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Creating a Direct Address

Direct messaging adheres to a set of standards, services, and policies for exchanging patient health information securely over the Internet. Providers, Clinicians, or Clinical Office Staff wanting to communicate using Direct messaging must first accept an end user license agreement (EULA), and then establish a unique Direct address. In Care360 EHR, you have the option of creating two types of Direct addresses, as described in the following sections. You can have a Direct Messaging address and a Direct Exchange address; however, once the Direct Exchange address is set up it will be the default address used for any new messages that you send. Other users can send messages to you at either address, and all received messages, regardless of which address is used, will appear in the messages Inbox.

Direct Messaging Addresses

A Direct Messaging address can be used to communicate with other Care360 EHR users that have Direct addresses, as well as patient MyQuest™ addresses. Providers, Clinicians, and Clinical Office Staff in organizations that have Direct Messagingcan create a Direct Messaging address.

Notes:  

If Direct Messaging is disabled, you will be unable to send or receive Direct messages; however, if your organization enables Direct Messaging at a later time, your existing address will still be usable.

Creating a Direct Messaging address is an auditable action, and can be included in a generated audit report. For more information about generating an audit report, see Generating an Audit Report.

Create a Direct Messaging Address

Direct Exchange Addresses

A Direct Exchange address can be used to exchange Direct messages with Care360 EHR users that have Direct addresses, patient MyQuest addresses, and healthcare providers outside of Care360 EHR who are in the large DirectTrust accredited network. The DirectTrust organization is a federally recognized, non-profit policy and governance body established to support secure, interoperable health information exchange using the Direct messaging protocols. Healthcare providers belonging to DirectTrust accredited EHRs, such as Care360 EHR, are able to exchange encrypted health information over the Internet, regardless of location or the EHR system in use by the exchanging providers. Organizations participating in Meaningful Use reporting can also utilize Direct Exchange to meet the requirements for Meaningful Use Objective 5: Health Information Exchange. This measure concerns the transfer of a patient’s care and providing a summary of care record electronically by a Nationwide Health Information Network (NwHIN) exchange participant. For more information about this measure, see Summary of Care.

Providers, Clinicians, and Clinical Office Staff in Care360 EHR organizations that have Direct Exchange can create a Direct Exchange address. Prior to Direct Exchange address creation, one organization user with the Provider, Clinician, or Clinical Office Staff role must do the following:

1 Accept the end user license agreement. To begin the enrollment process for Direct Exchange, click Admin > Direct Exchange Enrollment to accept the terms and fee associated with the service.

2 Create an organization domain. Set up a domain name for use in all of the organization’s Direct Exchange addresses.

3 Complete the enrollment form. After the domain is created, review the organization information on the enrollment form and make changes as needed, as well as add contact information for the organization’s enrollment representative who will manage the enrollment process. Once the enrollment form has been submitted, the individual identified in the form as the organization’s enrollment representative will receive an email message from DigiCert®, the company we have partnered with to manage identity verification and provide authorized certificates.

Note: If the enrollment representative does not receive an email message from DigiCert, they should check their email spam folder to make sure the message was not filtered from their inbox.

4 Complete identity verification. The organization’s enrollment representative (identified in the enrollment form) must complete the requested identity verification steps with DigiCert. Identity verification must be completed before DigiCert can grant the certificate required for the organization to send or receive Direct Exchange messages.

Notes:  

If Direct Exchange is disabled, you will not be able to perform any Direct Exchange tasks, including creating a domain, completing enrollment, creating a Direct Exchange address, or sending and receiving Direct Exchange messages. If Direct Exchange is enabled for your organization at a later time, existing Direct Exchange addresses will still be usable.

Creating a domain name, submitting the enrollment form, and creating a Direct Exchange address are auditable actions, and can be included in a generated audit report. For more information about generating an audit report, see Generating an Audit Report.

Complete Direct Exchange Enrollment

Create a Direct Exchange Address

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