Use of Structured Templates to Improve Completeness of Endocrinology Referrals

Endocr PractPublished Quality improvement project with retrospective chart review

Authors' conclusion

Structured referral templates, designed with the input of primary care providers and endocrinologists and embedded into an electronic referral system, can improve the availability of essential information and increase the quality of referrals. Future work should examine the effect of structured referral templates on efficiency, specialist experience, patient experience of care, and clinical outcomes.

Study context

Population
New endocrinology referrals for common endocrine conditions at a large Veterans Health Administration medical center
Participants
125 vs 125
Exposure
Referrals after vs before introduction of structured referral templates
  • Postinterventionn = 125
  • Preinterventionn = 125reference
Outcome
Referral completeness (share of essential elements included); target ≥30% improvement for each condition
Methodological detailspre-post comparison, single-centre, pre-post intervention
  • Pre-post comparison
  • Single-centre
  • Pre-post intervention

Main finding

As reported in the abstract

Essential elements included in referrals (average)

Observational data: associations, not effects.

Further findings

Average

OutcomePostinterventionPreintervention
Essential elements included, excluding "type of visit preference" (the element with greatest improvement)92%64%

Original publication

Use of Structured Templates to Improve Completeness of Endocrinology Referrals. Endocr Pract. Published 30 May 2023. doi:10.1016/j.eprac.2023.05.010

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