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Posts Tagged ‘Transactional email’

New Feature: Custom Bounce Domains

Tuesday, July 26th, 2022

LuxSci has introduced a new feature to improve reporting for bounced transactional and marketing messages. The new “Custom Bounce Domains” feature allows administrators to set a custom domain for bounce processing that will not break DMARC.

custom bounce domains

What is DMARC?

DMARC stands for Domain-based Message Authentication, Reporting, and Conformance. It protects users from forged emails and instructs the email provider on what to do with messages that fail SPF or DKIM. Implementing DMARC is highly recommended to help stop suspicious messages from reaching inboxes.

Why Custom Bounce Domains are Needed

However, implementing SPF and DMARC records can sometimes cause issues for transactional and marketing messages. To understand why let’s look at how DMARC verifies SPF records.

The Return-Path specifies the email address where bounced email messages should be sent if there are unable to be delivered. It is usually the same domain as the sender’s email address. However, when sending marketing or transactional emails, the Return-Path email address is often different from the sender for various tracking and reporting reasons.

If the Return-Path address does not match the domain or subdomain used in the SPF record, it can cause DMARC to fail, and the bounced messages won’t be routed according to the pre-defined rules.

How to Implement Custom Bounce Domains

Now, our customers can create custom bounce domains to prevent DMARC from failing. To set it up, log in to your account and visit the Account Settings -> Email Custom Bounce Domains. Make sure that the “Bounce Processing” settings are enabled before altering the Custom Bounce Domain setting.

Before adding the new bounce domain to your account, you must create a new CNAME (like bounces.yourdomain.com) in the domain’s DNS settings that points to the new destination. At LuxSci, the default is “returnto.luxsci.com.” Once set up, return to the settings and add the new subdomain to specify the Return-Path. After this is enabled, emails will align with SPF for DMARC since the sender’s domain and Return-Path domain match.

Questions? Please contact our support team for more information on enabling these settings.

Collecting Patient-Reported Outcomes

Tuesday, June 28th, 2022

More healthcare organizations are searching for ways to improve patient outcomes while reducing costs. As the many in the industry are experimenting with value-based healthcare models, payers and providers need a way to measure the quality of care received to determine efficacy and provider reimbursement rates. Collecting patient-reported outcomes is one way to measure patients’ quality of care.

patient-repo

What is a Patient-Reported Outcome?

A patient-reported outcome (PRO) is any report of a patient’s health condition or status relating to symptoms, functionality, mental, social, and physical health from the patient’s perspective without an external interpretation by a healthcare professional.

Patient-reported health outcomes can relate to general health measures or the management of a chronic condition.

One possible application is following up with cancer patients after chemotherapy treatments. Within a few days of an infusion, a healthcare provider could send a survey to follow up on patient symptoms and responses to treatment. The patient (or caregiver) could complete the survey online. Then, the clinician can easily adjust their care plan depending on the responses. For example, suppose the chemotherapy triggers nausea, making it difficult for the patient to eat. In that case, the clinician could call in a prescription to help alleviate that symptom before the patient becomes dehydrated or malnourished and needs more intensive medical care.

Making it as easy as possible for patients to complete surveys is crucial to collecting patient-reported outcomes.

How to Measure Patient-Reported Outcomes

Patient-reported outcome measures (PROMs) are questionnaires and surveys that capture information about a patient’s health status and treatment goals. The surveys measure health at a single time and over a long period.

Studies have shown that collecting PROMs can result in an increased overall survival rate, improved quality of life, decreased emergency room visits, and hospitalizations. Collecting PROMs is not challenging to do and improves clinical outcomes.

How to Obtain Patient-Reported Outcomes?

It’s essential to have clear goals and KPIs when setting out to measure patient outcomes. Identifying clear goals will help providers design surveys that deliver relevant data. Asking too many questions can create an avalanche of irrelevant information and are less likely to be completed by patients. Instead, it’s essential to design short surveys that are easy for the patient to understand. Surveys that are easy to answer will yield the highest number of responses.

In addition, the survey delivery method matters. Administration can happen in many ways: mail, web/email, telephone, or even onsite. Patients should be presented with surveys in the methods that match their pre-stated preferences.

Administering questionnaires through the mail can be costly. Putting together a mailing requires administrative resources to collect patient addresses, send the questionnaires, monitor responses, and follow up on undeliverable mail. Telephone surveys create a similar administrative burden. They require staff to gather and verify patient phone numbers, call to administer the surveys and follow up with dropped, lost, or missed calls. All survey information must then be entered into a patient’s health record and reviewed by their healthcare provider before changes to their treatment plan can occur. This delay may make the survey data irrelevant.

