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In Basket Messages

Here you will find an explanation of the purpose of the In Basket message, answers to related questions, and links to the login page and other helpful D Hconnect resources.

Background

In Basket is the secure messaging system that is a part of both eD H and D Hconnect. eD H is the new electronic medical record system implemented by Dartmouth-Hitchcock (D H); the system includes a web based portal for referring physicians called D Hconnect.

Providers and staff from non Dartmouth Hitchcock hospitals and practices who had used the CIS Affiliate (also known as AIS) system to access electronic medical record information have been set up with access to D Hconnect. Instructions for accessing the system have been distributed to users either directly or through their local IT or clinical operations departments.

The In Basket is accessed by logging in to D Hconnect and clicking on the In Basket tab near the top of the screen.

If an In Basket message has not been read after 4 days, the system sends an e mail message to the internet e mail address on file for the recipient.

Questions

  • Where can I learn more about D-Hconnect?
    This website contains a good overview of D-Hconnect. You also have access to D-Hconnect training when you log in to the D-Hconnect Citrix portal at https://dhapps.hitchcock.org

    D-Hconnect Practice & Training Icon
  • How can I learn to use the D-Hconnect In Basket?
    There is an on-line lesson about In Basket at the D-Hconnect Practice and Training site, which you access by logging in to the D-Hconnect Citrix portal at https://dhapps.hitchcock.org. You will also find instructions for having a delegate check messages for you.
  • What makes the In Basket system "secure"?
    Unlike standard Internet e-mail, which travels between different computer systems over the internet in an unencrypted form, In Basket messages all stay within the eD-H systems hosted at Dartmouth-Hitchcock. That system is in a secure data center. Users access their In Basket through the eD-H or D-Hconnect client software, which use encrypted communication and never leave any data on your local computer.
  • What kind of information will I be receiving in my In Basket?
    There are several types of In Basket messages that could be sent to you. A common example would be a letter or forwarded encounter report from a specialist at Dartmouth-Hitchcock who has seen one of your patients. You might also receive "Staff Messages" which are similar in form to traditional e-mail messages. Some messages are automatically generated by the system, such as result messages for labs you might have ordered.
  • Can I send In Basket messages?
    Yes, you can reply to messages you receive and you can compose staff messages to Dartmouth-Hitchcock providers or other D-Hconnect users. If you haven't corresponded with a specific provider via In Basket in the past, don't rely solely on an In Basket message for critical communication - use the phone to confirm that they monitor their In Basket and get the message.
  • I used to get links to clinical information from Dartmouth-Hitchcock in my e-mail. Can I still get information that way?
    Those links were sent from our old CIS system, and that system did not take advantage of the latest enhanced security processes that are integral to the In Basket system. In addition, new notes and reports are not being stored in CIS - they are in eD-H now. We are obligated to use the best available technology to protect confidential clinical information, and In Basket is the right tool to do that.
  • Can I have my assistant check for these messages?
    Yes. Your assistant would log in to their own D-Hconnect account to do that. First, you must log in to D-Hconnect and grant permission to your assistant to "attach" to your In Basket. Your assistant can then make that attachment and view (and act upon) messages sent to you. Download an instruction sheet (PDF)
  • Can I request to have information faxed or mailed to me instead of sent to my In Basket?
    Yes, we can change your communication preference to Fax (or U.S. Mail). Please note, however, that as long as you have D-Hconnect access, your In Basket will be visible to other users and some messages will still arrive there. So it is important to check your In Basket regularly (or delegate someone in your office to attach to your In Basket and check it).
  • I've asked to have all information faxed to me, but I'm still getting messages sent to my In Basket?
    If you are a D-Hconnect user, you have an In Basket that is visible to other eD-H and D-Hconnect users. Most of the routine clinical correspondence you get will be sent via your preferred method (fax or mail) but there is no way to prevent other users from sending you an In Basket message
  • Is there a way to ensure that no information is sent to my In Basket?
    The only way to guarantee that is to deactivate your D-Hconnect account. That would take away your ability to log in to the Dartmouth-Hitchcock system and view the electronic health records of your patients. It is possible to deactivate your account while keeping accounts for other staff in your practice.
  • I will be checking my In Basket on a regular basis, but not every day. Can I stop the reminder e-mail messages from coming?
    Yes, e-mail your request to dhconnect@hitchcock.org . We will want to confirm that you understand the significance of this change. We can turn off the e-mail for an individual user or change the minimum interval between reminder e-mail messages (the default is 2 days).
  • My Nurse/MA/Secretary has a D-Hconnect account. Do they have In Baskets?
    Yes, every D-Hconnect user has an In Basket, and that can be a useful tool for communicating with their counterparts at Dartmouth-Hitchcock. Users who are not doctors or mid-levels (users who would never be named as a PCP or referring provider) will not be sent the kinds of clinical information that providers receive in those roles.
  • I work in a clinic and I attach to the in baskets of several of the providers here and I get reminder e-mail messages for all of them. Is there a way to tell from the message which provider has unread messages?
    It is not possible to tell from the e-mail message itself which provider has the message(s) waiting. However, as soon as you log in to D-Hconnect and access your attached In Baskets, you will see that the providers with unread messages are highlighted. You will need to look at only the highlighted In Baskets for the new messages.

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