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With the appropriate configuration, EXACT processes SMS replies, matches them to patient name and appointment times, and populates the Appointment Book with confirmed appointments, all without human intervention.

However, if the replies are ambiguous, EXACT cannot match them, and this automation is not possible. Practice personnel (normally Receptionists) should therefore routinely monitor the SMS Replies List for these ambiguous replies and manually match them (establish whom an SMS is from, what it relates to, and what actions should be taken).

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The SMS Replies lists display all incoming SMSes that EXACT cannot confidently classify and act upon. These can include

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Option to display all SMS Replies, including those that EXACT auto-matches:

The SMS Replies list has a Show Completed checkbox. When checked / ticked, all incoming SMS's display in the list.

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It is possible to manually create SMSes and send them to Patients with keyword options. However, these will not result in automated EXACT responses; users will always need to manually process such messages in the SMS Replies lists.

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The SMS Replies icon displays by default on the workbar from EXACT v11.3:

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This icon includes an alert counter to show how many incoming SMS Replies are unmatched / uncompleted, and therefore require manual attention.

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Patients normally reply with the appropriate SMS keyword, and EXACT then automatically confirms the appointment with the patient, and marks it as complete.

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  • Instead of replying "YES" to confirm, a patient replies "YES but I'll be five minutes late because I'm dropping my child at the Preschool".

  • Instead of replying "NO" to cancel, a patient replies "No mate, not this time".

EXACT displays these ambiguous replies in a List for interpretation / manual processing by Practice personnel.

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  1. Click to select the SMS and then click the Match Reply button.

    SMSRepliesTabV11-MatchReplyButton
  2. Match the SMS to the appropriate patient and appointment / contact list 

  3. Click the Confirm Appt button to confirm who this is, what it is for, and what to do.

  4. icon-CheckBox-checked

    Check (tick) the SMS Reply to mark it as completed. EXACT will then

    • Remove it from the SMS Replies Tab and from the Manage SMS Replies list

    • Decrease the SMS Replies Counter Alert by 1.

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To create keywords using the EXACT conventions and limitations

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  • Keywords maximum size is 25 characters.

  • Keyword minimum size is 1 character.

  • Keywords cannot contain spaces.

  • Keywords must be alphanumeric (special accented characters are OK).

  • Keywords cannot occur in a single keyword list twice.

  • The total length of all the keywords in a list cannot exceed 250 characters.

  • (IMPORTANT) A keyword cannot exist in any other active keyword list, whether for appointment reminders or contact lists (inactive contact lists are not counted).

    For example, you cannot use YES as a keyword for a currently active contact list and for an appointment reminder.

    If you need multiple options for YES and NO, variations could include YES1, YES2, Y1, Y2, OK, OK1, NO1, NO2, N1, N2, etc.

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Monitoring and Matching SMS Replies

This section describes EXACT's two SMS Replies screens, lists circumstances when user intervention is required, and describes procedures for Appointment Confirmations and Cancellations with either of these screens:

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It lists those SMS Replies (and other incoming SMSes) that do not meet configured keyword requirements, and therefore need human intervention to determine what they are and what to do with them.

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EXACT populates the columns as best it can based on the incoming SMS Reply.

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This screen lists all the SMS messages that were received by the practice that were either not automatically processed by EXACT, or were added to the SMS Replies list because the settings in EXACT directed them to be.

To open the Manage SMS replies screen

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This is a near duplicate of the list in the SMS Replies Tab of the Appointment Book.

EXACT populates the columns as best it can based on the SMS Reply.

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When SMS Replies Require User Intervention

Circumstances where SMS Replies require manual action:

Circumstance

Manual action required

If you manually create SMS Reminders, EXACT will always send the consequent SMS Replies to the Manage Replies List and to the SMS Replies Tab, for you to manually confirm who this is from, what it relates to, and what actions to take.

Read the message, take appropriate action.

The SMS was received by the practice and has nothing to do with appointment reminders.

Read the message, take appropriate action (such as contact the sender), then remove it from the list.

The reply comes from a mobile phone number that matches a patient record, but the reply does not contain a valid keyword.

Read the message, take appropriate action (such as contact the sender), then remove it from the list.

The reply contains a valid Confirmation keyword, but the appointment list option to add the reply to the Manage Replies list is ticked.


If you have chosen the configuration option to have the appointment automatically confirmed in the appointment book, or for the patient to be sent a 'confirmation of receipt' message, no further action is required. Once the details have been checked, click the entry to delete it from the Manage Replies list.

