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© 2018 | Payoda - Confidential
1
How can
An Effective Electronic Referral
Management System
Improve Care Coordination?
www.healthviewx.com
Learn how a patient referral software can help
© 2019 | Payoda - Confidential
In a traditional referral management set up, there is a huge communication gap between
primary care providers and specialists while giving care to their patients. It leads to,
● Clinical operational inefficiency
● Poor care coordination
● Broken referral loops
The relationships between PCPs and specialty care providers must evolve and improve to
enhance care coordination. In order to do that healthcare organizations must adopt the
advanced medical technologies. However, in the recent decades, the healthcare industry has
been slow in adopting new technologies.
© 2019 | Payoda - Confidential
Documentation
1
During the referral process, referring physicians tend to miss out valuable patient information.
Many times vital symptoms and findings from initial tests are often not sent with the referral
order, leading to health complications that could have otherwise been avoided.
General Care Coordination mistakes made by
medical practices
The following care coordination mistakes by medical practices affect patient experience and optimal
care the most,
© 2019 | Payoda - Confidential
Leadership disconnects
2
The leadership team should know which doctors are referring patients to specialists. Well
connected team structure enables educational conversation between leadership and care
providers regarding overutilization, referrals to high cost specialists, or the importance of
sending all necessary documentation with every referral.
General Care Coordination mistakes made by
medical practices
© 2019 | Payoda - Confidential
Lack of coordination among caregivers
3
Did you know? Lack of coordination among caregivers are endemic and contribute to an
estimated 44,000 to 98,000 deaths from medical errors each year.
General Care Coordination mistakes made by
medical practices
© 2019 | Payoda - Confidential
Follow-ups
4
Many primary care practices do not follow-up after they’ve referred a patient to a specialist. They
vest the responsibility of scheduling a specialist visit with the patient. According to the Archives
of Internal Medicine, this process does not happen in 50-60% of referrals that are made, putting
patients at risk.
General Care Coordination mistakes made by
medical practices
© 2019 | Payoda - Confidential
Delays
5
The patient faces extended delays between the time the referral is sent and the time at which the
actual appointment is made. As mentioned previously, delays and frustrations with the
scheduling process can cause patients to avoid making an appointment, or they may ultimately
cancel an existing appointment if the wait is too long.
General Care Coordination mistakes made by
medical practices
© 2019 | Payoda - Confidential
High-cost referrals
6
Primary care practices that refer patients to high-cost providers are harming their own practice
and their patients. Exorbitant price tags affect reimbursement for PCPs and scare patients away
from the idea of seeing a specialist, despite their medical conditions.
General Care Coordination mistakes made by
medical practices
© 2019 | Payoda - Confidential
Value-based care is taking the center stage in the healthcare industry. It is
high time that primary care providers and specialists find ways to eliminate
communication deficiencies and create a bridge for communication.
How can an effective Electronic Referral Management
System improve care coordination?
This is when an electronic referral management system comes to play. An
electronic referral management platform improves care coordination workflows
in the following ways,
© 2019 | Payoda - Confidential
Introduces a collaborative design that connects primary care providers with
specialists on a single and uniform network.
How can an effective Electronic Referral Management
System improve care coordination?
Electronically-connected specialists form network of care collaboration, where both
parties are responsible for the timely care of their mutual patients.
Secure electronic notifications provide quick and reliable information between
PCP and specialist.
Referral management technology allows primary care providers to ensure quality and
optimize their practices' reimbursements by exceeding patients’ expectations
© 2019 | Payoda - Confidential
PCPs now have an enhanced ability to track referrals.
How can an effective Electronic Referral Management
System improve care coordination?
Electronic Referral Management has decreased wait times for face-to-face specialty
clinic visits.
With Electronic Referral Management system, each step in the workflow prompts easy
follow-ups and automatically closes the loop on all referrals
© 2019 | Payoda - Confidential
Soon, primary care providers and specialists across
multiple practices within a region will be integrated under
one care coordination system that will seamlessly
connect providers and enhance patient experience.
Schedule a demo with us and our patient referral
management experts will guide you through our HIPAA
compliant solution.

