Internal Team Communication


Introduction to internal team communication

If you are the only user on your Spruce account, you will not have access to team communication. Once you invite another user to your account, you will then have access to team-specific features like secure, internal team communication. Team conversations are similar to patient conversations, with the ability to send messages back and forth to teammates securely from the Spruce app. Within an internal team communication, you can also send a digital Page to a teammate. Paging is a means of notifying yourself or another teammate of a conversation thread that requires action or acknowledgement.

Team Conversations 

Your team conversations will show up in the  Team section. You can elect to create team conversations that include every person on your account or you can have private, secure chats with specific teammates––only the teammates who are listed as a member of that team conversation will have access. 

Creating new team conversations 

To initiate a new team conversation from the mobile app, navigate to the Team tab at the bottom of the screen. Select the black circle icon with two profiles in the lower right hand corner and select New Team Conversation

To initiate a new team conversation form the web, navigate to the Team filter on the left hand side of your screen. Select the blue pencil icon dropdown, and then select "Team Conversation". 

1. Define the subject of the conversation. This is an optional field, but it could be helpful to define what you hope to accomplish with this conversation, i.e., "Admin Update," "Upcoming holiday", etc.

2. Define the members of this conversation. Any member of the conversation will be able to view and participate in the team conversation. You can either type in the names of other teammates on your account, or select the plus icon to get a full list. If you select the name of your account as a member, this will automatically include every single teammate on your account––it also means that future teammates that are added to your account will automatically have access to this conversation. If you select a group as one of the members, every teammate in that group will have access to the conversation. 

3. Type your message, and select send! 

Adding/removing members from existing team conversations  

If you created a team conversation, or you are included as a member in a team conversation, you can add additional people to the conversation or remove existing people. If you add a new person to the conversation, they will have access to the existing conversation history and future conversation history. If you remove a person from the conversation a note will be posted to the conversation indicating that you removed that person. 

From Mobile App

To remove a member from a team conversation select the (i) icon in the top right-hand corner of the team conversation. Then, tap on the member's name that you'd like to remove and then select "Remove from Conversation".

To add a member to a team select the (i) icon in the top right-hand corner of the team conversation. Then, select Add Team or Teammates and select the Team or Teammate's name that you'd like to add. 

From Web

To remove a member from a team conversation from the  web, select the (i) icon in the top right-hand corner of the team conversation. Then, select "Edit" next to members. Select the (x) icon next to the member's name or team that you'd like to remove from the conversation. 

To add a member to a team conversation from the  web, select the (i) icon in the top right-hand corner of the team conversation. Then, select "Edit" next to members. Type in the name of the teammate or Team that you'd like to add to the conversation under "Add Member" where it says, "Search by name".


Digital Paging

Paging is a way to alert a member of your team within a patient conversation to notify them of something they should review or take action on. You can even page yourself to serve as a reminder of what you need to follow up on, or to refer back to the topic if it's something important. Paging exists within an internal note of a conversation, it is never visible to patients. 

Page a teammate within a patient conversation

1. Open the conversation, select Internal at the bottom of the screen.  

2. Select the @ symbol below the compose bar.

3. A list of all the teammates and Teams on your account will appear. Select the person or multiple people you'd like to Page.  

4. Compose your message to accompany the Page, then select Post.  

When you Page a teammate, the conversation will become available in their Pages filter. The Page will continue to exist in their Pages filter until that Page is resolved. If you Page an entire Team, everyone who is a member of that team will receive the Page––for example, if you Page the Admin Team and Teammate A, B, and C are in the Admin Team they will all receive a notification. If anyone resolves the Page for the Admin Team it will no longer be visible to all of the teammates.

Page a teammate or Team within a team conversation

You can Page a teammate or Team within an existing team conversation. If you attempt to Page a person or Team who is not an existing member of that Team conversation you will be prompted to add them as a member to the conversation. This will mean that they will have access to all prior communication that occurred. 

1. Open the team conversation, and select the @ symbol below the compose bar.

2. A list of all the teammates and Teams on your account will appear. Select the person or multiple people you'd like to page.  

3. Compose your message to accompany the Page, then select Post.  


Paging yourself

Paging yourself is a powerful tool in Spruce! 

Paging yourself is a great way to remind yourself of tasks you need to complete, or to flag a message for later reference. When you Page yourself, the conversation will appear in your Pages filter just like if a teammate had Paged you. You can resolve Pages from yourself in the same way, by opening the conversation and selecting Resolve Page. 


Resolving a Page

Once you have completed the task or acknowledged the message associated with a Page, you can resolve the Page to indicate it is complete. When a Page is resolved, it will no longer show up in your Pages filter.

Simply select the Resolve Page bubble within the Page to resolve it. 


Using the Notes feature for Internal Communication

Larger practices often use Spruce to collaborate on patient care. This might involve internal discussion of a patient’s billing questions, clinical communication between providers, or relaying of patient requests from administrative staff to clinicians. Within a conversation, "internal notes" (yellow messages on Spruce) can be used to accomplish these tasks easily and effectively, but the situation can become complex when there are multiple active conversations for a single patient. If your practice needs a way to discuss a patient's care outside of any specific conversation thread, or needs to be sure that the internal discussion is accessible to team members who may not have access to all conversations,  one great solution is to use the new "Note" feature to communicate!

Read more HERE.

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