The reply contains a valid 'cancellation' keyword, but the appointment list option to add the reply to the Manage Replies list is ticked.

In this case, you may wish to contact the patient to make an alternative appointment booking.

The reply contains a valid keyword, but EXACT cannot match the reply to a particular patient record. This can happen if the number the text was sent from is different to one listed against the recipient, or if more than one patient has the same mobile number.

Read the message, take appropriate action, then remove it from the list.

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no01_18x18

If SMS Replies functions as intended, there is no need for user intervention. EXACT automatically matches incoming SMS replies correctly to the patient and the appointment, these replies do not normally show in the SMS Replies lists, and Receptionists will simply see pending appointments being confirmed in the Appointment Book:

ConfirmedInApptBook

If you wish to also see these replies in the SMS Replies list, tick the Show Completed checkbox:

SMSReplies-NewSNLexample
no02_18x18

To identify ambiguous SMS Replies for manual matching

Ambiguous SMS Replies cannot be matched, so they are listed in both the Manage SMS Replies screen and in the SMS Replies Tab.

For example:

SMSRepliesScreen-examplewithSNL

NOTE: Hover your mouse cursor over the Reply in the Reply column for a tooltip of the full text reply.

no03_18x18

To manually match an SMS Reply Confirmation to a patient name

Manually match the SMS Reply (identify exactly who, what, when):

SMSRepliesScreen-examplewithSNL-MatchReplyMatchSMSReply-Huh

When you have matched the reply against a patient and their contact list or appointment, click the Continue button to return to the SMS Replies list.

You will notice that the Confirm Appt button is then active, and you can select it.

no04_18x18

To confirm an appointment after manually matching an SMS Reply Confirmation to a patient name

Confirm the Appointment after matching the SMS Reply, so that EXACT can confirm it in the Appointment Book (this is the same as EXACT automatically matching and confirming the appointment).
Select and highlight the reply, and click the Confirm Appt Confirm Appt button button at the bottom right-hand corner of the screen:

SMSRepliesScreen-examplewithSNL-ConfirmAppt

The appointment in the Appointment Book will then show a confirmation iconConfirmAppointment-Handset-icon.

no05_18x18

icon-CheckBox-checked Check to complete this SMS Reply.

ListSMSReplies-Ticked

It will immediately disappear from both the Manage SMS Replies List and the SMS Replies Tab.

(To view all "completed" (non-displayed) SMS Replies, simply check icon-CheckBox-checked the Show Completed checkbox)

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no01_18x18

If SMS Replies functions as intended, there is no need for user intervention when the user cancels. Receptionists will simply see pending appointments disappear from the Appointment Book and cancellations being listed in the Cancels Tab of the Appointment Book work area:

CancelsTab

If you want the replies to also show in the SMS Replies list, tick the Show Completed checkbox:

ShowCompleted-cancellationExample
no02_18x18

Ambiguous SMS Replies are listed in both the Manage SMS Replies screen and in the SMS Replies Tab.

For example:

SMSRepliesScreen-examplewithSNL

NOTE: Hover your mouse cursor over the Reply in the Reply column for a tooltip of the full text reply.

no03_18x18

To manually match an SMS Reply Cancellation to a patient

Match the SMS Reply (identify exactly who, what, when):

SMSRepliesScreen-examplewithSNL-MatchReplyMatchSMSReply-Huh

When you have matched the reply against a patient and their contact list or appointment, click the Continue button to return to the SMS Replies list.

You will notice that the Cancel Appt buttons become active, and you can select it to Cancel.

no04_18x18

To cancel an appointment after manually matching an SMS Reply Cancellation to a patient

Cancel the Appointment after matching the SMS Reply (this is the same as EXACT automatically matching and cancelling the appointment):

SMSRepliesScreen-examplewithSNL-CancelAppt

EXACT cancels it in the Appointment Book and adds it to the Cancels Tab no01_18x18.

no05_18x18

icon-CheckBox-checked Check to complete this SMS Reply.

ListSMSReplies-Ticked

It will immediately disappear from both the Manage SMS Replies List and the SMS Replies Tab.

(To view all "completed" (non-displayed) SMS Replies, simply check icon-CheckBox-checked the Show Completed checkbox)

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  • If a Patient receives an SMS from an existing Contact List and replies correctly, EXACT automatically matches the patient to the contact list and the appointment, and confirms or cancels the appointment in the Appointment Book. No user intervention is required.

