ARIAS USER GUIDE - Oregon
ARIAS USER GUIDE
2
Document History: Version Description Author Date 1.0 Starting draft document Heather Owens 5/15/2020 1.1 Simple version distributed for EPI pilot Heather Owens 5/18/2020 1.2 Outline distributed for OHA pilot Heather Owens 5/22/2020 1.3 Updated to align with training video additions Heather Owens 6/1/2020 2.0 Changed format, updated content Heather Owens 6/8/2020 2.1 Renamed document, completed content Shaun Parkman 6/12/2020 2.2 Changed format Philip Lerud 6/18/2020 2.3 Removed typos Philip Lerud 6/24/2020 2.4 Updated content for 7/1/2020 software release Philip Lerud 7/1/2020 2.5 Updated content for 7/9/2020 software release Philip Lerud 7/13/2020 2.6 Updated content for 7/24/2020 software release Philip Lerud 7/27/2020 2.7 Updated content for 8/7/2020 software release Philip Lerud 8/7/2020 2.8 Updated content for 8/24/2020 software release Philip Lerud 8/24/2020 2.9 Updated content for 9/7/2020 software release Philip Lerud 9/8/2020 2.91 Updated content for 9/28/2020 software release Philip Lerud 9/28/2020 2.92 Updated content for 10/19/2020 software release Philip Lerud 10/19/2020 3
CONTENTS Introduction . 5 Logistics . 5 Support. 5 Phones and Computers . 5 Database Access. 6 Data Security . 6 Contact Tracing Scenarios – High-level Overview . 6 Considerations for Marginalized Communities . 7 ARIAS . 7 Default Screen . 7 Contacts . 9 Contacts Menu Bar . 9 Contact Information. 9 Automated Monitoring for a Contact . 10 Contacts in Shared Households . 11 Views for Managing Contact List . 14 Default System Views . 14 Assessments System View . 15 Connections System View . 16 How to Create a New Custom View. 16 Tasks in ARIAS . 21 Assigning an Owner to a Contact . 21 Assigning Multiple Contacts. 23 Identifying Contacts who Develop Symptoms . 24 Identifying Contacts who Stop Responding to Automated Monitoring . 25 Identifying Contacts who Have Completed Monitoring . 25 Example Scenarios . 27 Initial Interview – No Symptoms. 27 Initial Interview – With Symptoms . 30 Initial Interview – REAL-D . 33 Best Practices . 34 4
Appendix . 35 List of Data Fields in ARIAS. 35 Automated Monitoring Messages . 46 Tips for Power Users . 48 Relation Between ARIAS and OPERA . 48 Duplicate Contact Records. 49 Jurisdictions. 51 OPERA Contact fields to complete, if known, for export to ARIAS. 52 Reporting on Contact Tracing Activities Using the Show Charts Function . 53 INTRODUCTION This user guide to the At Risk Identification Alerting System (ARIAS) is intended as an accompaniment to COVID-19 Contact Tracer Training videos and ARIAS Frequently Asked Questions. Space is provided throughout the guide for you to capture notes. We intend to update this guide periodically to include changes due to system updates and additional information specific to your contact tracing activities. LOGISTICS SUPPORT Contact ARIAS.support@dhsoha.state.or.us for ARIAS-related problems. Attend an ARIAS user group call. We hope to provide these regularly, more details to come. The Oregon Health Authority will be sending frequent emails with important information about changes to ARIAS and other contact tracing news. Please review these emails carefully. This may take several minutes as there will be a lot of information. PHONES AND COMPUTERS In order to complete contact tracing tasks, you’ll need a few key pieces of equipment: A phone, headphones are optional but recommended to make it easier to enter data at the same time as talking with your contact. A computer with a reliable internet connection. Contact tracer training materials for reference. Scratch paper and pen or pencil for note taking.* *HANDWRITTEN NOTES MUST BE DISPOSED OF SECURELY. If have not already been assigned these pieces of equipment, talk with your supervisor either at your Local Public Health Authority (LPHA) or the Oregon Health Authority (OHA). Work with your site to determine which 5
phone number to give to contacts when leaving a voicemail. In most cases, you will be leaving your work issued phone number. Phone number to leave on voicemails: If you are about to rotate off or are taking a weekend, talk with your site supervisor about which number to leave with your contacts. This might be a colleague who you will be reassigning your cases to, or another generic phone line. DATABASE ACCESS Getting access to the ARIAS database is facilitated by your local LPHA or a Tribe. You must have been assigned an OR# or P# and a Microsoft ID to access the ARIAS database. It is recommended to use the latest version of Google Chrome or Microsoft Edge browser on a Windows 10 computer. Other