2. Type the username and password supplied by your Site Administrator and select Log In.

The Great Lakes Health Connect (GLHC) Direct application allows users to compose, view, and manage Direct messages from the GLHC Command Center which is accessed from your computer s web browser. Logging into the GLHC Command Center Logging into the GLHC Command Center requires a username and password. These will be provided by GLHC or the Command Center Administrator at your site. To log into the Command Center (inexx) for the first time: 1. Either 1) enter the URL provided by GLHC and save this as a bookmark/favorite for future use, 2) double-click on the Great Lakes Health Connect icon on your desktop or 2) select the bookmark/favorite from your browser menu if already saved for you, or. 2. Type the username and password supplied by your Site Administrator and select Log In. 3. If your username and password combination are valid, inexx will start. If your password has expired or a forced change was initiated (at first login), you ll see the following: 4. Enter a New Password and then type the new password a second time to confirm it. 5. Select Log In. This will also save the new password. Note: Users also have the option of changing their password at any time by selecting the Change Password button. 1 P a g e

IMPORTANT NOTES: To comply with HIPAA regulations, NEVER SHARE PASSWORDS. DO NOT reply to messages from hospitals sending Transfer of Care (TOC) and Continuity of Care (CCD) documents. These types of messages are auto generated and there is no one to manage your message from the hospital. Therefore, no one will receive your message. DO NOT forward messages without patient consent. Attachments remain attached to a forwarded message. Attachments generally include protected health information (PHI). NOTE: Many EMRs are not configured to accept Direct messages from an office. Make sure that the intended receiver is able to accept messages if they are using an EMR (even if you received a message from them) o HINT: It is recommended that you contact the office the first time you send them a message so they can watch for the message and confirm that they received it. NOTE: There is no password recovery capability with inexx (i.e. click here if you forgot your password ). If you have forgotten your password, please contact your Site Administrator. Automatic Log Out Your GLHC Command Center session will remain open as long as you are entering and saving information. If there is no saved activity for a period of time, the system will log you out. The period of inactivity can be pre-set for 15, 30, 60, 90 or 120 minutes (see page #3 on how to set your time limit). A pop-up warning will display 3 minutes prior to the determined timeframe, giving you a 3 minute grace period to renew your session. The 3 minutes will count down by seconds displayed below. To remain logged in click the Stay Logged In button. If you are logged out due to inactivity exceeding the 15-120 minute limit, the inexx Login screen will appear. Simply log in again. Note: If you are automatically logged out and are in the middle of a creating a Direct message you will lose this information. Therefore, make sure that you do not leave unsaved documentation open past your designated grace period. or e-mail support@gl-hc.org rev 010815 2 P a g e

Adding the Direct application to the Command Center 1. Once logged in, click on the tile (Preferences) in the top right corner of the screen and navigate to the Apps tab. 2. Under the Apps tab, check the box next to the Direct tile. 3. Select the Look tab. 4. Select the following: Icon Size Medium, Theme inexx Sunny, Size Medium, Check the box next to Label Apps and finally, Session Timeout select from 15-120 Minutes, depending on your internal security guidelines. 5. Click Save and Return Home. 6. The Direct tile will display in the top left corner of the screen. or e-mail support@gl-hc.org rev 010815 3 P a g e

Direct Worklist To view received messages, click on the Direct tile to be brought to the Direct homepage. A worklist will display. You can either view Sent or Receive messages: The worklist will display various columns including: Message (a portion of the subject line and whether an attachment is included): Attachment Who the message is From and who it is sent To: The date the message was Received: and the Status and Status Text (whether the message has been read and who originally read the message: or e-mail support@gl-hc.org rev 010815 4 P a g e

Managing Messages 1. Both Sent and Received messages can be grouped by: 1) No grouping, 2) From or 3) To using a dropdown menu: 2. Under Received Messages, you are also able to either view All messages (unchecked box) or Unread Messages only (checked box): 3. Or, select Search to locate messages that contact specific message content: This includes, From, To, Received (Date) and Status of messages. 4. You can also add additional criteria by selecting the plus + sign or e-mail support@gl-hc.org rev 010815 5 P a g e

Viewing a Received Message Using the Direct Application Received or New messages will display the number of messages received in your inbox indicated by a red number in the Direct tile/icon in the top left corner of your screen. 1. To view received and/or sent messages, click on the Direct tile to be brought to the Direct homepage. 2. To view received messages click the Received Messages tab 3. Unread messages appear bold. 4. It will also have a Status of Received. 5. To open the message, double-click directly on the Message line in the Worklist 6. The message will display. (See example below) Any attachments to the message will appear on the right-hand side of the message. or e-mail support@gl-hc.org rev 010815 6 P a g e

Click the Download File ( ) button to save the file to your hard drive. Click the attachment filename to open the attachment in your browser. Depending on the web browser you use, certain files may not be able to be displayed in the browser. If this is the case, the file will be downloaded to your hard drive. 7. There are 4 available options: a. Back to worklist: Return to the list of all sent/received messages b. Reply: Allows you to reply to the sender of the message c. Forward: Allows you to forward the message to another Direct recipient NOTE: Any attachments are not included with the forwarded message d. Delete: removes message. Viewing XML and XDM Attachments - Most documents from hospitals will be sent in an xml.html (read only format) AND an xdr format (zip file). Therefore, the same document may display TWICE. This gives the user two ways to view the document: Zip or xml.html. These are not two separate documents. 1. OPENING A ZIP FILE TO SAVE THE ATTACHMENT: If you select the zip file, a popup similar to the ones below will appear on your screen: or e-mail support@gl-hc.org rev 010815 7 P a g e

