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Joe Hage
🔥 Find me at MedicalDevicesGroup.net 🔥
April 2012
11 Ways the Healthcare Referral System is Broken
3 min reading time

Consider these 11 disturbing facts how paper-based communication impacts the cost and security of the healthcare industry.

Billions of dollars are mismanaged and millions of lives globally (200,000 in the U.S.) are lost due to processing paperwork incorrectly.

  1. 60-70% of referrals go unscheduled *10
  2. 25% of scheduled appointments are missed *8
  3. 68% of specialists receive no information from the PCP prior to referral visits *9
  4. 25% of primary care physicians do not receive timely information from specialists post-referral *10
  5. It costs nearly $250 billion to process 30 billion healthcare transactions each year *1
  6. The average ratio of staff handling paperwork to doctors can be as high as 1:1 *2
  7. 86% of mistakes made in the healthcare industry are administrative *3
  8. Three of every 10 tests are reordered because results cannot be found *4
  9. Patient charts cannot be found on 30% of visits *5
  10. Providers need to fill out an average of 20,000 forms every year *6
  11. Organizations, on average, make 19 copies of each document, spend $20 in labor to file each document and lose one of every 20 documents *7
*1. Woodworth, Glenn. “2003: The Year of Medical Paperwork Simplification,” Journal of Healthcare Information Managament Winter 2003, vol. 17. no. 1, pp. 12-13.
*1, *2 Healthcare Financial Management Association
*3 Woodworth , Glenn, “2003: The Year of Medical Paperwork Simplification,” Journal of Healthcare Information Management
*4, *5, *6 “A Healthy System,” Technology CEO Council, 2007
*7 Pricewaterhouse Coopers
*8 http://ahec.health.ufl.edu/chs/2002/Noshows.pdf
*9 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495590/
*10 2009 – 2011 Annals of Internal Medicine

[caption id=”attachment_1525″ align=”aligncenter” width=”558″ caption=”Click for the full infographic”][/caption]

Paper referrals have been a long time issue for hospitals, clinics, specialists and general practitioners.  

A breakdown of an average cost per dental / medical paper referral:

  1. Triplicate referral form (3 part form) = $.35 to .45
  2. Cost of copy paper/fax paper (.06 x 19) = $1.14
  3. Cost of ink (.10 x 19) = $1.90
  4. Time filling out referral form, waiting for review, signature, and tracking of referral in excel or on paper, filing and retrieving a document, reviewing document for necessary information, follow up time on phone, and faxing ranges in most offices from 45 minutes  to an hour and half per referral. – $40 to $60/referral
  5. Does not include lost revenue from missed referrals, liabilities of those lost referrals, reduced patient care quality, potential reputation hit from patients, and cost to search for misplaced documents (Average $125 dollars of labor to find a lost document) (See #1 and #2 from the Healthcare facts section)

Total average cost : $40 to $60/referral
Note: These costs can be a lot higher depending on wages of staff and doctors, cost of ink, paper etc…
*We used an average of $30.00 an hour which includes doctors and staff. (Most practices are much higher considering doctor’s wages average over $100 – $200 per hour)

By using an electronic referral software application, costs are dramatically lowered by reducing the hard costs and time needed to exchange and report on referrals. And most of all the ability to capitalize on quick access to patient no shows and missed referrals that cost the provider potentially many thousands more in lost revenue.

More posts about Referral Management.
Benefits of using software to manage your referrals
The Secret to Growing Doctor Referrals
Patient Referrals from a Neurologist’s Perspective

How much are you spending per referral?
Ask your staff how much time they spend, you will be shocked to find out the answer. Consider sharing it here for the group.

Guest author Jeff Evans is Creative Director at ReferralMD.

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Posted by Joe Hage
Asked on April 29, 2012 4:44 pm
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