browsers including Microsoft Internet Explorer 11, Mozilla Firefox, and Apple Safari are supported, but not recommended. iOS and Android devices not recommended. DATA SECURITY ALWAYS REMEMBER TO: Lock your computer screen before stepping away. Log-off when you are done for the day. Store information only in the data base. Keep your log-in information confidential. You cannot export data from ARIAS. System access will be limited based on jurisdiction for most users. CONTACT TRACING SCENARIOS – HIGH-LEVEL OVERVIEW Once initial contact has been made, you will identify next steps in your monitoring based on two scenarios: 1) The person contacted reports symptoms during the first interview, or 2) The person contacted does not have symptoms. Scenario 1: Scenario 2: 6
CONSIDERATIONS FOR MARGINALIZED COMMUNITIES There are some identified disparities in the burden of COVID-19 and associated software challenges. The purpose of sharing this information here is to recognize shortcomings in our response up to this point and to highlight the need for culturally responsive and linguistically appropriate contact tracing efforts. See the section in the video titled ‘Considerations for Marginalized Communities’ for more information. If you have suggestions to help make ARIAS more culturally responsive, please send an email to this address: ARIAS.support@dhsoha.state.or.us. ARIAS DEFAULT SCREEN Once you have logged in to ARIAS, this is your default view: 6 7 8 4 3 2 1 5 9 10 ❶ My Active Contacts – Your default system view of ARIAS upon login will show your list of active contacts. Click the arrow to open a drop-down menu and select alternate contact lists, called system views. ❷ ARIAS main toolbar (purple bar) – These are meta controls for admin tasks. Other than sign-in/out and adjusting settings, contact tracers will not be using these functions regularly. ❸ Sign-in/out – The only exception to the previous statement, by selecting you will find the log out option. Remember to log out after each work-session. ❹ Admin toolbar (white bar) – You may find the ‘refresh’ and ‘create view’ functions on this toolbar useful. Do not use the ‘new’ function. If you add a contact using this function, it will not allow you to save. All contacts must be imported by a state admin. ❺ Search bar– Searches for contacts in the active system view. Use the asterisks symbol (*) as a wildcard to search by a partial name, for example when a contact may have two last names. 7
Grey left nav bar – This is where you’ll find what you need. ❻ Home – Returns to your contact list. The default is ‘My Active Contacts’. ❼ Recent – Shows the 10 most recent pages, helpful to quickly get back to a specific page. ❽ Pinned – Quick access links. Add pages here by clicking the thumbtack icon in the recent menu. ❾ Contacts – Returns to your contact list, same as the home button. ❿ Assessments – List of recent assessments. Remember to update the time zone the first time you log in. It will be incorrect until you do so. 1. Click the gear symbol at the top right of the purple tool bar. 2. Select personalization settings. 3. This screen will open: 4. Under the General tab, scroll down to ‘Set the time zone you are in’ and select the appropriate time zone to Pacific Time from the drop-down menu. There is an exception for some areas in Malheur county in which case you would select Mountain Time. 8
CONTACTS CONTACTS MENU BAR Once you select a contact from your list you will see a different set of tools for use in the menu bar. 2 3 4 5 1 ❶ List of views – To open list of system views, select the arrow next to ‘My Active Contacts’. Once selected, a drop down will open where you are able to see and select the various system views available to you. These are helpful for use in managing the status of your contacts. ❷ Activate – Activating a contact is used to reactive a contact that has been deactivated. ❸ Deactivate – Don’t use this button. Instead, update the monitoring status to inactivate a contact. If accidentally deactivated, you can reactivate by searching for the contact in the ‘All Contacts’ view. ❹ Merge – This merge function does not work. ❺ Assign – Make someone else the owner of this contact or multiple contacts. CONTACT INFORMATION Some of the Contact Information will be pre-populated, but most of the information will need to be confirmed. How you interact with each section will be similar from contact to contact but will have specific nuances. If basic information like a name or phone number is incomplete or missing, work with your contact tracing supervisor to either obtain more information or reassign