After choosing Open/Save, a list of files will display on your screen. To view and save a document, select only document(s) with.xml or.xdm extension and icon as seen below: 2. Xml.html attachment = VIEW ONLY: This will directly open the attachment as seen below but it does not allow you to save the document. The attachment will display as in the example seen below: or e-mail support@gl-hc.org rev 010815 8 P a g e

Replying to a Message When replying to, or forwarding, a message you will need to place your cursor in the field below (before the dotted line). Once complete, select Send. IMPORTANT: DO NOT reply to messages from hospitals sending Transfer of Care (TOC) and Continuity of Care (CCD) documents. These types of messages are auto generated and there is no one to manage your message from the hospital. Therefore, no one will receive your message. Forwarding a Message with an Attachment To forward a message, simply select the Forward button and enter the Sender s Direct address. Note: It is important to make sure you have a Release of Information or patient consent before forwarding an attachment to another provider. 1. Message field - add your message 2. Select Send. Caution: This must be the Direct mail address assigned specifically for DIRECT Services in order for the message to be secure. Do not use standard e-mail addresses intended for use on the public Internet. A warning message will not appear if a non-direct address has been entered by mistake. or e-mail support@gl-hc.org rev 010815 9 P a g e

Sending a Direct Message NOTE: Many EMRs are not configured to accept Direct messages from an office. Make sure that the intended receiver is able to accept messages if they are using an EMR (even if you received a message from them) HINT: It is recommended that you contact that office the first time you send them a message so they can watch for the message and confirm that they received it. 1. Select the Direct tile to be brought to the Direct homepage. 2. To send a new message, click the New Message tab 3. Click the From drop-down list and select the desired Direct E-Mail Address. (If your address is not shown, contact your office administrator for assistance in having it display for you.) 4. Identify the main theme of the message in the Subject text box. or e-mail support@gl-hc.org rev 010815 10 P a g e

Selecting a Provider To specify a recipient in the To field. This may be accomplished by one of two methods: 1. To send a Direct message to a provider that is listed in the Great Lakes Health Connect Community Directory and has a verified Direct address: a. Mark the Search inexx Locations checkbox. b. Using the Provider, Location (Practice Name), or Service search box, begin typing some criteria for the referral destination. As you type your search criteria, matching choices display. c. Select the desired destination Location (required); and, if desired, a Provider. If Location is the only element selected, the message will be sent to the location s Direct address. 2. To send a Direct message to a provider not listed in the Great Lakes Health Connect Community Directory: a. Make sure the Search inexx Locations box is unchecked. b. Enter the recipient s DIRECT e-mail address. Caution: This must be the Direct mail address assigned specifically for DIRECT Services in order for the message to be secure. Do not use standard e-mail addresses intended for use on the public Internet. A warning message will not appear if a non-direct address has been entered by mistake. Creating the Message 3. Message field - Create your message 4. Select Send. or e-mail support@gl-hc.org rev 010815 11 P a g e

Adding Attachments While you have the message open (before sending) you have the ability to add any type of attachment desired. Note: The maximum size for attachments in a Direct message is set at 10MB per message. There may be a lower limit as set by your domain administrator. Please consult your administrator for specific information concerning the maximum attachment size. To include attachments with a Direct Message: 1. In the Attachments section, click the Add Attachment (+) button. 2. Search for desired attachment. 3. Click the Choose File button and select the file you want to attach. 4. Type a short description of the document being attached in the Name field. NOTE: Make sure that you name (label) the attachment or it will not display when the message is received. 5. Repeat for each additional attachment. NOTE: Many EMRs are not configured to accept Direct messages from an office. Make sure that the intended receiver is able to accept messages if they are using an EMR (even if you received a message from them) HINT: It is recommended that you contact that office the first time you send them a message so they can watch for the message and confirm that they received it. Removing Attachments Clicking the Remove Attachment (-) button removes the last attachment on the list from being added to the message. or e-mail support@gl-hc.org rev 010815 12 P a g e

Tracking a Sent Message Once you send the message you will be brought back to your home screen. Click on the Sent Messages tab to view the message you just sent. Note: The Status and Status Text will always say Dispatched and Dispatched to be delivered respectively, unless the message fails after a few minutes. Possible Error Messages If the message fails, you may see one of the errors listed below after a few minutes. Status Text - Mailbox unavailable. The server response was: Relay denied. o You will receive this error message if you attempt to send the message to a non- Direct e-mail address. Status Text - The specified string is not in the form required for an e-mail address. o You will receive this error if you attempt to send to a recipient that is not in the form of a complete e-mail address. (i.e. did not at.com,.org, etc.) Notifications The Direct application is able to send a HIPAA compliant notification e-mail to alert users of the arrival of a new Direct message. When a new Direct message is received and the user has access to the message, an alert prompting the user to log in to inexx will be sent to the user s e-mail address. or e-mail support@gl-hc.org rev 010815 13 P a g e

Configurating Email Nofications 1. Log in to inexx. 2. In the Control Panel, click the Preferences button. 3. From the Apps tab, locate the Direct app and click the Preferences button. 4. Add your email address in the Email Address box shown below 5. and then close the popup box by selecting the X: 6. Select Save and Return Home E-mail notifications may be stopped by deleting the email address from the Email Notifications field by selecting the X inside of the email address box, closing the window and selecting Save and Return Home. or e-mail support@gl-hc.org rev 010815 14 P a g e