CMS50v13: Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring clinician receives a report from the clinician to whom the patient was referred *telehealth eligible

Numerator        

Number of patients with a referral on or before October 31, for which the referring clinician received a report from the clinician to whom the patient was referred.

 

In order to complete this measure, the following workflow needs to be followed:

Receive the referral note back from the referring physician and scan it into the chart

  1. Open the patient’s chart and go to the Imported Items page
  2. Click Import New and import the referral note.
    • We recommend naming the document “Referral from (referring providers name)” in order to best find the item in the next step
  3. After scanning the document, link the document to the order
    1. From the main screen of Amazing Charts, click “View” then “Orders”
    2. Select the order from the list
    3. Click the “Find Imported Items (Not Yet Reconciled)” button
    4. Select the “Show All” option in the top right.
    5. Find the referral note that was scanned into the chart. Double click the item to attach it to the order.
    6. Mark the order as “Completed” and click “Update Order”.
      • Note: You do not need to send a message to the provider after updating the order.

Denominator

Number of patients, regardless of age, who had an encounter during the measurement period and were referred by one clinician to another clinician on or before October 31. 

The following items need to be completed in order to count towards the denominator:

  • One eligible encounter during the measurement period
  • Referral must be ordered through the Orders Screen
    • In the Most Recent Encounter Screen, click on the “Orders Button”
    • Make sure you have selected the “Referral” tab on the orders screen. Follow the normal steps for Ordering a referral.
      • Note: if a staff member is writing a referral on behalf of a provider, make sure the "Ordering Provider" field list the providers name
    • Click either “Save” or “Send Order Message” to complete the order

Exclusions

None