Closing the loop with an enhanced referral management system

Journal of the American Medical Informatics Association : JAMIA
Harley RamelsonDavid W Bates

Abstract

To evaluate the impact of a referral manager tool on primary care practices. We evaluated a referral manager module in a locally developed electronic health record (EHR) that was enhanced to improve the referral management process in primary care practices. Baseline (n = 61) and follow-up (n = 35) provider and staff surveys focused on the ease of performing various steps in the referral process, confidence in completing those steps, and user satisfaction. Additional metrics were calculated that focused on completed specialist visits, acknowledged notes, and patient communication. Of 1341 referrals that were initiated during the course of the study, 76.8% were completed. All the steps of the referral process were easier to accomplish following implementation of the enhanced referral manager module in the EHR. Specifically, tracking the status of an in-network referral became much easier (+1.43 [3.91-2.48] on a 5-point scale, P < .0001). Although we found improvement in the ease of performing out-of-network referrals, there was a greater impact on in-network referrals. Implementation of an electronic tool developed using user-centered design principles along with adequate staff to monitor and intervene when necessary made it easi...Continue Reading

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Citations

Mar 7, 2020·Journal of the American Medical Informatics Association : JAMIA·Deborah J CohenNathaniel Warren

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