The Treatspace Referral Management Blog

Communication between primary care physicians (PCPs) and the specialists they refer patients to is paramount to the overall best outcome for the patient. Much of the communication breakdown lies in outdated protocols and manual workflows that some organizations continue to employ. In the past, many physicians referred patients to various specialists, but never followed up on the recommendation. The patient was left to make their appointment with the specialist. In those cases, as high as 50% of the patients never made the appointments or followed up on the physician's recommendation. As illustrated, improving referral adherence shouldn't solely be the responsibility of the patient.

Relationships between PCPs and specialists are sacred. On average, a single PCP is connected to 68 specialists. However, lack of electronic connectivity makes it difficult to coordinate care and manage referrals—apart from hiring additional administrative staff.

Without patient referrals from PCP to specialist, it is estimated that only half as many patients would show up to their specialty care appointment¹. Furthermore, “self-referral” patients who see specialists without recommendation from a PCP are associated with higher patient dissatisfaction and poorer continuity of care with the primary care doctor². As PCPs refer more patients to specialists each year, coordinated care and automated referral workflow become an urgent issue for both independent and hospital-based practices.

As the CDC sounds the alarm to increase awareness for colorectal cancer screening, primary care practices find that their EHRs can’t support the task of getting patients to complete colonoscopy referrals. In addition to the CDC, there is a growing focus by medical societies, advocacy organizations and media personalities like Katie Couric to ensure that adults over 50 get referred for colonoscopies to detect and prevent colorectal cancer. Awareness initiatives are critical because half of all patients referred for colonoscopies fail to complete the procedure.¹