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Texting is becoming a prime method of communicating, so it’s natural the practice is moving into health care.

Patients like how texting a nurse or doctor can bypass the receptionist, answering service or voice mail and not require scheduling or waiting for an appointment. It’s also discrete to text a provider to discuss problem, and not have anyone overhear.

Medical office staff may find that texting can help their organization as well, including assisting with scheduling and even reduce call volume if more patients text questions.

In fact, about the only people who haven’t been sure about the appropriateness of texts in health cares are providers themselves. Their reasons seem generally less about the potential for improving quality of care, and more about the complex legal challenges that could arise when doctors start texting.

First, the modern physician is busy seeing patients and with paperwork, so taking time to text may cut into a crowded schedule or take time away from patient visits. Being able to directly contact a doctor anytime also changes the dynamic of the modern medical system where most doctors have plenty of gatekeepers/staff between him/her and the patient.

There are also questions if a text from a doctor constitutes actual medical advice or just a conversation. Then there are the potential violations of HIPPAA, the medical privacy law designed to prevent unauthorized disclosure of patient information.

Physician groups have been wrestling with texting for years, but in 2016, The Joint Commission voted to permit them, provided physicians take steps to keep their phones secure and encrypted. The organization felt there could be greater benefits for patient care, such as physicians being able to quickly send texts to consult with colleagues, nurses or pharmacists.

Other areas where texting has been in use or has shown potential in health care include:

Office assistance. Patients can send in texts requesting appointments, or offices can use automated texting software to confirm and remind them about upcoming visits.
Unscheduled appointments. Some emergency rooms and urgent care centers are now accepting texts. This can alert the staff that a patient is coming in so they can begin the paperwork process, rather than waiting for the patient to arrive to start registration. Some facilities also can return a text from a potential patient to advise how long the wait time is, and confirm that the patient has a place on the list. This has the potential to reduce wait times at both of these types of providers.
Regular health information. A medical office can ‘push’ information out to its patients and other text subscribers such as invitations to come in on a regular basis for procedures like flu shots in the fall or sun screening in the spring. Texts can drive people to health info on the practice’s site, an e-newsletter other useful health and wellness resources, such as links from local public health officials. Some texting programs also can be synced to a database so someone’s name can appear.
General questions. While providers may be wary of sending patient information by text, such as test results, they may consider asking one member of their staff to take on this duty. This option can be announced to patients to assure them that it’s OK to text as long as they follow certain rules. Along with directly answering and assisting, they can text useful links to help answer someone’s question. This can provide legitimate medical information, rather than encouraging the patient to do their information online, which can be risky at times with so many inaccuracies.
Health alerts. As a service to the local patient community, texts can be sent out with information about epidemics and general medical emergencies like epidemics or disasters.

Because physicians are just beginning to explore the potential of texting, there are plenty of possible ways to improve efficiency and delivery of care in the future.

Today’s college officials face challenges that that previous generations of education professionals never had to deal with, starting with the Internet.

Though advances in digital technology have generally been a good thing as far as program delivery and creating more interactive multimedia classroom experiences, they have also created more potential for harm, or at least new distractions for instructors and students.

At the same time, interest in school security has also risen, partly due to increases in violence at secondary schools and colleges. Though shootings get headlines and cause high levels of fear, other crimes can take place too, including assaults with other weapons.

Because of a push to keep students safer, educators and security staff continue to search for new methods to alert students during a crisis – it doesn’t have to be violence, but any occasion when information needs to be delivered in a hurry. Perhaps it could be a natural disaster or even a serious traffic accident or weather situation that could impact traffic in and out of campus.

One solution that has gained popularity is texting, when school officials can send instructions to students and faculty in the event of a safety situation.

Here’s why it should be added to a college’s security plan.

Students are more likely to see a text first.

Emergency warnings in the past have included mass emails or automated phone calls. But these may not be able to be seen as quickly as a text – sometimes emails or voice messages aren’t checked for hours or days while a text can be seen in minutes. Since more students are using mobile devices, especially for texting, it’s likely that they will hear and see an immediate message, or at least someone near them will.

It’s a faster delivery method.

Depending on your particular texting service, thousands of one-to-many texts can be sent a matter of minutes. In comparison, thousands of mass emails must be sent in small bursts over hours to avoid spam detectors. Texts are also universal – the same message can be seen on everyone’s phone.

Brief is better.

In emergency situations, school officials may just send out short details and quick instructions, with the expectation that more info will be shared later. “Active shooter on campus, seek shelter.” “Tornado coming, stay indoors, will text all-clear later.”

No reply needed.

Sending one-to-one texts can create opportunities for a conversation, but one-to-many texts aren’t intended for interaction, only instructions. Officials sending texts may not have time or interest to answer the same question multiple times, so it’s easier just to send an identical message out to everyone.

Different databases can be managed easily.

A college may have multiple ‘text’ lists, such as students on different campuses, or even local media. Plus it may have an ‘everyone’ list. Most texting programs make it easy to specify which database when creating a message. This can make sure the correct students and staff receive the message.

Secondary schools like middle schools and elementary schools will likely require different texting policies than colleges. Younger students may not even own mobile phones, or if they do have them, they may not be permitted in the classroom.

In this case, school alerts should be sent to faculty/staff and perhaps a separate database for parents. These also can give quick, direct information with the promise of more details to come. “School in lockdown. Keep students calm and in classrooms.” “Fire in gym, please evacuate to field.”

Leaders also should keep in mind that every school’s texting plan should be customized based on local resources and the local community.

Overall, it’s critical that a school gets the word out as much as possible prior to launching a texting service to make sure many as many people sign up. Schools also should consider sending out several types of warnings, not just texts, in case a student may not have their phone on or even with them on any given day.

Why texting can benefit patients & health care providers.

5 reasons why schools should add texting to safety plans