Over 100 million specialist referrals are made each year in the U.S. ambulatory healthcare market, but only half of these ever get completed, according to IHI and HFMA. Furthermore, nearly 70% of referrals to specialists are absent of any clinical information about the patient. At the top of the list of recommended solutions for closing the gap and completing the referral process is interoperability between primary care and specialty providers.
While incomplete referrals obviously speak to concerns related to quality and patient experience, the underlying costs are staggering. Lack of specialty care or delays in treatment contribute to the need for even greater utilization of healthcare resources over time and can cost lives.
The Greenlight solution leverages healthcare interoperability standards and enables primary care providers to refer to specialists using CCD data. Healthcare policy makers introduced this interoperability standard to allow a common set of patient data elements to easily be exchanged between providers using different EHR systems—this intended use aligns with industry expert’s recommended solution for referral processes.