USING THE REFERRALS APPLICATION TO COORDINATE CARE
PRESENTERS Joe Pintar Implementation Consultant Carrie Strom Implementation Consultant Katrina Khouri Implementation Consultant
STATEWIDE COVERAGE Implementation Consultant Team Mary Graham Greg Cavanaugh Northern Michigan East Michigan/Thumb Carrie Strom Katrina Khouri West Michigan Flint/Genesee County Karen Casman Bryan Bulock Mid Michigan South Central Michigan Joe Pintar Southeast Michigan 3
SESSION GOALS Inbound v Outbound Referrals Benefits of GLHC for each Creating a Referral Homepage set up Demo Myths Resources and GLHC Standards Additional Thoughts and Questions 4
REFERRALS – INBOUND/RECEIVED Benefits include: Worklist Queues Referral Home Page Instructions and Information Logo and website link Resources/Attachments Custom questions Ability to assign referrals to users Decline referrals & include a reason Messaging capability
REFERRALS – OUTBOUND/SENT Benefits include: Track status of referrals Accepted Scheduled Cancelled Complete Attach records electronically Assign referrals to users Set up preferred destinations Messaging capability
COMMAND CENTER Landing Page Worklists - Referrals In & Out Tracking: 7
CREATING A REFERRAL Patient creation • Demographics • Supporting Party • Insurance Patient history of referrals: 8
REFERRAL DIRECTORY Search for providers by: • Provider Name • Practice/Organization Name • Service/Specialty Set up preferred destinations Who is in the referral application? List of Live Referral Offices (PDF) gl-hc.org/referrals 9
HOMEPAGE
QUESTIONS Answer custom questions set up by the receiving destination 11
PATIENT CLINICAL INFORMATION Attach patient records to the referral – no need to fax! Referrals and Direct, both? 12
REFERRAL IS SENT Worklists - Referrals In & Out Receiving office accepts, declines or sends message if questions 13
REFERRAL DEMO 14
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“It’s only for West Michigan” Statewide Referral Network: • 1,257 sites • 57 Counties (44 outside West MI) • 180 Cities • 239 Zip Codes • Over 160,000 (avg. of 756/day) in 2016 • See gl-hc.org/referrals for a list of live offices 16
“It’s only for medical practices” We also work with: • Behavioral Health • Dental • Community Organizations • Food banks • Refugee Services • Insurance companies 17
“We are using an EMR for referrals.” • Within the EMR – we agree! • What about those outside of your EMR? – Typically they receive a fax – How do they communicate back to you? – How do you know the patient was scheduled? – How do you know the patient made the appt? 18
“ Everyone will still do their own thing” 19
“It will take up too much time” How much time is staff spending: • On the phone • Re-faxing • Mailing • Tracking/documenting referrals 20
“No one is using it in my area” • IC’s are there to help bring others on board • No cost for most practices • We have promo material • We have experience • Exposure for your practice 21
“Staff will send our patients OON ” • Many staff take the directive of the physician • Administrators can create favorites for staff • Future release focuses on In-Network Referrals 22
“We’ll get inappropriate referrals.” 23
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“We need to focus on PCMH Initiatives.” 25
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“The Referral Application can’t be used to meet Meaningful Use.” 27
USER GUIDES & LIVE SITES Referral Help User Guides Referral User Guides List of Live Office/Organizations Excel Version PDF Version 28
Questions???
CONTACT Katrina Khouri Implementation Consultant for Flint kkhouri@gl-hc.org (810) 252-4475 User Guides: http://gl-hc.org/referrals Great Lakes Health Connect Phone: [844]454-2443 Website: www.GL-HC.org Email: info@gl-hc.org 30
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