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Authors

  1. Spahr, Jenny DNP, RN, CPNP
  2. Coddington, Jennifer DNP, RN, CPNP
  3. Edwards, Nancy PhD, RN, ANP-BC
  4. McComb, Sara PhD, PE

Abstract

The Patient-Centered Medical Home care model emphasizes efficient, coordinated care distributed among interdisciplinary team members. One key function to care coordination is referral/test tracking. This study evaluated the referral practices in a nurse-managed Patient-Centered Medical Home primary care clinic. The major findings corroborate the need for a well-organized referral-tracking system that is centralized and contains safety nets to reduce the number of delayed or missed referrals.