The Power of Secure Messaging and Electronic Alerts

communications imageConsistent and frequent communication between patient and therapist can improve patient attendance and overall satisfaction.2,3 When patients are more integrated into the rehabilitation process, we see improved outcomes. How to professionally engage with patients outside of treatment is the real challenge. Many physical therapists default to email as a form of communication with their patients, however this is not a recommended or secure method of sharing personal health information. Email can also quickly cross professional boundaries. So how can we best interact with with our patients about their rehabilitation outside of the clinic?

The answer is a HIPAA compliant portal based system which offers one-to-one communication in a secure environment. The system needs to be password protected and messages need to be encoded to prevent hackers from accessing patients’ personal health information. 

The Beryl Institute conducted a recent study on a hospital-based electronic messaging system that enabled patients to interact with health care professionals using in-room monitors. The interactive monitors helped boost patient satisfaction with educational materials by 42 percent and lifted overall satisfaction scores by ten percent. “Rather than an amenity, interactive technology is emerging as a critical partner in the health care experience,” the organization states.3 Patients feel they are getting better service and quality of care when they have a method by which to contact their health care provider.

Automated SMS and email alerts can also enhance patient-therapist communication. No shows and late cancellations plague physical therapy practices. Poor patient attendance results in lost revenues and poor patient outcomes. Practices traditionally employ rudimentary strategies to reduce missed appointments including reminder calls and hefty cancellation fees. Unfortunately, these solutions require additional administrative time and effort and can create poor relations between patients and administrative staff. 

In other areas of health care, electronic alerts are already common practice for notifying patients of future appointments.  Ideally, SMS and/or email alerts for physical therapists would be integrated into a clinic’s scheduling system; automatically alerting patients to upcoming appointments or schedule changes. And why stop there? Alerts can remind patients to complete their home exercise programs or give therapists updates on symptomatic responses to new treatment regimens.   

Our patients are tech savvy.  They already communicate with their banks, airlines and other professional services over their mobile devices. Soon, they will begin to  expect mobile conveniences from their physical therapist. In medicine, the conversation has begun. Dr. Matthew Davis, from the University of Michigan states: “I think it’s inevitable that physicians will move more toward it (e-communication), if only because society expects and insists on it as the progressively dominant form of communication today.”1

In addition to the considerable cost-saving benefits, a secure messaging system and automated electronic alerts can serve to increase patient attendance and participation in their rehabilitation regimen, thereby improving patient/therapist interaction as well as patient outcomes.2

Bronwyn Spira, PT, and Tejal Ramaiya, DPT, CSCS authored this guest post. They can be found at www.forcetherapeutics.com, www.facebook.com/forcetherapeutics, or www.twitter.com/ForceTherEx.

Resources

1.  Beaulieu, Debra.  Regular e-communication with patients is ‘inevitable’.  http://www.fiercepracticemanagement.com/story/routine-e-communication-patients-inevitable/2011-03-30

2.  Downer SR, Meara JG, Da Costa AC.   Use of SMS text messaging to improve outpatient attendance. MJA 2005; 183: 366–368.  http://www.ncbi.nlm.nih.gov/pubmed/16879098

3.  Jackson, Sara.  Use of interactive technology boosts patient satisfaction http://www.fiercehealthcare.com/story/use-interactive-technology-boosts-patient-satisfaction/2011-03-09

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Comments

Good points on the HIPPA compliant emails. Email is a tough thing to manage – patients demand it – and yet it opens up a huge can of worms. Emails should go into the medical record – I have never seen someone print out emails and scan them into a patient’s medical record.

Its natural for the front desk to begin emailing with clients too, we discourage this at our practice – but again patients push for it. “Would you email me my receipt”" or “Can you email me my appointments?”. After the Front desk establishes email communication, this becomes the primary way patients communicate and worse, the primary way they cancel appointments (usually passive aggressively after business hours or when the employee isn’t working).

We try to adapt to new technology fast, and we are trying to figure out the best way to use email legally and effectively.

posted by AdamBanks on 04.19.11 at 1:11 pm

@ Adam – The Force Therapeutics schedule system automatically emails patients their appointment details as soon they’re entered. Patients also receive automatic electronic updates with a time stamp if an appointment has been canceled; this is useful for clinics that have a 24 hour cancellation policy. All scheduling still has to be done through the front desk/administrator, but there is no emailing outside of the automatic alerts.

posted by Bronwyn Spira on 04.19.11 at 2:11 pm

One neat little trick is being able to send text messages to a cell phone via email. By knowing the carrier of the patient’s cell phone, you can utilize your email patient feature in PT Practice Pro to send a text message to your patient. This will help your office transition to a more streamlined communication with your patients and will allow you to seperate you from your competition.

posted by Anthony on 04.25.11 at 4:33 pm

PT Practice Pro has also developed a relationship with Callpointe. Callpointe will take over the monotonous task of calling each of your patients in order ot ensure they are aware of their next appointment.

posted by Anthony on 06.05.11 at 8:48 am

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