Page 8 - Risk Reduction Series Effective Systems Part 2

SVMIC Risk Reduction Series: Effective Systems

started feeling better, had no transportation, had child care

issues, or developed financial concerns or other fears. The most
significant issue is that the patient is unaware of the importance

of the referral or consequences of the missed appointment.
It is not a priority for the patient because there was a

miscommunication. Some of these issues can be addressed
by reviewing and evaluating your practice’s referral process.

The referral process should be a shared decision-making
conversation by engaging the patient and agreeing to the plan.

There is a critical difference between a patient who refuses to
go and one who misunderstands the need for the referral and

potential consequences of failure to keep the appointment.

When a decision is made to refer the patient to a specialist
or other care provider, it is important to communicate to the

patient a certain level of information about your expectations
of the consultant. If the patient has some understanding about

the need for the referral and a specific test or procedure that
may be indicated, it increases the likelihood that the patient will

keep the appointment. Also, the patient will have an idea of what
to expect and be better able to communicate any additional

symptoms or concerns. Consider the following case:

Page 8