Web-based or email questionnaires are often a better alternative. Email automation can trigger surveys at certain recovery milestones to reduce administrative burdens. Digitizing survey forms makes reviewing and syncing data with electronic health records easier. This allows providers to adjust care plans in response to patient needs quickly.

Benefits of Patient-Reported Outcomes

The primary goal of collecting patient-reported outcomes is to improve the patient’s health. PROMs allow healthcare providers to follow up with patients to prevent unnecessary hospitalizations, emergency visits, and readmissions.

By collecting PROMs, hospitals can increase capacity and reduce costs. A KLAS research report found that digital health monitoring programs reduced the number of emergency department visits by 25%, with a 38% reduction in hospital admissions, corresponding to a 17% decrease in costs.

Using patient-reported outcome measures can help healthcare systems administrators reach the quadruple aim of improving patient experiences and population health, reducing costs, and improving the experience of healthcare workers. Please contact us to learn more about how LuxSci can help collect patient-reported outcomes with our Secure Forms and Secure High Volume Email solutions.

Increasing Operational Efficiency with Email Automation

Tuesday, April 12th, 2022

If you work in a busy healthcare practice, administrative tasks can create additional costs and barriers to care. Common communications like appointment reminders, billing statements, and other external messages take a lot of time to create and send. By automating these emails, it’s possible to increase operational efficiency and improve patient outcomes.

email automation

What is Email Automation?

Email automation allows organizations to automatically send emails based on pre-determined triggers or behaviors. Receipts, shipping notifications, password resets are all common types of automated transactional emails. The main message content is created in advance. Then, variables are used to insert custom information into the template automatically. Most importantly, the email is sent when a certain action is taken. Many people are familiar with automated emails in the form of receipts. For example, you make an online purchase and a receipt is automatically emailed to you with the exact details of your purchase. Next, we explore some examples for how email automation can increase operational efficiency in the healthcare system.

How Email Automation Works

There are many ways to utilize email automation to streamline patient communications. One example is appointment reminders. This is a good message to automate because:

  1. The message is generally the same for every recipient
  2. Variables can be used to customize the content: the patient’s name and the date/time of their appointment.
  3. There is a clear event to trigger the email (the date of the upcoming appointment).

Let’s look at an example of an appointment reminder email:

An administrator creates a template with the message content and layout. It may read something like: “Hi [patient name], This notice is to remind you of your upcoming appointment with Dr. Smith on [X date] at [X time]. Please call our office at 555-555-5555 if you need to reschedule.”

Next, connect the email program to a patient database, like an EHR or CRM. If properly integrated, it is possible to pull in the correct information to replace the variables (in brackets above) for the email recipient. For example, the if the email was sent to a patient named Jane Doe, the email program would pull in the correct details from her record to read: “Hi Jane Doe, This notice is to remind you of your upcoming appointment with Dr. Smith on May 2, 2022 at 1pm. Please call our office at 555-555-5555 if you need to reschedule.”

Finally, set up a trigger point to instruct the email program under what conditions to send the email. For an appointment reminder, the administrator may choose to send the email one week before the appointment, so the recipient has ample time to respond.

Once the template, variables, and trigger are set up, ongoing attention from office staff is not required. Each day appointment reminder emails will be sent out when the conditions of the trigger are met.

The Benefits of Email Automation

By automating common administrative email communications, it frees up staff time to focus on patients. Many healthcare providers still have staff members call patients to remind them of upcoming appointments. By automating this task, it streamlines operations and frees up staff time to focus on other tasks more directly tied to improving patient health outcomes. Using email (and/or text message) reminders can also help decrease no-show rates and reduce the costs of rescheduling.

Email automation is just one tool that can help streamline administrative workflows, provide cost savings, and improve the health outcomes of patients.

Don’t Forget HIPAA

Automated emails like appointment reminders, billing messages, and test results all contain ePHI and must be protected under HIPAA guidelines. Review our HIPAA guidelines for email and take steps to secure systems before starting to automate and send transactional emails containing ePHI.

Get Started with Email Automation

To get started, there are a few internal questions that need to be answered.

First, identify the data source- do you have a database or EHR that contains the information needed to trigger and personalize email messages? Next, how will these emails be sent? Do you have an email marketing platform with automation capabilities? Finally, how will these messages be secured?

