Challenges of Referral Management Software in Healthcare

Challenges of Referral Management Software in Healthcare

Healthcare Tech Outlook | Wednesday, November 24, 2021

 

Referral management systems must interact with a variety of scheduling systems to indicate available appointments when issuing a referral because so many providers use different scheduling software.
 FREMONT, CA:Health systems may prevent patient leakage, increase care coordination, and match patients to the care they require by taking a proactive approach to referral management. Furthermore, referral management software provides insight into referral patterns, allowing health systems to optimize provider networks for increased patient access, resulting in shorter patient wait times, better network usage, happier patients, and better overall patient care. But healthcare organizations face many hurdles to make referral management work; a few are given below:

Accurate Provider Directories

Maintaining an accurate and relevant provider directory has long been a concern in the healthcare business. It is not as simple as ensuring that a provider's name and address are correct. However, it is an issue that many businesses encounter as they try to handle many sources of contradicting data. A provider database must indicate which offices a provider practices in, what types of insurances the provider accepts at which offices, whether the provider is accepting new patients, and so on to keep correct data.

Scheduling Appointments and Closing the 'Clinical Loop

Patients are more likely to attend a referral appointment if they can arrange it before leaving the referring provider's office; thus, it is in the health system's best interest to make this process as easy as possible. Referral management systems must interact with a variety of scheduling systems to indicate available appointments when issuing a referral because so many providers use different scheduling software.

Care Coordination between Doctor Offices

When many offices use different Electronic Medical Records (EMRs), care coordination becomes a challenge. One advantage of using an EMR-agnostic referral management solution is that data can be shared between offices, allowing staff to exchange files, patient notes, or simple information like updated phone numbers or patient appointment preferences in a HIPAA (Health Insurance Portability and Accountability Act)-compliant manner without having to rely on fax machines or calling the office, waiting on hold, and leaving a voicemail. This update improves the referral workflow for general care office personnel, specialty office employees, inpatient or emergency room discharge staff, and call center staff, allowing them to focus on patients in the office and complete referral-related duties more quickly.

 

tag

EMR

Weekly Brief