HIPAA Texting for WellSky Users

WellSky handles your clinical record. Here is how to add the conversational patient texting that Outreach and portal messaging do not cover.

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The short answer

WellSky Outreach handles bulk campaigns and the core platform offers portal messaging, but neither covers the conversational texting home health agencies need in the field. BloomText works alongside WellSky to give clinicians a dedicated texting number. Patients reply over SMS. Group conversations keep clinicians, supervisors, and patients in one thread.

Capability comparison

BloomText vs WellSky

Messaging capability comparison between BloomText and WellSky
CapabilityBloomTextWellSky
Two-way SMSPatients reply by secure chat via SMSIncludedNot included
Group threadsStaff and patients in one conversationIncludedNot included
Broadcast messagingReach many patients at onceIncludedNot included
No app or login requiredWorks from any phone, no download neededIncludedNot included
Portal or app messagingPatients log in to a portal to messageNot includedIncluded
One-way SMS remindersAutomated appointment notificationsNot includedIncluded
Self-serve pricingPublished rates, no sales call neededIncludedNot included
No long-term contractMonth-to-month, cancel anytimeIncludedNot included

The gap WellSky users describe

WellSky handles clinical documentation, scheduling, and billing. Outreach handles campaign-style outbound messaging. The gap is the conversational texting that happens in the field — coordinating visit times, following up on care instructions, confirming access details. Neither Outreach nor portal messaging handles this.

What WellSky users need alongside their EHR

Conversational two-way SMS — not campaigns. Group threads for clinician-patient-office coordination. A dedicated agency number. And a signed BAA covering the texting platform. See what makes texting HIPAA compliant for the full requirements.

How BloomText fills the gap

BloomText gives WellSky agencies a dedicated number for patient texting. Patients receive a secure link over SMS, tap it, and reply. Group conversations keep clinicians, supervisors, and patients in one thread. Photos — including wound-care images — travel through the same secure channel.

WellSky stays the system of record. BloomText handles the communication layer.

Every plan includes a signed BAA, including the free plan. See pricing for current plans.

Add patient texting to WellSky — start free

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Frequently Asked Questions

Does BloomText replace WellSky?
No. WellSky remains your clinical record and documentation platform. BloomText adds conversational two-way SMS texting.
Can clinicians share wound-care photos securely?
Yes. Photos travel through secure group conversations. Images are encrypted and retained on the organization's account, not on personal devices.
Do patients need to download an app?
No. Patients receive secure links over normal SMS and reply from any phone.
Does BloomText include a BAA?
Yes. A signed Business Associate Agreement is included on every plan, including the free plan.

Sources

Last verified August 27, 2026.

  1. WellSky Outreach launch announcement