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Table 1 Recommendations Summary and their relation to Socio-Technical dimensions

From: Improving the Effectiveness of Electronic Health Record-Based Referral Processes

Recommendation

Primary Socio-Technical Dimension*

1

Include real-time clinician-to-clinician communication features as part of the referral system.

Hardware & Software

2

Design and use electronic standardized referral templates that include both structured and free-text fields.

Human-Computer Interface

3

Enforce electronic capture of the reason for the referral.

Clinical Content

4

Bring PCPs and specialists together to collaboratively develop referral guidelines for inclusion into the electronic referral system

People

5

Integrate patient communication into the electronic referral process

People

6

Use automation to pre-populate electronic referral requests with patient-specific data

Workflow & Communication

7

Include the capability of electronic consultations (information-only referrals).

Workflow & Communication

8

Close the communication loop by providing referral status tracking and feedback capabilities and integrating these tools into providers’ workflows

Workflow & Communication

9

Standardize and maintain up-to-date institutional policies and procedures for electronic referrals.

Organization Policies & Procedures

10

Monitor electronic referral communication performance.

Measurement & Monitoring

  1. *Although recommendation may be associated with more than one dimension of the socio-technical mode, this table identifies the dimension each recommendation most directly relates to.