the drop down.

Question 9

How do I make sure to document the correct wound if one or more of the patient's wounds have already been photographed? I.e. How do I document an existing wound?

Accepted Answer

To take a new photo of an already-documented wound, click on the patient name in the mobile app. The list of wounds for that patient will display. To take a new photo, click on Document beside the wound you wish to photograph. You will now be able to take a photo of this wound and it will automatically be added to the series of photos for that wound.

Question 10

How do I add free text notes from the web portal?

Accepted Answer

Login to the web portal and locate the patient and the desired wound from the wound list for the patient. All the photos of that wound will display. Click on the image that you wish to document. Under the evaluation there is a Notes field. Enter your notes in the Notes field and click Submit Note.

Question 11

What if my patient does not appear in the web or mobile app?

Accepted Answer

It is possible that the patient was marked as discharged. To check if this was the case, log in to the web portal and click the All Patients tab. Enter the patient name or M.R.N. in the search box and then check the Include discharged patients box to the right of the screen. If the patient still does not appear please contact TA technical support.

Question 12

How do I delete images?

Accepted Answer

Currently this must be completed by TA system administrators. Please contact TA technical support using the chat function in the web portal. Navigate to the image that you would like deleted and click the chat icon to open the chat window. This will automatically provide the system administrator with the information needed to delete the image.

Question 13

How do I move images from one wound to another for the same patient?

Accepted Answer

Currently this must be completed by TA system administrators. Please contact TA technical support using the chat function in the web portal.

Question 14

What do I do if I discharge a patient by mistake?

Accepted Answer

Log in to the web portal and click the All Patients tab. Enter the patient name or M.R.N. in the search box and then check the Include discharged patients box to the right of the screen.

Locate the patient and within the Patient Information click the green readmit button. This removes the patient from discharged status.

Question 15

Can I analyze my images from the web?

Accepted Answer

In order to analyze images from using the web portal you will need to have saved the picture to the computer in some form, as we do not support image capture using the web. Log into the web portal and click the All Patients tab or Patient Records in the navigation.

Locate the patient and click on the patient name to open the record. To add images for a new wound click Add a new wound, select the appropriate avatar and wound location and then click Choose File to upload the image.

Question 16

I sent the photo and did the documentation but the analysis has not yet loaded on the mobile device or web. What's going on?

Accepted Answer

The analysis can take up to 2 minutes to complete. If you have not seen the analysis come through and several minutes have passed, please contact TA tech support.

Question 17

Why are my images dark?

Accepted Answer

The mobile app uses imaging technology to correct for unsatisfactory lighting conditions and produce clear images of the wounds. However if your mobile device does not have a flash or if the flash is occluded (blocked), the app's lighting correction will not be able to overcome these issues. Please check if your smartphone or tablet case is blocking the flash. Additionally, we always recommend that the region you wish to photograph is well lit.

Question 18

What if the automated analysis did not capture the wound correctly?

Accepted Answer

You may contact TA tech support to have the image sent for reanalysis, or you can retrace the wound boundary from the web portal. Navigate to the image that you would like to retrace and click the wrench tool in the top right corner of the image. Follow the prompts on the following page to make Analysis Corrections and click Submit when you are satisfied with the new boundary. The measurements will update shortly after you've completed the retrace.

Question 19

I measured the length and width with a ruler and it was different from the TA measurements. What's going on?

Accepted Answer

The core of TA's technology is the ability to measure a true surface area of the wound, which is different from length multiplied by width. TA has published results showing that this method is significantly more accurate than the length times width estimation for area. However, if you are comparing your length and width measurements to the TA length and width measurements, and they still disagree, there are a few things that you can verify:

The wound margins may be incorrect : If the wound margins are incorrect, you can retrace the wound margins.
The camera is not oriented correctly and the measurements are in "Compass" mode : TA defines compass mode as measuring the wound from head-to-toe for length and side-to-side for width. This is the most popular method. However, the TA software assumes that the top of the camera screen is pointing towards the head of the patient. If this is not the case, the length and width measurements may differ from your ruler measurements using the same method.

Question 20

The TA tissue composition does not seem right. What's going on?

