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Direct Messaging/Surescripts Directory

Patient Self Service

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Alice Vuong, RHIA

(@avuong)

Posts: 39

Trusted Member

Topic starter

Are there any offices out there that has joined the Surescripts Directory & Direct Project? If so, how did you implement into your workflow with your office?

Posted : May 6, 2014 12:51 am

mbellis

(@mbellis)

Posts: 293

Reputable Member

We haven't started yet, but we have our workflow figured out. We will have all incoming documentation routed to our schedulers desktops. They will then schedule or route to the appropriate nurses desktop depending on what action is needed. As far as outgoing, we are either going to use the Qvera product or the ACM to automate what needs to be sent to other providers.

Posted : May 6, 2014 3:44 am

ealagow

(@ealagow)

Posts: 28

Eminent Member

Just bumping this question to see if anyone has moved forward with this. The primary hurdle we anticipate is with the routing of requests. Are addresses established for each provider or a single for the practice? Who receives the messages?

Any thoughts are appreciated!

Posted : June 26, 2014 5:18 am

Sirna

(@sirna)

Posts: 384

Honorable Member

We are just starting the process now and are using a delegate email for all incoming items (suggested by Kryptic). With the knowledge that anyone can access the data from that users desktop if they are out for a vacation etc.

Posted : June 26, 2014 5:25 am

sborchardt

(@sborchardt)

Posts: 218

Reputable Member

Our incoming message go to a generic "Specialty" desktop that all nursing staff can access. They import the information to the chart, staff has started using the reconciliation button as well to compare medications and allergies. We have found a few glitches but works well for the most part.

The sending of the Transition of Care information is still a work in progress for us. The process is to complicated with having to do part of the process in order details and then create the document in the orders tab. If would be nice to streamline everything from the orders tab. I am leaning toward teaching a few super users the workflow. Please post if anyone has a more efficient workflow.

Thanks,

Steph B.

Posted : June 26, 2014 6:03 am

mbellis

(@mbellis)

Posts: 293

Reputable Member

We are now comparing QVERA to Kryptiq. The QVERA uses a different HIMS but it is automated bidirectionally and cuts down on the steps considerably. The manual process is very time consuming considering everything else that needs to be done to meet stage 2 MU.....

Posted : June 26, 2014 9:14 pm

Alice Vuong, RHIA

(@avuong)

Posts: 39

Trusted Member

Topic starter

We haven't gone live with this yet but we did set up the Surescripts messages to be directed to the office's sm inbox for staff to triage and handle. However, we did notice that if we receive a Direct message from someone that is not part of the Surescripts Network, it will go directly to the provider's sm inbox.

Have other sites tested how a message routes from Surescripts vs. Direct and established a workflow?

Posted : June 27, 2014 12:30 am

bethimey

(@bethimey)

Posts: 40

Trusted Member

We opened a ticket to Kryptiq to reach out to SureScripts to ask them to import users from the our sister hospital with their name i.e. direct.hospitalname.org to add their group into the Directory Exchange so that we send Secure Messages and TOC. Note: Visit Summary (TOC) broken in EMR 9.8. Beth

Beth Ashabranner, RN, CCRN, BS-HSM

Ambulatory Systems Clinical Analyst

Plattsburgh, NY 12901

[email protected]

Posted : July 30, 2014 3:42 am

ronmoses

(@ronmoses)

Posts: 158

Estimable Member

We're officially in nightmare mode. We've pulled a list of the top 200 external providers we refer to, and found a total of eight of them in the SureScripts directory. So now we're in the process of calling each and every one of the remaining 192 providers and asking for their direct address so we can manually enter it into CPS.

In other words, our IT department is now a secretarial pool. If anyone here ever wanted to know what it's like to shoot someone in the head, I'm volunteering.

Posted : August 26, 2014 3:37 am

Anonymous

(@Anonymous)

Posts: 0

New Member Guest

I've called a few offices and asked for a 'direct' email - no one knows what I'm talking about. Many providers are not in the Surescripts directory so I'm very frustrated with this process and MU requirements.

Posted : August 26, 2014 4:19 am

bethimey

(@bethimey)

Posts: 40

Trusted Member

ronmoses said:

We're officially in nightmare mode. We've pulled a list of the top 200 external providers we refer to, and found a total of eight of them in the SureScripts directory. So now we're in the process of calling each and every one of the remaining 192 providers and asking for their direct address so we can manually enter it into CPS.

In other words, our IT department is now a secretarial pool. If anyone here ever wanted to know what it's like to shoot someone in the head, I'm volunteering.

Ron,

I opened a case to Krytip to have SureScripts push over direct address of surrounding hospitals and EMR vendors in our area. It saved hundreds of manual entries. Beth

Beth Ashabranner, RN, CCRN, BS

Ambulatory Systems Clinical Analyst

CVPH Medical Center

[email protected]

Posted : August 28, 2014 9:41 pm

ronmoses

(@ronmoses)

Posts: 158

Estimable Member

bethimey said:

I opened a case to Krytip to have SureScripts push over direct address of surrounding hospitals and EMR vendors in our area. It saved hundreds of manual entries.

That's very interesting. We were told that wasn't an option. We'll definitely be following up on that, thank you Beth!

Posted : August 28, 2014 9:57 pm

bethimey

(@bethimey)

Posts: 40

Trusted Member

Ron,

You need to request a Direct Exchange Import Request and include the suffix for the groups you want imported. This info was provided Sharon, by Kryptiq speaker on the GE for Transition of Care call on July 25th. The instructions where to have
Kryptiq reach out to SureScripts to ask them to import users from the
direct.xyz.org group into the Directory Exchange so that we could
send Secure Messages to those xyz providers. Happy Holidays! Beth

Beth Ashabranner, RN, CCRN, BS

Ambulatory Systems Clinical Analyst

CVPH Medical Center

[email protected]

Posted : August 28, 2014 10:08 pm

THandV

(@thandv)

Posts: 22

Eminent Member

mbellis:

Did your group decide on a direct messaging solution? We are currently looking into our options of a provider-provider messaging solution. We went with Medfusion patient portal and that did not include this feature. I reached out to Qvera yesterday and it seems to be a pretty solid solution and is also integrated with Centricity. If you have any feedback regarding the Qvera solution for direct messaging, I would love to hear it. Medfusion offers a direct messaging but it's not integrated, and is rather an external mailbox.

Thank you!

Natalie

Posted : October 15, 2014 4:15 am

[email protected]

(@dcambiousnellc-com)

Posts: 18

Eminent Member

We just started using this method of communication also. we set up a generic mailbox called [email protected] and assigned a couple of key secretaries as delegates to monitor this mailbox. I also set up all of our provider (7) with delegates in the event senders are unaware of our general mailbox but does know our providers name. We have successfully tested with one clinic in our area (doesn't have the same EMR as ours) and we did receive a test referral with attached documents. I tried sending something back but they said they did not receive it and thought maybe their system was not configured to receive emails. They are looking into this. I am also on a quest to contact all of our top referring practices and see if they are part of a network that we can communicate with. We don't have a solid workflow yet.

Lets face it all the MU BS by design is to set us up for failure. To costly, to complicated, to difficult to train everyone on these ever changing workflows and regulations. When are we as an industry going to say ENOUGH!! We would just like to do away with the bureaucracy and get back to taking care of patients. Anyone else getting complaints from patient getting inundated with all the handouts they are bombarded with from every doctor they go to?

Posted : January 7, 2015 1:15 pm

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