the contact to some designated person. Basic Info - Name, date of birth, contact info and contact attempt tracking. Confirm information with contact and update as needed. Track all contact attempts in the provided fields, both successful and unsuccessful attempts. Update preferred method of contact for monitoring. Details - Automated monitoring selection, monitoring status and last assessment date. Update automated monitoring status. Last assessment date is generated each time a new assessment is completed. Address – Self explanatory. Update as needed. Additional Notes – This is where you will leave important details regarding this contact. Please add the date and your name when you use this field. Some things you should use this field for are: The contact will be unavailable to report at a certain time of day or for a period of time. Reference Fields – These are for case investigators and will not be updated by contact tracers. You will find last date of exposure and quarantine end date in this section. 9
AUTOMATED MONITORING FOR A CONTACT Contacts can opt-in to receive daily monitoring through automated emails or texts, instead of a daily phone call from a contact tracer. To enable automated monitoring, update the following fields. 1 2 3 4 5 6 ❶ Automated Monitoring - Change to ‘Yes’. ❷ Email/Text Language – Enter the preferred language. ❸ Monitoring Status - Change to ‘Monitoring’. ❹ Email - If email is preferred for automated monitoring, verify the email address is correct. ❺ Mobile Phone - If text is preferred for automated monitoring, verify the phone number is correct. ❻ Preferred Method of Contact - Change to ‘Text’ or ‘Email’. When enabled, automated monitoring will send an initial text or email, immediately, while you’re on the phone with the contact. If it is not received, verify the contact information is correct. The initial text or email can be resent by turning automated monitoring off and then back on. Change ‘Automated Monitoring’ to ‘No’ and ‘Monitoring Status’ to ‘--Select—’ then save the contact record. Update the ‘Email’, Mobile Phone’, or ‘Preferred Method of Contact’, as needed, then save again. Finally, change ‘Automated Monitoring’ to ‘Yes’ and ‘Monitoring Status’ to ‘Monitoring’, then save the contact record. This will immediately send a new text or email. Automated monitoring emails or texts will generate a new assessment daily. By default, the symptom answers will be ‘No’, even if the survey assessment is never opened by the contact. The assessment will not be complete until the contact responds to the survey and indicates either ‘None’ or a symptom. You should review if contacts have responded to their survey and if they have reported symptoms. Automated monitoring is only offered in a limited number of languages, including English, Spanish, Korean, Russian, Vietnamese, Chinese (Cantonese), and Chinese (Mandarin). If an unsupported language is chosen, the system will default to the English version until more languages are added. A small lightbulb icon will alert you 10
if an unsupported language is selected. Clicking on the lightbulb icon wil reveal a recommendation to set the language to English. The Email/Text Language field is a clickable link. The link will show the actual text of the automated monitoring emails and texts. Screen shots of the text, email, and survey are in the appendix of this guide. A phone number shared between multiple contacts will receive several texts, one for each contact. For example, a parent with young children all under automated monitoring will receive multiple text messages. The texts are labeled for each contact so the parent can now tell which text is for themselves or for each child. Automated monitoring will continue to send daily text or email surveys until is turned off. You should review if contacts have completed their quaratine period without developing symptoms and are ready to end automated monitoring. CONTACTS IN SHARED HOUSEHOLDS ARIAS does not automatically reference or notify you when multiple contacts live in a shared household. For example, ARIAS will not notify you if a parent with young children are all under monitoring. In this example, the contacts should be monitored together and discussed in one daily phone call to the parent. Household contacts can be identified using connections in ARIAS. To connect household members together or view existing connections: 1. From a Contact’s screen, click on the ‘Connections’ tab. 11