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How can an effective electronic referral management system improve care coordination

  • 1. © 2018 | Payoda - Confidential 1 How can An Effective Electronic Referral Management System Improve Care Coordination? www.healthviewx.com Learn how a patient referral software can help
  • 2. © 2019 | Payoda - Confidential In a traditional referral management set up, there is a huge communication gap between primary care providers and specialists while giving care to their patients. It leads to, ● Clinical operational inefficiency ● Poor care coordination ● Broken referral loops The relationships between PCPs and specialty care providers must evolve and improve to enhance care coordination. In order to do that healthcare organizations must adopt the advanced medical technologies. However, in the recent decades, the healthcare industry has been slow in adopting new technologies.
  • 3. © 2019 | Payoda - Confidential Documentation 1 During the referral process, referring physicians tend to miss out valuable patient information. Many times vital symptoms and findings from initial tests are often not sent with the referral order, leading to health complications that could have otherwise been avoided. General Care Coordination mistakes made by medical practices The following care coordination mistakes by medical practices affect patient experience and optimal care the most,
  • 4. © 2019 | Payoda - Confidential Leadership disconnects 2 The leadership team should know which doctors are referring patients to specialists. Well connected team structure enables educational conversation between leadership and care providers regarding overutilization, referrals to high cost specialists, or the importance of sending all necessary documentation with every referral. General Care Coordination mistakes made by medical practices
  • 5. © 2019 | Payoda - Confidential Lack of coordination among caregivers 3 Did you know? Lack of coordination among caregivers are endemic and contribute to an estimated 44,000 to 98,000 deaths from medical errors each year. General Care Coordination mistakes made by medical practices
  • 6. © 2019 | Payoda - Confidential Follow-ups 4 Many primary care practices do not follow-up after they’ve referred a patient to a specialist. They vest the responsibility of scheduling a specialist visit with the patient. According to the Archives of Internal Medicine, this process does not happen in 50-60% of referrals that are made, putting patients at risk. General Care Coordination mistakes made by medical practices
  • 7. © 2019 | Payoda - Confidential Delays 5 The patient faces extended delays between the time the referral is sent and the time at which the actual appointment is made. As mentioned previously, delays and frustrations with the scheduling process can cause patients to avoid making an appointment, or they may ultimately cancel an existing appointment if the wait is too long. General Care Coordination mistakes made by medical practices
  • 8. © 2019 | Payoda - Confidential High-cost referrals 6 Primary care practices that refer patients to high-cost providers are harming their own practice and their patients. Exorbitant price tags affect reimbursement for PCPs and scare patients away from the idea of seeing a specialist, despite their medical conditions. General Care Coordination mistakes made by medical practices
  • 9. © 2019 | Payoda - Confidential Value-based care is taking the center stage in the healthcare industry. It is high time that primary care providers and specialists find ways to eliminate communication deficiencies and create a bridge for communication. How can an effective Electronic Referral Management System improve care coordination? This is when an electronic referral management system comes to play. An electronic referral management platform improves care coordination workflows in the following ways,
  • 10. © 2019 | Payoda - Confidential Introduces a collaborative design that connects primary care providers with specialists on a single and uniform network. How can an effective Electronic Referral Management System improve care coordination? Electronically-connected specialists form network of care collaboration, where both parties are responsible for the timely care of their mutual patients. Secure electronic notifications provide quick and reliable information between PCP and specialist. Referral management technology allows primary care providers to ensure quality and optimize their practices' reimbursements by exceeding patients’ expectations
  • 11. © 2019 | Payoda - Confidential PCPs now have an enhanced ability to track referrals. How can an effective Electronic Referral Management System improve care coordination? Electronic Referral Management has decreased wait times for face-to-face specialty clinic visits. With Electronic Referral Management system, each step in the workflow prompts easy follow-ups and automatically closes the loop on all referrals
  • 12. © 2019 | Payoda - Confidential Soon, primary care providers and specialists across multiple practices within a region will be integrated under one care coordination system that will seamlessly connect providers and enhance patient experience. Schedule a demo with us and our patient referral management experts will guide you through our HIPAA compliant solution.