5Ws
WHO is affected by referrals?
Who are Patient and PCP
A referral should be
What is medically necessary
WHAT's the what of referrals?
What needs to be addressed that is beyond PCP ability?
Pre-referral work-up should include
What are labs, imaging, medication evaluation and high risk disease detection?
WHERE is the patient going?
What is the Specialist, Procedure, Diagnostics in Network?
Ensure adequate pre-referral work-up is
What is Good medicine
WHEN should patient be referred?
What is when the pre-referral work-up is completed?
Types of referrals to communicate with referral coordinator
What are stat, urgent, important or acute referrals?
WHY does the patient need to be referred?
What is PCP can't manage the issue?
Referral management supports our
What are our values?Care, Accountability, Respect, Excellence