2. This will show any current household connections for this contact. To add a new connection, click on ‘ New Connection’. 3. This will open the ‘New Connection’ screen. Click in the search box next to ‘Name’ to find the household members. 4. When you have entered the name and a description of the connection, click on ‘Save and Close’. The description will be visible from either contact record. 12
5. Your new connection will is viewable under the “Active Connection Associated View” from either contact record. 6. Click on ‘Connections’ in the left navigation menu to see a list of all connections between active contacts assigned to you. Connections are links between two contacts. When multiple contacts are connected, they will only be connected in pairs, not as a shared connection. You will need to create a new connection for each pair of contacts. To connect three contacts, you will need to create three connections. To connect four contacts, you will create six connections. And so on for larger households. To identify new household connections in your contacts, sort each of the ‘Address’, ‘Phone’, and ‘Email’ columns on your ‘My Contacts’ view. If two contacts share any one of these fields, they may be household contacts. If confirmed, record their household status in a connection and the notes field of each contact record for future reference. 13
VIEWS FOR MANAGING CONTACT LIST DEFAULT SYSTEM VIEWS To assist in management of your assigned contacts, there are a variety of system views built into the database. Below is an explanation of the most helpful views. View the full list by selecting the ‘My Active Contacts’ drop down. Note, to change your home screen to another system view, click the thumbtack icon to the right. 1 2 3 4 5 6 ❶ My Active Contacts - Use this to view all contacts assigned to you. You can sort the ‘End of Quarantine’ column to find any active contacts who have completed their quarantine period. ❷ Active Contacts - Use this view to see all active contacts within your jurisdiction. You can filter based on jurisdiction or county of residence to see all contacts in your jurisdiction or county. You can filter based on a group of ‘owners’ to see all contacts belonging to your team. ❸ All Contacts - Use this view to see all active and inactive contacts within your jurisdiction. You can search this view to find inactive contacts that you would like to reactivate. ❹ My Active Contacts Without Recent Assessments - Use this to identify contacts who have stopped responding to automated monitoring assessments. This includes contacts with a ‘Last Assessment Date’ older than yesterday. ❺ My Contacts Not Contacted - Use this to identify contacts that you have not yet reached. This includes newly assigned contacts or and those that need additional call attempts. You may need to sort by the ‘3rd contact attempt’ column to separate out those who have been lost to follow up. 14
❻ My Recently (48h) Symptomatic Contacts - Use this to identify contacts who have developed or maintained symptoms in the last two days. It is different from ‘My active contacts with symptoms’ because it shows only those who are recently symptomatic and may require follow up, and not those who may have had a cough early on that resolved and has not re-occurred. ASSESSMENTS SYSTEM VIEW From the grey navigation menu on the left of your screen, you can open the ‘Assessments’ view. This view will allow you to review symptom responses for your contacts throughout their monitoring period. Use this view to check if contacts have become symptomatic or failed to respond to automated monitoring surveys. Just like the contacts view, you can click on the arrow next to ‘My Active Assessments’ to view the list of assessment system views. Below is an explanation of the most helpful views. 1 2 ❶ My Active Assessments - Use this to view all assessments for active contacts assigned to you, whether they have reported symptoms or none. ❷ My Active Assessments with Symptoms - Use this view to see all assessments with one or more symptoms reported by active contacts assigned to you. This is helpful to review if a contact has reported two or more symptoms and may qualify as a presumptive case. (see instructions for Identifying Contacts who Develop Symptoms). 15
CONNECTIONS SYSTEM VIEW From the grey navigation menu on the left of your screen, you can open the ‘Connections’ view. This view will allow you to review connections between known household contacts. Use this view to check if contacts live together and if you should call one contact and discuss multiple contacts. For example, this view will identify families and which contact is the parent responsible for children contacts. HOW TO CREATE A NEW CUSTOM VIEW You can add new custom views to the database. The newly created views will be added to the ‘My Active Contacts’ drop down. You can also create new system views for ‘Assessments’ and ‘Connections’ from their respective pages. 1. From your Contacts homepage, click on ‘Create view’. 16
