Documenting the Value of Direct Secure Messaging (Beyond Meaningful Use)

As practitioners understand the use cases for Direct Secure Messaging (Direct) beyond Meaningful Use attestation, they are beginning to see the financial and clinical benefits associated with utilizing the technology in their routine workflow.  Payment reform initiatives and their underlying triple aim objectives – better outcomes, reduced re-admissions, lower costs – are addressable with Direct and we’d like to make sure that our partners understand and embrace the quantifiable return on investment that Direct can generate as healthcare transformation advances.

We are working with our certified EHR vendors to identify a proactive practitioners that are using Direct in a “meaningful way” – to capture use cases and publish case studies which we will publish and share with the industry.  Among the use cases that are emerging as truly ‘meaningful’:

  • Transitions of care facilitated by exchange of Direct messages
    • Hospital’s ADT process sends discharge information to PCP, Specialist, Skilled Nursing Facility, Rehab Center, etc.
    • Hospital’s Care Coordinator sends discharge information to PCP, Specialist, Skilled Nursing Facility (SNF), Rehab Center, etc.
    • PCP sends referral via Direct to Specialist, Skilled Nursing Facility (SNF), Rehab Center etc. to facilitate faster and better care
    • PCP, Specialist, Skilled Nursing Facility, Rehab Center, etc. receives referral via Direct, thereby facilitating faster and better care
  • Patient engagement facilitated by exchange of Direct messages
    • Practitioner provides encounter summary, medical record, etc. to patient portal which is then transmitted by patient via Direct to care giver of choice
    • Patient communicates problems/issues with physicians via Direct

With all the focus on health information ‘interoperability’ – we maintain that the Direct Project delvers a very functional and practical way to share protected health information across the care continuum of multiple providers and facilities. It delivers a much needed standard protocol for security and end-to-end accountability, and trust framework for the service providers to work within. By publishing the myriad ways providers are using Direct, we seek to extend the value of the standard protocol to meet objectives beyond meaningful use. Do you have an interesting use case for Direct? Let’s talk!

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