Provider IBD Digital Notification Guide for Trellus Elevate™
Thank you for Connecting with Trellus Elevate™
This guide was designed to ensure you have all the necessary tools you need to partner with us in delivering the highest quality of whole person support to you and your patients with IBD.
Understanding the complexities of managing IBD, our co-founders developed an automated system to help providers stay updated on best practice recommendations and quality metrics. As a Connected Provider, you’ll receive notifications based on patient tracking, giving you a view of your patients’ progress between office visits. The system is designed to educate patients on effective communication with their IBD provider team, easing the workload on you and your staff, with additional support from the Trellus Elevate™ Team.
The Trellus Elevate™ digital notification and alert system was developed to ensure that your patients receive timely notifications when reporting poor or worsening health trends. This enables them to communicate with your team in real time, potentially avoiding unnecessary ED visits. Additionally, patients will be reminded of required lab monitoring based on their IBD medications and health maintenance due dates. This educational self-management approach empowers patients to safely adhere to their therapies and maintain tight control over their disease.
Please do not hesitate to contact us via email elevate@trellushealth.com or by phone at 800.989.5503 with any questions or any additional help we can provide for you and your patients.
We look forward to collaborating with you in empowering your patients to master their IBD and take control of their health.
Sincerely,
The Trellus Elevate™ Team
Red Flag notifications are triggered when your patient is reporting some poor health trends, including clinical and well-being outcomes, and or unplanned health care utilization which requires attention. Your patient will be advised to connect with you and your team to discuss this change in symptoms and next steps.
| Notification | Risk | Reason for Notification |
 | # of Bowel Movements | Patient is experiencing worsening of symptoms, with at least 4 bowel movements for 7 days in a row. |
| Liquid Bowel Movements | Patient is experiencing worsening of symptoms, reporting liquid stools for 7 days in a row. |
| Blood in Bowel Movement | Patient is experiencing worsening of symptoms, reporting blood in bowel movements for 7 days in a row. |
| Urgency | Patient is experiencing worsening of symptoms, reporting urgency for 7 days in a row. |
| Fecal Incontinence | Patient is experiencing worsening of symptoms, reporting leakage of stool, blood, or liquid before reaching the toilet at least 2 days in the past week. |
| Abdominal Pain | Patient is experiencing worsening of symptoms, reporting moderate or severe abdominal pain for 7 days in a row. |
| Urgent Care | Patient visited an urgent care center for their IBD. |
 | ER Visit | Patient visited the ER for their IBD. |
| Hospitalization | Patient had an unplanned hospitalization for their IBD. |
| GI Provider Contact | Patient has attempted to contact you but has not been able to reach you. |
| CT Scan | Patient has received an unplanned CT scan. |
| Prednisone Use | Patient has reported taking prednisone recently. |
| Opioid Use | Patient has new report of taking opioid medication outside of their regular care plan. |
Yellow Flag notifications are triggered when a patient is reporting some poor health trends, including clinical and well-being outcomes, as well as key biomarkers of inflammation indicating there is rising risk of health care utilization. Your patient will be advised to connect with you and your team to discuss this change in symptoms and next steps.
| Notification | Trigger Field | Reason for Notification |
 | Bowel Movements | Patient had at least 4 bowel movements for 7 days in a row, with no worsening of symptoms in last 30 days |
| Liquid Bowel Movements | Patient had liquid stools for 7 days in a row, with no worsening of symptoms in last 30 days |
| Blood in Bowel Movements | Patient has blood in bowel movement 7 days in a row, with no worsening of symptoms in last 30 days |
| Urgency | Patient is experiencing more frequent urgency 7 days in a row, with no worsening of symptoms in last 30 days |
| Abdominal Pain | Patient had new mild pain at least 7 days in a row, with no worsening of symptoms in last 30 days |
| Abdominal Pain | Patient had pain for at least 7 days in a row, more pain than usual, and has had pain at least 3 days per week in past 30 days |
| General Physical Health | Patient indicates worsening from previous week, now to “Fair” or “Poor” |
| Average IBD- related Pain | Patient had pain > 4 or has had an increase of at least 3 levels since last report |
| GI Provider Contact | Patient has reached out to you recently and had their concerns addressed. |
| Fecal Calprotectin | Patient has a recent fecal calprotectin lab result greater than the upper limit of normal. |
| C-Reactive Protein | Patient has a recent C-Reactive Protein lab result at least 2x the upper limit of normal. |
| Hemoglobin | Patient has a recent Hemoglobin lab result of less than 11 gm/dL. |
| Albumin | Patient has a recent Albumin lab result of less than 3.5 g/dL. |
These include labs, well-being and symptom burden triggers. The Trellus ElevateTM Team will work with your patients to support them, and patients will be directed to their providers if symptoms worsen, or other red or yellow flags are triggered.
| Notification | Trigger Field | Reason for Notification |
 | Bloating | Patient reported feeling bloated for 7 days in a row. |
| Fatigue | Patient reported two weeks of increased fatigue or very severe fatigue. |
| Anxious, Depressed, or Irritable | Patient reported two weeks of being more bothered by emotional problems than usual, or often/always being bothered by emotional problems. |
| Life Satisfaction | Patient reported disagreeing or strongly disagreeing with the statement: My life has been going well. |
| Vitamin D 25-OH | Patient has a recent Vitamin D lab result of less than 30 ng/mL. |
Health Maintenance and Disease Monitoring Reminders
TrellusElevate™ simplifies medication safety monitoring and preventative are/health maintenance with automated best practice reminders that notify your patients when there are actions to be taken. Connected Providers will have centralized access to the reminders on the Trellus Provider App.
When adding new therapies or reviewing current medications, you can refer to our Glossary of Medication Monitoring and IBD Vaccine Reference Guide accessible in the App . We also provide these resources to your patients so they can increase their understanding of why these monitoring reminders are important and help to meet national standards.
TrellusElevate™ facilitates precise disease monitoring by leveraging clinical disease severity assessments completed by your patients upon enrolling in the program. If a patient is missing or overdue for biomarker tracking in Trellus Elevate™, they may receive notifications prompting them to request a lab order from their provider. The objective is to empower your patients to proactively manage clinical disease activity, enabling informed discussions with you about optimizing treatment based on objective biomarkers.
Examples of Trellus Elevate™ Patient Member Reminders