  • However, if a Patient replies with ambiguous keywords (not specified on the Contact List), EXACT cannot match the SMS, so it cannot act upon it. EXACT users need to manually match ambiguous Contact List SMS Replies, to a patient and an active Contact List, and then Confirm Appointment or Cancel Appointment.

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Contacts Lists can be managed from two other areas of EXACT:

  • From the Administration > Contact Lists.

  • In the Multi Column appointment book in the Contact Lists Tab.

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Monitoring Patient SMS Follow-up Responses

From version 11.3 SP6 EXACT can automatically follow-up patient appointments with SMS messages and request patient keyword responses. This is typically used in surveys of patient appointments 

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SMS Follow-ups Report

From version 11.3 SP6 EXACT can automatically follow-up patient appointments with SMS messages and request patient keyword responses. This is typically used in surveys of patient appointments

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Manually contacting Patients by SMS

IMPORTANT:

SMS Replies software is designed to function with automated reminders sent to Patients. The software links the pending appointment with the automated SMS Reminder, with the patient's SMS Reply.

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It is possible to manually contact single or multiple patients by means of SMS reminders, but in this case EXACT has no automatic means to link your sent SMS Reminder and the patient's SMS Reply with a pending appointment.

So, if you manually create SMS Reminders, EXACT will always send the consequent SMS Replies to the Manage Replies List and to the SMS Replies Tab, for you to confirm who this is from, what it relates to, and what actions to take.

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  1. Select the SMS button

    SMS button

    from either:

    • The Recalls window
      (Administration > Manage Recalls > Double-click on a recalls list), or

    • The Contact Lists window
      (Administration > Contact Lists > Double-click on a list)

    The Contact by SMS window launches:

    19253_v12
  2. Select the

    radiobutton,grey-checked

    Single SMS option.

    The checkbox,grey-checked Group by Family checkbox will apply to SMS as it does for letters, and allows email to family members to be sent together. It is greyed out and unavailable if the Single SMS option has been clicked.

    The checkbox,grey-checked Tick as complete when message sent checkbox will flag the recall procedure for the SMS recipient(s) as completed once the SMS is sent.

  3. Select OK to display the SMS Details window.

    Document Details (SMS)
  4. Select the Provider, Specialist and SMS templates (click in each field to activate the selection controls for that field).

  5. If you select a Category, it will be added against the SMS and displayed in the Category column in the Contacts tab as EXACT does for letters, as a quick reference to identify the purpose of the message.

  6. Click the

    button to open the Create SMS window, with the Description and Message fields defaulted (if you chose an SMS template), or the screen blank to enable you to enter your own details.
    In the case of a defaulted message, you still have the option to edit the details (see below).

    Create SMS window example
  7. In this window, you can edit the Description ‑ which is used for the Contacts tab ‑ and can also edit the message to be sent.

  8. If the message to be sent is a Flash message, tick the Flash checkbox, if it is not already ticked by default for the SMS Template (if one is used). Alternatively, if the template is for a Flash message, you can untick the checkbox to send it as an ordinary SMS if you wish.

    (Flash Message: On some cellphones a Flash message will appear on the screen immediately upon arrival, without the need to press any buttons on the phone. This is a useful alternative to normal SMS to catch the recipient's attention. The recipient has the option of 'saving' the Flash SMS to their Inbox.)

  9. As you enter text, the line under the message box will display the approximate character count (excluding merge fields), and how many 153-character SMS messages this represents, which will be charged against your SMS account credit.
    If you wish to limit this, you can either delete text and/or merge fields (such as the patients name, or other details) to shorten the message, or click in the Truncate To field and select the maximum length of the message, in message unit multiples (1 to 9) of approximately 160 character length (1 SMS) or 153 characters for longer messages.

  10. Clicking the button on this window will create the SMS messages for the selected patient in EXACT, and either send the SMS message or queue it to be sent, depending on your settings.
    The contact list entry will be updated with the appropriate SMS status icon in the Type column.
    For an SMS message, one of the following icons may appear, depending on the status:

    SMS delivered icon

    SMS appointment reminder sent to recipient (delivered)

    SMS buffered

    SMS message received by gateway (sent, but not yet delivered)

    SMS delivery failure icon

    SMS delivery failed (where SOE is the SMS provider; password is wrong, insufficient credit, etc.)

    SMS reply received icon

    Reply received (for SMS reminder sent to patient)

    SMS_status_available icon

    SMS status is now available

    SMS status unknown

    SMS status unknown (TXTConnecxions / Icetrak / 4Production)

    SMS failed or not sent

    SMS failed or not sent to gateway

    SMS status unavailable

    SMS status unavailable (other SMS providers)


    There is also a tooltip displayed when you hover your mouse cursor over each of the icons.

