Telshur vs. Fax, Text, Email, Phone

	Telshur Clinical Communicator	Paper	Fax	Email	Text App	MS Teams^®	Phone
1. Process Complexity Steps required to move from issue to action
Nurse identifies a clinical concern requiring provider input
1. Identify provider	Automatic	Manual lookup	Manual lookup	Manual lookup	Manual lookup	Manual lookup	Manual lookup
2. Create communication	Structured, condition-specific	Unstructured	Unstructured	Unstructured	Unstructured	Unstructured	Verbal, unstructured
3. Add clinical context	Automatic	Manual entry	Manual entry	Manual entry	Partial	Manual entry	Manual (verbal)
4. Deliver to provider	Open Telshur and send	Deliver to inbox / office	Go to Fax machine, load, and send	Open email and send	Open app and send	Open Teams and send	Call provider, frequently requires repeat attempts
5. Document in EHR	Automatic	Manual entry or scan	Manual entry or scan	Manual entry or scan	Upload separately	Manual entry or scan	Manual entry
Total Steps	2	5	5	5	4	5	5+ with delays
Provider reviews and responds
1. Identify and reach nurse	Automatic routing to responsible nurse	Locate nurse and deliver paper to inbox / unit	Identify facility fax and send	Find nurse email and send	Respond in app to sender	Respond in Teams to sender	Call facility and attempt to reach nurse
2. Communicate plan	Structured, tracked response	Write response on paper	Write response via fax	Write response in email	Write response in app	Write response in Teams	Verbally communicate plan
3. Deliver plan to nurse	Nurse receives instantly	Nurse retrieves from inbox / unit	Fax received and reviewed	Nurse checks and reads email	Nurse views in app	Nurse views in Teams	Nurse receives verbally (if reached)
4. Document in EHR	Automatic	Manual entry in EHR	Manual entry in EHR	Manual entry in EHR	Upload or manual entry	Manual entry in EHR	Manual entry in EHR
Total Steps	2–3	5	5	5	4	4	5+ with delays
2. Clinical & Operational Risk Risk of delays, errors, and missed documentation
Loop confirmed closed	Yes	No	No	No	No	No	No
Message not seen	Low	High	High	High	Moderate	Moderate	Moderate
Wrong recipient	Low (auto routing)	High	High	Moderate	Moderate	Moderate	Low
Audit ready	Yes	No	No	No	No	No	No
3. Information Quality Clarity and completeness for decision making
Clarity Issue specific and structured to be read
Completeness Clinical context and data included
4. Continuity of Care Visibility across shifts and care teams
Searchable history Past communication can be easily retrieved and reviewed
Instant all team access From Social Services to Care Managers, ensure no one is left out of the loop
Shift to shift continuity Clinical context and decisions persist across shift changes
5. Actionable Data Real-time operational data that drives measurable improvement
Accountability
Provider engagement Tracks provider response patterns and performance
Staff responsiveness Measures timeliness and follow-through by staff
Operational Insight
Care flow and timing Exposes delays from issue to action
Orders and lab utilization Tracks ordering patterns and utilization of labs and clinical services
Clinical Care
Specialty input Track and measure how your specialty services are engaged
Clinical issues and trends Tracks clinical issues over time to reveal patterns and emerging risks
6. Intelligence Layer Active management of operations through integrated intelligence
RevIQ Surfaces missed clinical and billing opportunities during care
Clinical summary generation Transforms care flow into structured clinical summaries
Real-time risk detection Surfaces emerging risks and delays so teams can act earlier

	Telshur Clinical Communicator	Paper	Fax	Email	Text App	MS Teams^®	Phone
1. Process Complexity Steps required to move from issue to action
Provider workflow Steps to send response back to nurse	Reviews notification ↓ ✓ Types plan, sends	Find nurse / paper ↓ Write response ↓ Leave in inbox ↓ Nurse finds & reads	Review fax ↓ Write/type response ↓ Send fax back ↓ Nurse retrieves	Read email ↓ Reply with plan ↓ Nurse sees reply	Read text ↓ Text response back	—	Call back (if missed) ↓ Verbally states plan ↓ Nurse writes it down
2. Clinical & Operational Risk Risk of delays, errors, and missed documentation
Time for nurse to receive response From provider reading to nurse getting the answer	Minutes	Hours+	Hours	15–60 min	5–20 min	—	Variable
Provider can respond remotely Can respond without being on-site	Yes	No	Limited	Yes	Yes	—	Yes
3. Information Quality Clarity and completeness for decision making
Response documented in record Clinical plan is captured and attributable	Yes	No	No	Partially	Partially	—	No
Verbatim plan preserved Exact wording of instructions retained	Yes	Sometimes	Sometimes	Yes	Yes	—	No — verbal
Transcription error risk Risk nurse misrecords the plan	None	Moderate	Low	None	None	—	High
Nurse confirms receipt Provider knows nurse received & understood plan	Yes	No	No	Sometimes	Sometimes	—	Sometimes
Missed response alert System flags if provider has not responded	Yes	No	No	No	No	—	No
4. Continuity of Care Visibility across shifts and care teams
Structured, actionable plan Response gives clear steps for nurse to follow						—
Context-aware response Provider sees full patient context when responding	Full context	None	Limited	Partial	Partial	—	Verbal only
Response visible to care team Others can see the provider's plan	Yes	No	No	Partially	Partially	—	No
5. Actionable Data Real-time data usable for improvement
Plan searchable later Can the response be retrieved for reference?	Yes	No	No	Sometimes	Sometimes	—	No
Informs next shift Incoming nurse can see provider's plan	Yes	No	No	No	No	—	No
Pattern tracking over time Response patterns analyzed for improvement	Built in	None	None	None	None	—	None

What clinical communication should be measured against.

See how the legacy options actually compare.

See the operational impact.