Once these questions are answered, LuxSci’s Secure High Volume Email service can help securely scale your operations. Contact us if you are interested in learning more about automating email workflows for your healthcare practice.

Should You Integrate Secure Email Sending with an EMR or EHR?

Tuesday, February 8th, 2022

Email is the preferred medium for business communications. Although those in the healthcare industry face restrictions on how they can use email, it is a powerful tool if properly secured. By integrating secure email with an EMR or EHR system, healthcare organizations can automate communications to maximize efficiency.

integrate secure email

What Are EMRs and EHRs?

Electronic medical records (EMRs) are digitized versions of medical records. EMRs are sometimes referred to as electronic health records (EHRs). Even though these terms are often used interchangeably, there are slight distinctions between them.

Let’s start with electronic medical records. EMRs are essentially electronic versions of patient charts. They record a patient’s medical history and treatments at one hospital or practice. EMRs tend to stay at the practice, even if a patient switches to a new provider.

In contrast, EHRs contain a record of a patient’s medical history and treatment. They are long-term records that offer insight into a patient’s health, following them as they seek healthcare from different providers. EHRs are designed for information sharing. They help facilitate care when patients visit new clinics or hospitals.

Simply put, an EMR or EHR is the system used to manage or process these respective types of health records. Both EMRs and EHRs come with many of the same benefits and downsides as other forms of digitized information. The data is easier to find, access, and share, which can help speed up medical treatment and improve care. However, if the right data protection mechanisms aren’t in place, EHRs and EMRs are susceptible to data breaches and violations of privacy.

Why Integrate Secure Email with your EMR or EHR?

One of the main advantages of integrating secure email with an EMR or EHR is the ability to automate communications. Actions taken in the EMR can trigger email sequences. For example, an upcoming appointment can trigger an appointment reminder email. It requires no effort on the part of the office staff to send the email or make a phone call. The IT or marketing team simply creates the email template language and uses dynamic variables to personalize each email with the patient’s name, appointment date, and time.

If an organization integrates secure email with its EMR or EHR systems, they can set up automatic emails for a wide range of actions. Whenever there is relevant activity or an update on a patient’s chart, emails can be sent off without having to lift a finger. Some examples of emails that can be triggered by EMR activity include:

  • a request for a review post-appointment
  • follow up information on lab work or scheduling testing
  • flu shot or other vaccine reminders
  • password resets to access EHR

Ultimately, integrating secure transactional email with an EMR makes it easy to promote the organization and increase patient satisfaction. In addition, automating email workflows decreases the administrative burden on office staff without sacrificing the patient experience.

The Risks of Integrating Secure Email with an EMR or EHR 

It’s extremely important to select the right provider to integrate secure emails with an EMR or EHR. The HIPAA laws that govern medical records are stringent, and organizations face serious repercussions for violating them. The provider must comply with HIPAA regulations and encrypt outgoing emails that contain protected health information.

All encryption is not equal. A secure email provider like LuxSci allows users to choose the appropriate type of encryption to suit their email use cases. TLS encryption, which allows recipients to read encrypted emails directly in their inboxes, is appropriate for emailed appointment reminders, but is not suitable for something like lab or test results. Choose a provider who can meet your encryption needs.

Another factor to consider is desired sending rate. Many email providers use shared cloud servers which limit how quickly emails can be sent from an EMR. However, for emails that are time-sensitive, this can be an issue. Using a dedicated server configuration separate from the office’s regular day-to-day email sending has performance and security benefits. Improve your security posture by keeping EMR or EHR data isolated from other customers of your email provider. Learn more: Dedicated Server Benefits: How They Improve Security and Reliability.

Conclusion

Despite these challenges, services like LuxSci’s HIPAA-compliant Secure High Volume Email are specifically designed to help navigate the complex intersections of the regulations and transactional email sending. Our dedicated email solutions are custom-designed to meet our client’s sending needs while adhering to HIPAA requirements.

How to Determine Your Email Throughput Needs

Tuesday, November 2nd, 2021

When designing an email infrastructure to send high volumes of email, you need to determine your email throughput needs. Throughput refers to how much data can be transferred within a specific time frame. It is a practical measure that is influenced by many factors including server power, network speeds, concurrent connections and more. This article will explain some of the factors that you can control to help you design an email sending infrastructure that fits your business needs.

email throughput

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