Secure texting is a topic seen frequently in the HIT World recently. When is secured texting not worth the investment? A Major reason for the lack of adoption with secured texting is a lack of understanding for the clinical communication ecosystem. Understanding the communication needs between members of the care team is critical to success. The communication ecosystem is comprised of three basic elements – the users, the physical environment, and the workflows. Understanding each of these elements is critical to designing an effective communication solution.