Closing the Referral Loop: Receipt of the Specialist Report
Identifying Attributes
Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Merit-Based Incentive Payment System Program
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Communication
Defining Attributes
Definition
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.
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.
Denominator
Number of patients, regardless of age, who had an encounter during the performance period and were referred by one clinician to another clinician on or before October 31.
Exclusions
None
Use of Risk Adjustment
No
Risk Adjustments
None
Stratifications
Data Attributes
Type of Data Collection
Electronic/paper chart records
Data Collection Methods
Electronic Clinical Data (non-EHR) Electronic Health Record.
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Merit-Based Incentive Payment System Program (CMS and Providers) CMS Provider Compare - Doctors & Clinicians (Publicly reported) - data.cms.gov/provider-data/dataset/7d6a-e7a6.
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No
Source and Reference Attributes
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025
Actions
Date Modified 12 March 2025