2. This should take you to the ‘Advanced Find’ screen, click on ‘Select’. 3. Select the field(s) you want to filter by. 4. Select the criteria you want to filter by. 17
5. Click on ‘Edit Columns’. 6. This should take you to the ‘Edit Columns’ screen, click on ‘Add Columns’. 18
7. This should take you to the ‘Add Columns’ screen, select all the column(s) you want in your custom list view, click on ‘OK’. 8. This should take you back to the ‘Edit Columns’ screen, click on ‘OK’ again. 19
9. This should take you back to the ‘Advanced Find’ screen, click on ‘Results’. 10. If the results you are seeing on your screen are the correct results you were wanting, click on ‘Advanced Find’. 11. Click on ‘Save’ 20
12. Enter in a Name and Description for your custom list view, click on ‘Save’. 13. Go back to your Contacts homepage. Click on your List View selection button, and your custom list view should now appear under ‘My Views’, click on your custom list view. TASKS IN ARIAS ASSIGNING AN OWNER TO A CONTACT You might do this when: You are rotating off duty, or When a contact develops symptoms. Notify and reassign to a case investigator or the LPHA. 1. Select the contact of which you wish to change ownership and select ‘Assign’. 21
If you are already working on a contact, do the same from within the contact screen. 2. In the Assign Contact window, click ‘Me’ to change option to ‘User or Team’. 3. You will now be able to find to search users and teams. Once you’ve found and selected the desired entity, click ‘Assign’ to save. 4. To confirm, you will notice this contact no longer shows up in your ‘My Active Contacts’ list. 22
ASSIGNING MULTIPLE CONTACTS 1. You can assign multiple contacts at once. Start by selecting desired contacts in the list, then select assign. 2. In the Assign Contact window, click ‘Me’ to change option to ‘User or Team’. 3. You will now be able to find to search users and teams. Once you’ve found and selected the desired entity, click ‘Assign’ to save. 4. To confirm, you will notice these contacts no longer shows up in your ‘My Active Contacts’ list. 23
IDENTIFYING CONTACTS WHO DEVELOP SYMPTOMS ARIAS will not notify you if a contact under automated monitoring indicates that they have developed a symptom or symptoms. To check if contacts have developed one or more symptoms, click on ‘Assessments’ in the Apps section of the grey navigation bar at the left of your window. Navigate to the ‘My Active Assessments with Symptoms’ system view. The ‘My Active Assessments with Symptoms’ system view will show each assessment with symptoms for every contact that is assigned to you. This includes assessments completed by other contact tracers, if the contact was monitored by a previous contact tracer and then assigned to you. Sort the ‘Contact’ column ‘From A to Z’ to bundle the assesments for each contact together. Review the columns for ‘Cough’, ‘Fever’, ‘Loss of Smell’, ‘Shortness of Breath’, and ‘Other Symptoms’. If a contact has a ‘Yes’ in two or more symptom columns, even from separate assessments, then they may qualify as a presumptive case. Assign your multi-symptomatic contact to the person/team identified by your LPHA. (See instructions for assigning an owner). They will create a case record in OPERA for case investigation and update monitoring status to ‘Transferred to OPERA’. 24
IDENTIFYING CONTACTS WHO STOP RESPONDING TO AUTOMATED MONITORING ARIAS will not notify you if a contact fails to respond to an automated monitoring text or email survey. To verify, review the ‘Last Assessment Date’ for that contact. This date shows the last time your contacts filled out a survey assessment. If this date is older than today or yesterday, you should reach out to the contact for follow up. From your ‘My Active Contacts’ view, sort the ‘Last Assessment Date’ column ‘From Oldest to Newest’. This will show the oldest dates on top. IDENTIFYING CONTACTS WHO HAVE COMPLETED MONITORING ARIAS will not notify you when a contact has completed their monitoring period. To identify those contacts, review the ‘End of Quarantine Period’ field of your contacts. From your ‘My Contacts’ view, sort the ‘End of Quarantine Period’ column. Sorting ‘From Oldest to Newest’ will show the oldest dates on top. 25