  11. The SMS message will also appear in the Email Outbox until it is sent, when it will be removed and will appear in the Sent tab.

    It will have the appropriate icon in the Status column.

    Only email replies will appear in the Email Inbox.

    If staggered recall settings are in effect, the column marked with a clock icon Clock icon will have a corresponding icon for any items in the Outbox which are subject to the settings.

    If you hover your mouse cursor over the icon, a tooltip will tell you when the SMS is due to be sent, as in this example:

    SMS staggered delivery tooltip

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  1. Select the SMS button

    SMS button

    :

    The Contact by SMS window launches:

    19253_v12

    Select the either Single SMS or Multiple SMS.

    The checkbox,grey-checked Group by Family checkbox will apply to SMS as it does for letters, and allows email to family members to be sent together. It is greyed out and unavailable if the Single SMS option has been clicked.

    The checkbox,grey-checked Tick as complete when message sent checkbox will flag the recall procedure for the SMS recipient(s) as completed once the SMS is sent.
    With this unchecked the patient is not marked as Complete on the contact list until further manual action is taken. In other words, leave the checkbox unchecked if you want a reminder to take further action.

  2. Single SMS option: Click OK to display the SMS Details screen as shown below.

  3. Multiple SMS option: Click OK to display the Contact Patients window. You can either uncheck all options to include everyone on the recall / contact list, or select options according to your preferences.

    ContactPatients-SMS


  4. Once you have selected your list of patients and clicked OK you will be presented with the following screen, if you have set up staggered recalls in your email configuration:

    Stagger SMS window

    At this point, you can either:

    • Click the Send all SMS straight away to send the SMS messages.

    • Accept the staggered SMS settings, as listed.

    • Change any of the delivery times by clicking on a line, and then delete the line using the

      Delete button.
      A new delivery time can then be added via the

      Add button.

    • Accept the delivery times, but change the delivery frequency.

    To edit the Stagger SMS sending option:

    StaggerSMS-AddSession


    Once you have reviewed (and edited the staggered settings, if required), click the OK button.


  5. The SMS Details window is now displayed, to enable you to enter Provider and/or Specialist codes, if there are pertinent merge fields that need to be included in the SMS:

    SMS Details window

    If you wish to also send an SMS to a specialist, select their code in the Specialist field, then tick checkbox,grey-checked Email the Selected Specialist checkbox.

    You can also choose an SMS template if you wish to use a preset message as a basis for the SMS.

    If you do so, the Description field is automatically filled, but may be edited if required.
    Similarly, the Category field is usually defaulted but can be changed or deleted if you wish.

    The Category becomes important in the Patient Contacts Tab, where we can sort by Category column to see what kind of contacts have been made with the patient:

    Patients-ContactTab-CategoryColumn
  6. Click the OK button; the Create SMS window will now display, as for the single SMS option.

    If you have selected an SMS template, the text from the template will be displayed, but you may still edit the details of this if you wish, by clicking in the field.

    Create SMS window 2

    Note the following:

    • The Flash box is checked for Flash SMS messages; do not delete the FLASH inserted at the beginning of the message - this tells the SMS provider to send this as a Flash message.

    • The text in the box is counted in the Character count field below it, to let you know how long the message is.
      This will not be accurate if any merge fields are present, so you will have to estimate how long each merge field is likely to be, based on what it represents.

  7. Clicking the OK button in this window will create the SMS messages for the selected patients in EXACT, and either send the SMS messages or queue them to be sent, depending on your settings.

    The contact list entries will be updated with the appropriate SMS status icon in the Type column.

    For an SMS message, one of the following icons may appear, depending on the status:


    SMS delivered icon

    SMS appointment reminder sent to recipient (delivered)

    SMS buffered

    SMS message received by gateway (sent, but not yet delivered)

    SMS delivery failure icon

    SMS delivery failed (where SOE is the SMS provider; password is wrong, insufficient credit, etc.)

    SMS reply received icon

    Reply received (for SMS reminder sent to patient)

    SMS_status_available icon

    SMS status is now available

    SMS status unknown

    SMS status unknown (TXTConnecxions / Icetrak / 4Production)

    SMS failed or not sent

    SMS failed or not sent to gateway

    SMS status unavailable

    SMS status unavailable (other SMS providers)


    A tooltip displays when you hover your mouse cursor over each of the icons.