Accepted Answer

There are several factors that may impact TA's automated analysis of tissue composition. In general, TA's analysis of tissue composition is meant to serve as a guide for clinicians to see the color composition of the wound bed. It does not attribute tissue types to each region of the wound. The most significant source of color misclassification will arise when the image is too dark or too bright.

Question 21

What does it mean when it says "No Dot Detected" in the analysis?

Accepted Answer

This means that the analysis determined that no reference marker was included in the image and as a result the wound could not be measured. The mobile app requires a reference marker to measure wounds. We recommend Avery Color Coding Labels 5468 (green), see this link: http://www.avery.com/avery/en_us/Products/Labels/Identification-Labels/Print-or-Write-Round-Color-Coding-Labels_05468.htm. However, if you do not have the recommended green dot, you can place a standard ruler with the centimeter marks visible beside the wound and the analysis will work.

If you feel that this message was received erroneously then please contact TA tech support to have the image sent for reanalysis.

Question 22

How do I get exports of data and summary reports?

Accepted Answer

Reports are run by TA and emailed to you upon request. If you know the email address of your Program Manager, you can contact them directly and asked to be added to the reporting cycle. If you do not know your PM, please contact TA tech support and they will forward the inquiry to the appropriate person.

Question 23

How do I save/download the full-sized image?

Accepted Answer

Login to the web portal and locate the image that you'd like to download. In the bottom left corner of the image there is a “save” icon. Click on the icon to download the image.

Question 24

How do I print a pdf of an evaluation?

Accepted Answer

Login to the web portal and locate the evaluation that you'd like to download. In the top left corner of the image there is a PDF icon. Click on the icon to download the pdf report of the evaluation for that date.

If the patient was seen for multiple wounds on the same day, you can download all evaluations for that date by clicking the PDF icon to the right of the patient name in the calendar view.

Question 25

How can I get assistance with a login error?

Accepted Answer

Please contact Tissue Analytics technical support for assistance with login issues, including unlocking your account after too many password attempts.

Question 26

How do I add new users to the Tissue Analytics system?

Accepted Answer

To give additional users access to the mobile app, you must be assigned Admin status in Tissue Analytics. If you are an admin, login to the web portal. Click Admin in the menu bar at the top of the page to access the admin page. Click on the User Accounts tab and then the Create New User button. Enter the information requested for the user on the Create Account form. You must use a unique email address for each user. Once you save the information, the user will be notified via email. If you are not an Admin, please contact Tissue Analytics technical support to request that users are added.

Question 27

What do I do if I forgot my password?

Accepted Answer

Mobile app : Enter your username and click Login. Use the forgot password link on the bottom of the login screen of the mobile app and enter the email address associated with your account. A password reset link will then be emailed to you.

Web portal : Enter your username into the login screen of the web portal and click submit. Then click the forgot password? link in the next screen. Enter the email address associated with your account. A password reset link will then be emailed to you.

If neither of the above methods work, please contact TA technical support.

Question 28

Do I need any special equipment to use the app?

Accepted Answer

The app is designed to be lean and easy to use and it is compatible with most modern mobile devices.

The software requires a reference marker to measure wounds. We recommend green Avery Color Coding Labels 5468 (http://www.avery.com/avery/en_us/Products/Labels/Identification-Labels/Print-or-Write-Round-Color-Coding-Labels_05468.htm). However, if you do not have the recommended green dot, you can place a standard ruler with the centimeter marks visible beside the wound and the analysis will work.

Question 29

Where/How should I place the green dot (or ruler, if applicable)?

Accepted Answer

Place the green dot on (or as close as possible to) the same plane as the wound. The entire green dot must be visible in the photo. Many users find it helpful to place the dot towards the head of the patient to appropriately orient their photo capture. If you are using a ruler please place the ruler in the plane of the wound and make sure the cm markings are clearly visible.

Question 30

The mobile application fails every time I try to use it. What's going on?

Accepted Answer

TA is compatible with Android 5.0 or higher and iOS 10.3 or higher. We also have a responsive web application you can use on non-Android/iOS devices. However, due to the vast array of mobile devices available, it is possible yours is not compatible with the TA app. If this is the case, please contact a TA representative for more options.

Question 31

Does my mobile device need a wireless connection to use the Tissue Analytics app?

Accepted Answer

Currently, you must be online to use the Tissue Analytics app.

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