Quality Care Begins with the Right Referral

 

Quality Care Begins with the Right Referral

July 2014

Today, there is more responsibility on the patient than ever. The financial, administrative and emotional burdens associated with care patterns can be difficult to navigate. The overload can lead to patients abandoning the care process and not following up with a referred physician.  

Inefficient referral processes create lapses in the care continuum and cause patients to either defect to out-of-network providers — or worse —  slip through the cracks of the health system. This not only interferes with delivery of care, but creates expensive administrative inefficiencies.

Improving the referral process can help close the gaps in the healthcare continuum to improve quality of care while keeping referrals in-network, thereby controlling costs for the patient and eliminating duplicate tests and imaging. The result is reduced waste, more accountability and ultimately better outcomes and greater patient satisfaction.

Why do Patients go Out-of-Network?

Too often, patients are not provided with sufficient information about their referral appointment. They’re frequently given only a sheet of paper or sticky note that is lost in the shuffle or simply misplaced. Fueled by confusion or frustration, they convince themselves they don’t really need to follow up or put it off until their condition has worsened. Or, if they do follow up, a patient may choose to go to the most convenient or familiar provider — one recommended by a friend or family member, for example —  which they may not realize is out-of-network.

Physician-to-Physician Communication

In a primary care practice, communication between the referring physician and the referred provider is essential. Many referral coordinators still rely on inefficient systems. 

In addition, many practices and state-run exchanges do not have provider directories or search tools, so patients cannot easily determine which doctors, specialists, and hospitals are included in their network. This can lead a patient to unknowingly choose an out-of-network provider or disengage from care entirely. An electronic referral system is the most effective way to improve the referral process and minimize out-of-network patient loss. 

It’s time to help patients move to their next stage of care with ease and real-time scheduling.

MSIGHT™ Connect Improves the Referral Process

MSIGHT Connect’s scheduling solution streamlines the flow of referral information between practices, serving as a powerful connection among referring physicians and increasing the likelihood patients will receive care from an in-network provider. 

MSIGHT Connect interfaces with practice management systems to find in-network specialists and allows referring physicians to access their appointment calendars. It also offers specialists real-time inbound booking from referral sources. This convenience to both physician and patient helps referral coordinators stay organized. Appointments can be scheduled before the patient leaves the primary care practice, greatly increasing the chances of staying in-network and of receiving the follow-up care they need.

Increase Referral Traffic – Make it Easy for Them

MSIGHT's Patient & Referral Scheduling solution allows patients to find a provider accommodating to his or her schedule and health coverage options, as well as schedule appointments based on actual availability.

MSIGHT Connect also includes a scheduling widget that can be syndicated on websites for increased exposure of physician groups and practices. More than just a physician-to-physician referral tool, it also helps patients self-schedule and helps generate new business to the practice. The MSIGHT Connect widget can be directly incorporated into online sites commonly accessed by patients, such as patient portals, payor sites, doctor review sites and corporate benefits webpages to allow scheduling visits and displaying appointments.

MSIGHT Connect can increase the efficiency and accuracy of the referral process, leading to increased coordination of care, patient satisfaction, and improved revenue cycle.