  8. The SMS messages will also appear in the Email Outbox until they are sent, when they will be removed and will appear in the Sent tab.

    In each case they will have the appropriate icon in the Status column.

    Only email replies will appear in the Email Inbox.

    If staggered recall settings are in effect, the column marked with a clock icon Clock icon will have a corresponding icon for any items in the Outbox that are subject to the settings.

    If you hover your mouse cursor over the icon, a tooltip will tell you when the SMS is due to be sent, as in this example:

    SMS staggered delivery tooltip
  9. Check in the Patient file Contacts tab for records of contacts.

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As an automated facility in EXACT, SMS Replies relies on multiple configuration requirements in three integrated areas:

  • Configuring Email Parameters.

  • Configuring Automatic Appointment Reminders.

  • Configuring Keywords for SMS Replies.


IMPORTANT:

  • Appointment reminders will only work if set for a future date; they do not function if set today for today.

  • Manually generated reminders must be manually processed: SMS Replies software is designed to function with automated reminders sent to Patients. The software links the pending appointment with the automated SMS Reminder, with the patient's SMS Reply. It is possible to manually contact single or multiple patients by means of SMS reminders, but in this case EXACT has no automatic means to link your sent SMS Reminder and the patient's SMS Reply with a pending appointment. So, if you manually create SMS Reminders, EXACT will always send the consequent SMS Replies to the Manage Replies List and to the SMS Replies Tab, for you to manually confirm who this is from, what it relates to, and what actions to take.

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TIP: Use the Checklist as a starting point. It provides an overview of the configuration tasks and includes hyperlinks to specific task procedures.

Checklist

checkbox,grey-checked Check that you complete each of these configuration requirements, or that they have already been correctly configured elsewhere in EXACT. Each requirement has a hyperlink to the appropriate instructions:

Configuration requirement / task


Links

Prerequisites:



checkbox,grey-unchecked

The EXDOCe Email module is registered in Practice Information.



checkbox,grey-unchecked

For EXDOCe you have either an Internet connection through a local area network (LAN), or an account with an Internet Service Provider (ISP).


checkbox,grey-unchecked

For EXDOCe your practice server requires both hardware and software to automatically connect to the Internet.


checkbox,grey-unchecked

Patients who are to receive Emails as both Email and as SMS messages on their cell phones have the appropriate SMS checkboxes selected icon-CheckBox-checked in their Patient details.


checkbox,grey-unchecked

The Patient Contact Lists for appointment reminders have been set up and are being maintained.


In Email Setup, correctly configure and Test all parameters.


Configuring Email and SMS Parameters

In Automatic Appointment Reminders, correctly configure the following reminders and parameters:


Configuring Automatic Appointment Reminders

checkbox,grey-unchecked

Create an automated email for New patients.


checkbox,grey-unchecked

Select / create a template for automatically sending to each patient as the patient's appointment is booked.


checkbox,grey-unchecked

Create an email signature for adding to an email template.


checkbox,grey-unchecked

Configure EXACT to automatically generate and send appointment reminders to patients by Email, SMS or both. Because the Email and SMS settings are independent for each, optionally setup Email and SMS reminders to complement each other. For example, send a reminder email two weeks before the appointment, then follow it up with an SMS message a few days prior to the appointment time, and a second SMS a few hours beforehand.


Specify Keywords that patients need to use in SMS replies to trigger automated EXACT responses.


Keywords for SMS Replies

checkbox,grey-unchecked

Be aware of the important Guidelines for using Keywords, without which your SMS replies strategy will not function.


checkbox,grey-unchecked

Set up Confirmation Keywords for patients to use in confirming appointments.


checkbox,grey-unchecked

Set up Cancellation Keywords for patients to use in cancelling appointments.


checkbox,grey-unchecked

Once the Keywords are set up, manage them per Contact List. this includes checking that they are up to date.


checkbox,grey-unchecked

When necessary, free up Keywords for use in other configurations.



Email and SMS Parameters

IMPORTANT! IT information required: Before you begin the procedure below, check through the settings and ask your IT Systems Administrator or your ISP for any details that you may require.

...

Practice Email Address

This is the full practice email address.

User Name

This is usually the user name used to access the internet connection.

Password

This is usually the password used to access the internet connection.

If you have a domain registered with a company other than your internet provider, the user names and passwords for internet access and for email may be different. Check with SOE Support or your domain/internet provider(s) if you are unsure.

