Closing the Loop on Electronic Referrals: A Quality Improvement Initiative Using the Care Coordination Model

Primary care providers refer nearly one-third of their patients to specialty care services. Despite provider recommendations, approximately 1 in 4 referrals are never completed. Incomplete referral rates are higher among vulnerable and medically underserved individuals. Sixty-seven percent of federa...

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Bibliographic Details
Published in:The Journal of ambulatory care management Vol. 43; no. 1; pp. 71 - 80
Main Authors: Fabre, Jennifer C., Andresen, Pamela A., Wiltz, Gary M.
Format: Journal Article
Language:English
Published: United States Wolters Kluwer Health, Inc. All rights reserved 01-01-2020
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Summary:Primary care providers refer nearly one-third of their patients to specialty care services. Despite provider recommendations, approximately 1 in 4 referrals are never completed. Incomplete referral rates are higher among vulnerable and medically underserved individuals. Sixty-seven percent of federally qualified community health centers report difficulty obtaining specialty care appointments and incomplete referral rates as high as 73%. Effective electronic referral processes can improve health outcomes, reduce waste, and mitigate risks. Using the Care Coordination Model as its framework, this quality improvement initiative implemented evidence-based interventions aimed at improving patient support and organizational accountability for electronic referrals.
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ISSN:0148-9917
1550-3267
DOI:10.1097/JAC.0000000000000315