American Society of Addiciton Medicine

Release Notes

ASAM CONTINUUM

Release Notes

Release Notes – Version 3.15 (August 30, 2022)

Narrative Report Updates  

Co-Triage/Triage Report 

Release Notes – Version 3.14 (July 19, 2022)

The American Society of Addiction Medicine is pleased to announce that version 3.14 of the ASAM CONTINUUM and CO-Triage software has been released. Details about the updates to this software version can be found below and will be posted on ASAM CONTINUUM website. In addition, updates appear in both the standard version of CONTINUUM and the RISE.

User interface

●      With opioid overdose deaths rising rapidly, it is critical that naloxone, the overdose reversal medication, is in the hands of anyone who needs it. ASAM CONTINUUM users can support patients' safety by talking to them about naloxone, providing overdose prevention training resources, and ensuring patients and their loved ones have access to the medication. We have implemented the following to remind clinicians to provide education and resources to the patient:

○      Drug and Alcohol Section, Additional Addiction and Treatment Items subsection: A pop-up box with naloxone information will appear if the patient has endorsed opioid use and at least one overdose experience in Question ASd17e, “How many times have you overdosed on drugs or alcohol?”

○      Summary Report: ​​Where applicable, the Critical Items section will state, “[Patient Preferred Name] indicated that [he/she/they] has overdosed on alcohol and/or drugs in the past 24 hours. Suspected recent overdose requires rapid evaluation by physician/psychiatrist or emergency room. If the overdose was due to opioids, please equip the patient and loved ones with naloxone.”

Narrative & Summary Reports

●      DSM-5 Diagnosis section, Diagnostic Findings subsection: ICD-10 codes and descriptions have been added to improve usability for treatment planning, coding, and insurance authorization.

○      For patients with substance use disorder diagnoses, reports will now display the following alongside the DSM-5 diagnosis, criteria met, and severity of the substance use disorder:

■      Specific ICD-10-CM diagnosis and billable code, e.g., ICD-10 F10.20 Alcohol dependence

Release Notes – Version 3.13 (June 7, 2022)

In the Drug and Alcohol section:

  • In the Opioid Treatment Services sub-section, ASd25j has been updated to:

    Does the program physician or authorized healthcare professional judge Opioid Treatment Program (OTP) readmission to be clinically appropriate? 

  • The added phrase (in bold) accounts for situations in which healthcare professionals other than physicians make decisions regarding OTP admissions.

    • The response options for this item now include "Yes/No/Not applicable."

    • New help/hint text for this item reads,  “Choose not applicable if no program healthcare professional is currently available to make this assessment. An authorized healthcare professional can include an advanced-practice nurse, physician assistant, or advanced-practice pharmacist.”

  • Consistency checks have been added to the Alcohol Use sub-section to improve data quality. Now, error messages will appear, alerting the user to data discrepancies in the following scenarios:
    • If the number of days entered for the patient's use of alcohol to intoxication in the past 30 days exceeds the number of days entered for any alcohol use in the past 30 days;
    • If the value entered for lifetime duration of alcohol use to intoxication exceeds the value entered for lifetime duration of any alcohol use;
    • If the value entered for the patient's last use of alcohol to intoxication is incompatible with the value entered for the patient's frequency of alcohol use to intoxication in the past 30 days (e.g., the patient's last use of alcohol to intoxication was 25 days ago, but the interviewer reports that the patient used alcohol to intoxication on 7 of the past 30 days).

In the Medical History section:

  • We have added two new items that enable clinicians to enter dates for the patient's latest tests for HIV/AIDS (ASm03cRn) and tuberculosis (ASm03eRn), if applicable. Test dates will now appear in the Narrative Report Problem List.

In the Summary and Narrative Reports:

  • For patients with a history of suicide attempts, the Summary Report Critical Items section and the Narrative Report Problem List will display the patient's most recent suicide attempt (e.g., past 24 hours, past month) to enhance visibility and support treatment planning.
  • Additionally, any past 24-hour suicide attempt will be noted in the Narrative Report, Psychiatric Section, at the start of the second paragraph (titled “Severity of Emotional and Psychological Problems and Desire for Treatment”).

Previous Updates

Version 3.12 (April 26, 2022)
Version 3.11 (March 15, 2022)
Version 3.10 (February 1, 2022)
Version 3.9 Release (December 21th 2021)
Version 3.8 Release (November 16th 2021)
Version 3.7 Release (October 5th 2021)
Version 3.6 Release (August 17th 2021)
Version 2.7 Release August 2019
Version 2.8 Release November 2019
Version 2.9 Release December 2019
Version 2.10 Release February 2020
Version 2.10.1 Release March 2020
Version 2.11 Release April 2020
Version 2.12 Release May 2020
Version 2.13 Release June 2020
Version 3.0 Release July 2020
Version 3.1 Release August 27th 2020
Version 3.1.2 Release (September 28th 2020)
Version 3.2 Release November 20th 2020)
Version 3.2.4 Release (February 24th 2021)
Version 3.3 Release (April 20th 2021)
Version 3.3.1 Release (April 28th 2021)
Version 3.3.3 Release (April 30th 2021)
Version 3.4 Release (June 1st 2021)
Version 3.5 Release (July 8th 2021)

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