Today's healthcare model requires that services be patient-centered. Additional challenges arise, though, when care needs to be coordinated among multiple providers. From 1999-2009, the number of primary care visits resulting in a referral increased by 159%. Research strongly indicates that referring physicians need to improve the quality of information they provide to consulting physicians. When surveyed, 63% of PCPs and 35% of specialists report dissatisfaction with the current referral process. Paper referrals often do not provide adequate information. In other cases, consult reports are not delivered in a timely manner. Many referrals do not even include transmission of information, either to or from specialists.