The Direct Truth
The change in Direct's perception and usage has been dramatic, said Dr. John Haughton, Covisint's Chief Medical Information Officer: "Until now, Direct has been viewed as a kind of a 'poor cousin'--even a lower cost of means of entry--for providers to get onto the HIE onramp without needing the technical capabilities associated with large-scale HL7 feeds or XDS-based query and response systems."
Direct was initially seen as a threat to HIE sustainability--a way for providers to avoid having to participate in an HIE. In truth, while Direct has a specific purpose and addresses a major gap, it merely plays a partial role in a fully functional HIE or accountable care organization's communication strategy.
The Covisint toolkit also noted that, in spite of these and other misconceptions, Direct messaging will continue to grow, eventually extending to cover clinician-to-patient communications. Other benefits mentioned as Direct adoption grows include the accreditation of health information service providers (HISPs) and for Direct to become an "equal-but-different partner" in how health information is exchanged and care delivered.
The complete Covisint toolkit on Direct messaging is available here:
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