Incoming Mail Server Port


This is the address of the mail server used to receive incoming mail. It can be specified by name (e.g. pop3.hotmail.com for a dialup setting, or server name for a LAN setting), or by numeric IP address (e.g. 190.167.250.112)

For a LAN you will also need to specify the port number in the appropriate field.


IMAP option:

If you opt to use IMAP, edit the address to read imap where it otherwise reads pop3, and change the default port. Also tick the Use IMAP checkbox, as described below...

checkbox,grey-unchecked Use IMAP

EXACT historically used the POP protocol for Email, but from v12.7 the IMAP protocol is optional for incoming Email.

POP is a simple protocol that generally allows the downloading of original messages (not copies) from an Inbox to a local computer, and has few other features.

The Internet Message Access Protocol (IMAP) is a more feature-rich mail protocol used for accessing email on a remote web server from a local client. It stores email messages on the mail server, but allows the end user to view and manipulate the messages as though they were stored locally on the end user's computing devices. Copies of messages and attachments are transferred to an email client only on request, but the originals always reside on the mail server.

If you check this box you also need to change the above Incoming Mail Server Port.

Outgoing Mail Server Port

This is the address of the mail server used to send outgoing mail. It can be specified by name (e.g. smtp.hotmail.com for a dialup setting, or server name for a LAN setting), or by numeric IP address (e.g. 190.167.250.112)

For a LAN you will also need to specify the port number in the appropriate field.

Specify if checkbox,grey-unchecked STARTTLS.

The STARTTLS checkbox is only enabled if it is on port 25, otherwise its status will be determined automatically, whether needed or not. When the wizard is being configured, the STARTTLS tick-box is enabled or disabled according to the outgoing port being used. Some ports (such as 587, which is a common port) specifically use STARTTLS, causing the tick-box to be greyed out (disabled)).

checkbox,grey-unchecked Use authentication for outgoing Email

Tick this checkbox if your ISP requires authentication for outgoing email.

checkbox,grey-unchecked Allow Email setup without account details

By default this is un-checked, and you are required to complete all fields in the Account Details screen, and then successfully Test Credentials before the Wizard Next> button is enabled.

You can check this Allow Email setup without account details to entirely bypass the Account Details screen setup. In this case all screen fields are greyed out and the Next> button is enabled.

Test Credentials


Click this button to check your connection and details.

The Test is only compulsory on the initial setup.
Once the Test is passed you can come back into the wizard to edit without being forced to re-Test.

You will see a progress indicator, and the test may take up to 5 minutes to complete.

TestingEmailCredentials

EXACT will immediately display an error message if there is a test failure. For example:

TestFailed-01TestFailed-02


In this test EXACT runs a series of checks:

If any check fails you will see an immediate failure message with instructions.

No email will be sent during this check.


  1. Checks that workstations can access the Internet through the server.

  2. Checks that the Email Server is running.

  3. Checks that it can connect to the incoming Mail Server.

  4. If Incoming Mail Server check is successful, it then connects again to the Email Server to check user credentials and password.

  5. Checks that it can connect to the Outgoing Mail Server.

  6. If Outgoing Mail Server check is successful, it then connects again to the Outgoing Mail Server to check user credentials and password.

  7. Disconnects.


You cannot continue to the Next screen until either

- The Test is completed successfully, or

- You check the checkbox to checkbox,grey-checkedAllow email setup without account details.

AllowEmailSetup

...

checkbox,grey-unchecked Send all mail immediately

With this checkbox un-checked checkbox,grey-unchecked your practice requires manual user action to send email.

Either

  • Click the Send/Receive Email button in the main Inbox, or

  • Right-click the email server icon and select Send/Receive Now from the drop-down menu, or

  • For Draft-status emails, send them individually by clicking the Send button within each email window.


With this checkbox checked checkbox,grey-checked the mail server will check regularly for new mail and send it immediately, but only during the periods specified in the screen:


TimesToCheckEmail


IMPORTANT: Ensure that scheduled network backup times don't coincide with these specified periods.


Within these periods your email server can check every __ minutes, and / or it can check at specific configured times:

PerformRegularChecks

checkbox,grey-unchecked Add a delay between sending each email

By default this setting is OFF (un-checked).

Internet Service Providers (ISPs) have automated ways of identifying clients who are spamming via their service. This includes measuring the volume and rate of client outgoing emails.

So if your ISP red-flags your practice for "spamming", you have the option to choke the rate of your email passing through the ISP facility.

This is by adding a delay between each outgoing email - tick the checkbox and then specify the maximum number of outgoing emails per minute, with the default being 40.