If a contact has reached their end of quarantine period, open their contact record. Open the ‘Assessments’ page and review if two or more symptoms were reported at any time during their monitoring period. If a contact has a ‘Yes’ in two or more symptom columns, even from separate assessments, then they may be a presumptive case. Assign your multi-symptomatic contact to the person/team identified by your LPHA. (See instructions for assigning an owner). They will create a case record in OPERA for case investigation and update monitoring status to ‘Transferred to OPERA’. If they have not development symptoms, then update their update their ‘Automated Monitoring’ to ‘No’ and their ‘Monitoring Status’ to ‘Completed Monitoring’. This will end automated monitoring and inactivate the contact record. 26
EXAMPLE SCENARIOS INITIAL INTERVIEW – NO SYMPTOMS 1. Select the person you are contacting from the list of active contacts to open the contact log. 2. Prepare for the call by reviewing the contact record. Get familiar with contact’s name. Look for missing information you may be able to fill-in during your call. Review notes – this is where other important information to know during the call will be. 3. Once you feel comfortable, attempt to make contact. a. If you are unable to make contact, record the attempt in the basic info section and move on. 27
b. If you make contact, using the information in the contact log, confirm the name and date of birth with the person you are contacting for security purposes. 2. Use the script provided by your LPHA or organization to guide the collection of information for your interview. You may also refer to the contact information section for more info about contact fields. 3. Move over into the ‘Assessments’ section and create a new assess
Version Description Author Date 1.0 Starting draft document Heather Owens 5/15/2020 1.1 Simple version distributed for EPI pilot Heather Owens 5/18/2020 1.2 Outline distributed for OHA pilot Heather Owens 5/22/2020 1.3 Updated to align with training video additions Heather Owens 6/1/2020 2.0 Changed format, updated content Heather Owens 6/8/2020
Arias Intensity (Ia) as defined by (Arias [2]) is the total energy per unit weight stored by a set of undamped simple oscillators at the end of an earthquake. The Arias Intensity for ground motion in the east-west direction is calculated as follows: 0 2 0 2 [()] t IatdaX X t g π (1) where IaX is the Arias Intensity in the east-west .
beachfront hotel was named to Condé Nast Traveler’s 2013 “Gold List” and Travel Leisure “World’s Best List” 2013. details at arias-us.org. ARIAS U.S. QUARTERLY – Q3 · 2016 1 FEATURES . The page limit for submissions is 5 single-spaced or 10 double-spaced pages. In the
Motor Vehicle Bill of Sale Template. Click the following link to find out more details about . does oregon require a bill of sale, bill of sale form oregon, oregon bill of sale fillable, bill of sale oregon template, state of oregon bill of sale, bill of sale oregon form oregon dmv bill of sale, dmv bill of sale
5, 9, and 11 of Form OQ for each tax program to which you are subject. 2017 Oregon Department of Revenue Oregon Employment Department Oregon Department of Consumer & Business Services Forms and Instructions For Oregon Employers — Oregon Quarterly Tax Report (Form OQ) — Oregon Schedule B State Withholding Tax (Schedule B)
California Regional Water Quality Control Board, San Diego Region Subject: Comment - Tentative Order No. R9-2016-0205 (786088 C.Arias) Dear Ms. Arias: On behalf of the California Stormwater Quality Association (CASQA), thank you for the opportunity to provide comments on Tentative Order No. R9-2016-0205, Investigative Order
Oregon English Language Arts and Literacy Standards Grade 2 Standards June 2019 * Denotes a revision has been made to the original Common Core State Standard. 255 Capitol St NE, Salem, OR 97310 503-947-5600 1 . Oregon achieves . . . together! Grade 2 Introduction to the Oregon Standards for English Language Arts and Literacy Preparing Oregon’s Students When Oregon adopted the Common Core .
Jan 09, 2017 · Wallowa County Chamber of Commerce Chamber of Commerce in La Grande, OR Union County, Oregon Chamber of Commerce Nyssa, Oregon Chamber of Commerce Ontario, Oregon Chamber of Commerce Pendleton, Oregon Chamber of Commerce The Dalles, Oregon Chamber of Commerce Vale, Oregon Chamber of Commerce
Oregon Occupational Safety & Health Division (Oregon OSHA) 350 Winter Street NE, PO Box 14480, Salem, OR 97309-0405 Phone: 503-378-3272, Toll Free: 1-800-922-2689, Fax: 503-947-7461 osha.oregon.gov September 12, 2022 Text of changes Oregon OSHA's Adoption of Rules Addressing the COVID-19 Public Health Emergency in All Oregon Workplaces
