Direct Secure Messaging

Direct Secure Messaging (DSM) – NMHIC’s Direct Secure Messaging is an easy-to-use, fast and secure electronic communication service for clinical providers and others who regularly transmit and/or receive protected health information (PHI). Direct looks and operates like email, but with security features such as point-to-point encryption required for PHI. Direct is not a brand name or a company, Direct is a transmission standard developed by the Office of the National Coordinator for Health Information Technology (ONC).

NMHIC Direct Secure Messaging is a full service Health Information Service Provider (HISP) providing connection services to the National Direct Trust Network. NMHIC HISP services include: Organization level identity management, Provider Directory with manual address sharing, Certificate generation and management, Verification of message delivery.
NMHIC HIE contracts with Orion Health for its Direct. Orion Health is one of the most widely deployed HIE companies in the world.

Direct Secure Messaging Options

  • Direct Secure Messaging (DSM) Web Portal - This is the fastest and most basic way to connect to the Direct Secure Messaging ecosystem within the NMHIC HIE portal. Web-based secure messaging to send a message with attached patient information and selected documents or results from the NMHIC HIE, to another identified Direct user of the HIE Portal or National Direct Trust network.
  • Direct Secure Messaging (DSM) Direct - This is the best option for organizations with Direct-compliant EHR systems, whose users work within the EHR interface. NMHIC is a full service Health Information Service Provider (HISP) providing connection services to the national Direct Trust network. NMHIC HISP services include: Organization level identity management, Provider Directory with manual address sharing, Certificate generation and management, Verification of message delivery. Fees for DSM Direct assume that participant does not require their own HISP and will participate in DSM through the NMHIC HISP/Direct Trust certificate.
  • Direct Secure Messaging (DSM)- HISP to HISP- Establishes connectivity and exchange of Trust Anchors with another HISP.