Minimum figure is 1. If you specify a very large number the software will send as many emails as it can within each minute.

This setting is deliberately presented as a per-minute figure because this way it is easier to comprehend the rate of sending than it would be with a seconds-delay figure.

AddADelay


NOTES:

Manual sending overrides the delay - if you create 10 emails and click the Send button, EXACT sends them all immediately, with no staggered delay.

DRAFT status emails are not sent automatically - when ready to send, click the Send button within that email's window.

...

  • You understand it.

  • You can confirm that your anti-virus program has the capability to scan email attachments before they are opened.

  • Your practice will regularly update the anti-virus program.

Important notes to avoid virus infection of your practice:

  • If your anti-virus program cannot scan emails before saving, you risk virus infection by selecting this option.

  • Keep your anti-virus program updated, or it may fail to recognise and deal with new viruses.

...

SMS Provider

radiobutton,grey-unchecked Software of Excellence

Select Software of Excellence to use SMS reminder messages.

radiobutton,grey-unchecked None


Select None if reminder text messages are not going to be sent.

The Finish button will then immediately become available:

None-Finish

Practice ID [ ]


With Software of Excellence selected above, enter the appropriate Practice ID (if not already defaulted from the Practice Information screen) as supplied by Software of Excellence.

Once entered and your settings successfully tested (see below), the Practice ID will be "greyed out" and cannot be changed, as it is used in several places in EXACT for various functions.

Practice ID Password [ ]

Enter the password that is associated with your Practice ID.

Test

The Test button becomes available once the two fields above have been completed. It will test the SMS settings and functionality and if successful will display a message like the example below, which will tell you how many SMS credits you have left.

SMS Test message

If the Test button fails, check that you have entered your details correctly. If you have, and your practice uses a proxy server for connection to the internet, then you may need to check the configuration of your SMS services.

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Create Automated Appointment Reminders

These are best created as an overall strategy using available communications media (SMS, Email, Easypost).

Create Automated Appointment Follow-ups

From version 11.3 SP6 EXACT can automatically follow-up patient appointments with SMS messages and request patient keyword responses.

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Create Automated Patient Surveys by SMS

From version 11.3 SP6 EXACT can automatically follow-up patient appointments with SMS messages and request patient keyword responses.

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Keywords are critical to the function of the SMS Replies feature, as they are used to match a reply with the appropriate contact list or automatic appointment reminder.

EXACT can recognise multiple codes as a valid client reply. For example, you could configure EXACT to recognise all of these options as valid for a Confirmation SMS: YES, YIP, Y, YEAH, YAH, OK.

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  1. Click the List button

    (or press the

    'F4' key

    key) to access the Manage Keywords dialog:

    Configure-EmailParams13-G
  2. Use the two buttons at the lower right of the entry pane to add keywords

    Add to List button

    and remove keywords

    Remove from list button

    from the Contact List.

  3. To create a New keyword, click the

    Add to List button

    button to display the Add Keyword dialog:

    Configure-EmailParams13-I
  4. Click in the entry field, and start typing the new keyword; EXACT will immediately start evaluating what you type. It will compare it to existing keywords and keyword validation rules - as you type, a message is displayed, according to validity

    Keyword is valid:

    Configure-EmailParams13-K

    ...or otherwise (for example A keyword cannot be blank):

    Configure-EmailParams13-J

    Message examples:

    A Keyword cannot be blank
    This is displayed (and the button is inactive) until some valid characters are typed in.

    You have already added that keyword; keywords are case-insensitive
    There is already another active contact list or appointment reminder list using that word. Also, when comparing keywords, EXACT treats upper- and lower-case letters as equivalent. You can change the keyword (if it is less than 25 characters) by adding more letters or numbers to it to make it unique. Alternatively, if the existing keyword is no longer required in the contact or reminder list that uses it, delete it from there, or mark the other list as inactive.

    A Keyword cant contain spaces
    Remove any spaces in the keyword.

    A Keyword can only contain letters and numbers
    You have typed in a non-alphanumeric character; delete it or substitute another character.

  5. Once you have typed a valid keyword, click the

    button to add it to the list.

    Configure-EmailParams13-LConfigure-EmailParams13-M
  6. Repeat the above steps to add more words, then click

    again to return to the Appointment Reminder Reply dialog. The Keywords field will now show the changes you have made to the list of keywords.

