The Treatspace Referral Management Blog

Insight, ideas, and resources for high-performance referral management

7 Reasons DSM Does Not Get the Job Done

Posted by Christian Kratsas on 3/6/17 1:43 PM

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Once considered a critical component of meaningful use, DSM (Direct secure messaging) within an EHR poses significant limitations to referral management. While it conveys information electronically within a practice,  DSM alone does not provide for comprehensive data exchanges between PCPs and consulting physicians. The Journal of General Internal Medicine notes that communication breakdowns affect care delivery between two practices on different systems. Specialists report that, 86% of the time, they do not receive information from the PCP prior to the referral visit. Additionally, poor referral tracking leads to inappropriate or unnecessary referrals and inefficiencies in care delivery. DSM in EHRs presents inevitable challenges for both primary and specialty care practices.

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Topics: Care Coordination, Referral Management, DSM, EHR

Why Direct is a Lousy and Unproductive Black Hole for Referral Management

Posted by Jeremy Guttman on 6/30/16 1:47 PM

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DSM is antiquated, backwards, and “meaningless work for meaningful use” - Physician testimony | ONC HIT Policy Committee

“ONC’s new ‘interoperability roadmap’ downplays the potential of Direct messaging” as a solution for interoperability - Medical Economics

Contrary to what some electronic health record (EHR) proponents believe, DSM (Direct secure messaging) by itself is an unpopular and ineffective solution when it comes to true interoperability, care coordination and referral management. It has almost no practical benefit for referral management beyond what primary care practices use it for right now: getting credit for Meaningful Use stage 2.

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Topics: Referral Network, Referral Management, Direct secure messaging, DSM

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