  7. Click in the checkbox next to any of the options you wish to apply:

    checkbox,grey-checked

    Display in Manage Replies list
    This will cause any SMS reply with a valid keyword to be added to the Manage Replies list for viewing (in addition to the auto-confirmation in the Appointment Book).

    ShowConfirmedAppts in SMSReplies

    We do not recommend that you use this option, except for testing or monitoring purposes, as it will create extra work for you.

    Note that per user you can tick the Show Completed checkbox in the above screen to achieve the same display.

    checkbox,grey-checked Show as confirmed in the Appointment Book
    A received keyword will automatically confirm the patients appointment by showing the handset icon in the appointment.
    ConfirmationOfAppt-simple


    checkbox,grey-checked Send patient automatic confirmation of receipt
    An SMS reply will be sent to the patient acknowledging receipt of their SMS. To do this, you will have to click in the Template field, and Use the button to select an existing template set up for this purpose, or create one.

    NOTE: These additional SMSes that incur the standard SMS charges.

    To select a Template for the SMS:

    Configure-EmailParams13-E

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When the patient replies with a cancellation keyword that matches the reminder SMS template (for example "No"), EXACT automatically removes that appointment from the Appointment Book and it won't be visible under the SMS Replies Tab unless you check the Show completed checkbox.

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  • The keywords used must be unique to that list or reminder; they must not appear on any other active list.

  • Keywords cannot occur in a keyword list more than once.

  • EXACT automatically cross-checks to ensure that when you create a new keyword or edit a keyword it is not already in use elsewhere.

  • EXACT has facilities for editing or removing redundant keywords.

  • Keywords should reflect the word, text or number the practice requires the patient to return in the SMS reply.

  • Provide Keyword options for confirming an appointment or cancelling/not accepting.

  • Each keyword can have up to 25 alphanumeric characters.

  • Keywords cannot contain spaces (trailing and preceding spaces are trimmed in the 'Add Keywords' dialog and so are disregarded).

  • The total length of all the keywords in a list cannot exceed 250 characters.

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Managing Keywords for a Contact List

When you have ensured EXACT is configured as in the previous sections, you can manage the keywords as follows:

  1. Select 'Manage Contact Lists' from the 'Administration menu.

  2. Highlight the contact list you wish to set up SMS Replies keywords for, and click the

    button in the bottom right-hand corner of the screen.

  3. The "Information About Contact List" dialog will open, like the following example:

    Contact List info screen
  4. In the 'Keywords' field, click on the 'List' button

    (or press the

    'F4' key

    key) to access the 'Manage Keywords' dialog:

    Manage Keywords dialog
  5. The two buttons at the lower right of the entry pane are used to add keywords

    Add to List button

    and remove keywords

    Remove from list button

    from the Contact List. Click the

    Add to List button

    button to add a new keyword, and the 'Add Keyword' dialog is displayed:

    Add Keyword dialog
  6. Click in the entry field, and start typing the new keyword; EXACT will immediately start evaluating what you type. It will compare it to existing keywords and keyword validation rules - as you type, a message is displayed, according to validity ('Keyword is valid') or otherwise:
    'A Keyword cannot be blank'
    This is displayed (and the

    button is inactive) until some valid characters are typed in.

    'You have already added that keyword; keywords are case-insensitive'
    There is already another active contact list or appointment reminder list using that word. Also, when comparing keywords, EXACT treats upper- and lower-case letters as equivalent. You can change the keyword (if it is less than 25 characters) by adding more letters or numbers to it to make it unique. Alternatively, if the existing keyword is no longer required in the contact or reminder list that uses it, delete it from there, or mark the other list as inactive.

    'A Keyword can't contain spaces'
    Remove any spaces in the keyword.

    'A Keyword can only contain letters and numbers'
    You have typed in a non-alphanumeric character; delete it or substitute another character.

  7. Once you have typed a valid keyword, click the

    button to add it to the list.

  8. Repeat steps 5 to 7 above to add more words, then click

    again to return to the "Information About Contact List" dialog. The Keywords field will now show the changes you have made to the list of keywords.

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Selecting or Creating an SMS Template

NOTE: The interface and procedure for creating Email templates differs to that for creating SMS templates.

  1. Click in a field to see the selector controls for that field.

  2. Either click the Up/Down arrows to scroll through options, or click the List icon to view the SMS Templates list, from which you can select a template:

    Configure-EmailParams13-A
  3. Assign Keywords
    (This step is explained in the Keywords for SMS Replies section, which includes Guidelines for using keywords, Managing Keywords for a Contact List, and Freeing Up Keywords.)

  4. Click OK.

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